Explore the latest in end-of-life care, including hospice and palliative care, estimating prognosis, palliative sedation, and more.
This retrospective cohort study assesses whether the receipt of early palliative care is associated with a survival benefit among patients with advanced lung cancer receiving care in the Veterans Affairs health care system.
This cohort study examines the accuracy of clinicians’ assessments of mortality risk among older adults admitted to the hospital from the emergency department compared with the actual 1-month mortality of these patients.
This Viewpoint describes the barriers to accessing beneficial palliative care under the current Medicare reimbursement structure for hospice.
This Viewpoint discusses the need for academic medical leaders to emphasize education and research on supportive and palliative care programs to address physical and psychosocial pain in patients with cancer.
In this narrative medicine essay, a physiatrist recalls his role in telling his wife of her diagnosis of metastatic ovarian cancer, his support during her inexorable decline, and how the experiences of her passing drew his family closer, nurtured his appreciation for relationships, the wonder of nature, and the renewed sense of connection to the world.
This cohort study examines data from the WONDER database for all deaths attributed primarily to cerebrovascular disease between 2003 and 2017 to examine trends in location of death.
This population-based cohort study examines the sex-based variations in burdensome interventions (care transitions, invasive procedures, and use of physical restraints) and antibiotic therapy at the very end of life among nursing home residents with advanced dementia in Ontario, Canada.
This Viewpoint discusses the challenges of communicating uncertain prognosis to patients and offers a framework and language that go past mortality statistics—addressing range of time left, loss of independence, and the unpredictability of outcomes—that embraces uncertainty and might help empower patients to plan for their quality-of-life goals.
This cohort study evaluates and compares patterns of the use of medical aid in dying in Oregon and Washington State.
This randomized clinical trial examines the effect of implementing a default order option in the electronic medical record on daily imaging utilization for patients with cancer undergoing radiotherapy during palliative care.
This narrative review provides guidance to clinicians on initiation, selection, maintenance, and weaning or withdrawal of chronic inotropes and the management of concurrent therapies in the modern heart failure landscape.
This cohort study compares the location of death and measures of health care use in the last 6 months of life for physicians vs nonphysicians in Canada.
This systematic review and meta-analysis examines the association of interventions used to improve decision-making by surrogates of patients in intensive care units with patient- and family-centered outcomes and resource use.
This Medical News article discusses how all physicians who treat seriously ill patients can integrate palliative care into their practices.
In this Medical News article, experts discuss how—or whether—the United States should have a national conversation about death and dying.
This cohort study develops and validates a deep learning algorithm using longitudinal electronic health records to predict mortality risk as a proxy indicator for identifying patients with dementia who may benefit from palliative care.
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