Letters Section Editors: Stephen J. Lurie,
MD, PhD, Senior Editor; Phil B. Fontanarosa, MD, Executive Deputy Editor.
To the Editor: Drs Morrison and Siu1 suggested that patients with advanced dementia
may not benefit from hospitalization for hip fracture or pneumonia. However,
I am concerned that the authors have grouped together patients with Global
Deterioration Scale (GDS)2 scores of 6 or
7 and refer to both groups as having "end-stage dementia." They do not report
how many of the patients had a GDS score of 6 and how many had a score of
Mortality From Pneumonia and Hip Fractures in Patients With Advanced DementiaPreferences of Patients With Advanced Cancer for Hospice CareEnd-of-Life Care for Patients With Advanced Dementia. JAMA. 2000;284(19):2447–2448. doi:10.1001/jama.284.19.2447
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