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Editor's Correspondence
February 27, 2006

Recognizing Patient Discomfort When Forgoing Artificial Nutrition and Hydration in Severe Dementia—Reply

Arch Intern Med. 2006;166(4):472. doi:10.1001/archinte.166.4.472-b

In reply

We agree with Burke and Travaline regarding their concerns about the properties of the DS-DAT. For this reason, our article included an extensive consideration of the methodological issues, including all possible problems with the DS-DAT, among which is the possibility that the level of consciousness might affect the score on the DS-DAT.1 Because of these considerations, we explicitly mentioned that conclusions should be drawn carefully.