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In Reply: We share Ms Quigley's concern that evaluations of ethics consultations accurately convey a "representative range of experience and opinion" of the participants. In our study, there were no significant differences in the diverse demographic profiles among the patients entered into the study, the patients/surrogates who were interviewed, and those who lacked surrogates or whose surrogates were unavailable for interview.

As for surrogate involvement, all stakeholders or participants were identified and included in the process, except when they were not available. In some cases there was only 1 surrogate or family member. When more than 1 family member was involved in the consultation process, the concerns of all these individuals were acknowledged and addressed.