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November 15, 2000

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

Author Affiliations

Letters Section Editors: Stephen J. Lurie, MD, PhD, Senior Editor; Phil B. Fontanarosa, MD, Executive Deputy Editor.

JAMA. 2000;284(19):2447-2448. doi:10.1001/jama.284.19.2447

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 7.