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Comment & Response
October 18, 2016

Palliative Care–Led Meetings for Families of ICU Patients

Author Affiliations
  • 1Division of Geriatrics and Palliative Medicine, Warren Alpert School of Medicine of Brown University, Providence, Rhode Island
JAMA. 2016;316(15):1598. doi:10.1001/jama.2016.14319

To the Editor Dr Carson and colleagues1 reported on a palliative care–led goals of care intervention for families of ICU patients with chronic critical illness. In my view, the null findings were not surprising. Although the researchers suggested that their intervention offered “more intensive informational and emotional support,” the intervention content fell far short of the support provided by a palliative care consultation. In many cases, family meetings occurred only once during a hospitalization that was often weeks long. It appears that treatment recommendations were not made by palliative care clinicians and the patients were not seen or examined.

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