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In This Issue of JAMA Otolaryngology
June 2014


Author Affiliations

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Otolaryngol Head Neck Surg. 2014;140(6):487. doi:10.1001/jamaoto.2013.4295

End-of-life decisions for advanced cancer patients, their families, and their physicians continue to be a challenge. Rocke and associates from Duke University evaluated attitudes regarding quality and quantity of life and their impact on Medicare resource allocation. Participants were requested to allocate a pool of resources among 15 categories. The 746 otolaryngologist–head and neck surgeons allocated resources significantly differently from the 146 patients with advanced cancer and 114 caregivers in almost all categories. Baseline health attitudes influenced patients’ and caregivers’ but not physicians’ allocation decisions. Understanding these attitudes can improve these difficult doctor-patient discussions.

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