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    End of Life

    Explore the latest in end-of-life care, including hospice and palliative care, estimating prognosis, palliative sedation, and more.

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    • Staying Home
      JAMA
      Opinion
      February 6, 2023

      In this narrative medicine essay, a third-year medical student who chose hospice for her infant with a life-limiting condition considers her uncertainty about whether the family may have extended their brief time together through medical intervention.

      Humanities A Piece of My Mind Pediatrics Narrative Medicine
      Full Text | pdf link PDF free
    • Breaking the Link Between Enrollment in Hospice and Discontinuation of Dialysis
      JAMA Internal Medicine
      Opinion
      January 30, 2023

      This Viewpoint discusses Medicare coverage regarding hospice care for patients receiving dialysis at the end of life.

      Health Policy Nephrology Renal Replacement
      Full Text | pdf link PDF
    • Ideal vs Actual Timing of Palliative Care Integration for Children With Cancer in Latin America
      JAMA Network Open
      Research
      January 19, 2023

      This survey study evaluates the ideal vs actual timing of palliative care integration for children with cancer and assesses barriers to early integration identified by physicians in Latin America.

      Pediatrics Ethics Pediatric Cancer Oncology
      Full Text | pdf link PDF open access
    • Stay for the Eulogy
      JAMA Neurology
      Opinion
      January 17, 2023

      In this essay, the author recounts caring for a patient from primary care clinic to hospice referral and attending the patient’s funeral.

      Humanities Narrative Medicine On The Brain
      Full Text | pdf link PDF
    • Long-term Effect of Machine Learning–Triggered Behavioral Nudges on Serious Illness Conversations and End-of-Life Outcomes Among Patients With Cancer: A Randomized Clinical Trial
      JAMA Oncology
      Research
      January 12, 2023

      This randomized clinical trial assesses the impact of behavioral nudges to clinicians on the rate of serious illness conversations and end-of-life outcomes among patients at high risk of death.

      Clinical Decision Support Oncology Health Informatics
      Full Text | pdf link PDF open access
    • Social Work Staffing and Use of Palliative Care Among Recently Hospitalized Veterans
      JAMA Network Open
      Research
      January 4, 2023

      This cohort study assesses the association of an intervention to increase social work staffing in Veterans Health Administration primary care teams with use of palliative care among veterans with a recent hospitalization.

      Health Policy Veterans Health
      Full Text | pdf link PDF open access
    • The Last Visit
      JAMA
      Opinion
      December 27, 2022

      In this narrative medicine essay, a hospice and palliative care social worker describes the expressions of love she and her mother shared in the last days of her mother’s life.

      Humanities Narrative Medicine A Piece of My Mind
      Full Text | pdf link PDF
    • Conceptualization of Surrogate Decision-making Among Spokespersons for Chronically Ill Patients
      JAMA Network Open
      Research
      December 8, 2022

      This qualitative study examines how patient spokespersons distinguish surrogate decision-making from patient advocacy.

      Ethics Geriatrics Shared Decision Making and Communication
      Full Text | pdf link PDF open access
    • Failure and Rescue in Surgery—Surgical Covenant, Palliative Care, and Reimagining Quality
      JAMA Surgery
      Opinion
      December 1, 2022

      This Viewpoint discusses the pitfalls of failure-to-rescue metrics and importance of palliative care within surgical care.

      Surgery Health Care Quality
      Full Text | pdf link PDF
    • Adherence to the TQIP Palliative Care Guidelines Among Patients With Serious Illness at a Level I Trauma Center in the US
      JAMA Surgery
      Research
      December 1, 2022

      This cohort study measures the adherence to the American College of Surgeons Trauma Quality Improvement Program (TQIP) palliative care guidelines among patients with serious illness at a level I trauma center in the United States.

      Surgery Trauma and Injury Health Care Quality Emergency Medicine
      Full Text | pdf link PDF
    • All Surgeons Should Be Palliative Care Surgeons
      JAMA Surgery
      Opinion
      December 1, 2022
      Trauma and Injury Surgery
      Full Text | pdf link PDF
    • Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning: A Randomized Clinical Trial
      JAMA Internal Medicine
      Research
      December 1, 2022

      This randomized clinical trial examine the efficacy of computer-tailored print feedback (CTPF), motivational interviewing (MI), and motivational enhancement therapy (MET) on completion of a set of advance care planning activities, each as compared with usual care.

      Clinical Decision Support Geriatrics Shared Decision Making and Communication Veterans Health
      Full Text | pdf link PDF
    • Systemic Anticancer Therapy at the End of Life—Changes in Usage Pattern in the Immunotherapy Era
      JAMA Oncology
      Research
      December 1, 2022

      This cohort study evaluates the rate of systemic anticancer therapy use among patients dying of cancer.

      Targeted and Immune Cancer Therapy Oncology
      Full Text | pdf link PDF
    • Death and End-of-Life Care in Emergency Departments in the US
      JAMA Network Open
      Research
      November 4, 2022

      This cross-sectional study evaluates the frequency with which US residents die in the emergency department or within 1 month of vising the emergency department.

      Emergency Medicine Geriatrics
      Full Text | pdf link PDF open access
    • Assessment of Oncology Advanced Practice Professional Willingness to Participate in Medical Aid in Dying
      JAMA Network Open
      Research
      October 26, 2022

      This survey study uses self-reported response data from advanced practice professionals (ie, nurse practitioners and physician assistants) in a single Washington State cancer center to assess their willingness to participate in prescribing or consulting for medical aid in dying.

      Oncology Health Care Workforce
      Full Text | pdf link PDF open access
    • Association of Hospice Payer With Concurrent Receipt of Hospice and Dialysis Among US Veterans With End-stage Kidney Disease: A Retrospective Analysis of a National Cohort
      JAMA Health Forum
      Research
      October 21, 2022

      This retrospective cross-sectional analysis compares the use of concurrent dialysis and hospice by payer among US veterans with end-stage kidney disease and examines the association with length of stay.

      Health Policy Health Care Economics, Insurance, Payment Renal Replacement Nephrology Chronic Kidney Disease
      Full Text | pdf link PDF open access
    • A Sobering Tale of Missed Opportunities for Advance Care Planning—Now Is the Time for Action
      JAMA Surgery
      Opinion
      October 12, 2022
      Surgery Geriatrics
      Full Text | pdf link PDF
    • Association Between State Regulations Supportive of Third-party Services and Likelihood of Assisted Living Residents in the US Dying in Place
      JAMA Health Forum
      Research
      October 7, 2022

      This cohort study examines the association between state regulations supportive of third-party services and the likelihood of assisted living residents in the US dying in place.

      Health Policy Geriatrics
      Full Text | pdf link PDF open access
    • Characterizing the Language Used to Discuss Death in Family Meetings for Critically Ill Infants
      JAMA Network Open
      Research
      October 5, 2022

      This qualitative study characterizes words used to discuss death in meetings between clinicians and parents of critically ill infants and examines differences in the way clinicians and family members refer to death.

      Pediatrics Pregnancy Obstetrics Women's Health Obstetrics and Gynecology
      Full Text | pdf link PDF open access
    • Use of Euphemisms to Avoid Saying Death and Dying in Critical Care Conversations—A Thorn by Any Other Name
      JAMA Network Open
      Opinion
      October 5, 2022
      Pediatrics Pregnancy Obstetrics Women's Health Obstetrics and Gynecology
      Full Text | pdf link PDF open access
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