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Comment & Response
September 8, 2020

Palliative Care in Parkinson Disease—Is It Beneficial for All?

Author Affiliations
  • 1Department of Neurology, University of Miami Miller School of Medicine, Miami, Florida
  • 2Now with the Edmond J. Safra Program in Parkinson's Disease and the Morton & Gloria Shulman Movement Disorders Clinic, Division of Neurology, Department of Medicine, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
JAMA Neurol. Published online September 8, 2020. doi:10.1001/jamaneurol.2020.3212

To the Editor We read with interest the article by Kluger et al1 discussing the outcomes of outpatient palliative care in patients with Parkinson disease (PD). The article highlights important aspects of palliative care in PD, most specifically its large association with quality of life. Nevertheless, this randomized clinical trial included mostly White, non-Hispanic patients and caregivers and did not clearly acknowledge the lack of members of underrepresented minorities in the discussion. In total, 91.9% of all patients were White, non-Hispanic individuals, and only 3 Black patients and 6 Hispanic patients were enrolled. We suggest that this underrepresentation of minority groups is a limitation of this otherwise notable study.

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