To the Editor A thorough discussion of “commitment escalation” in treatment decisions near the end of life details a wise and timely approach to patient-centered care. In addition to providing, as the authors conclude, “a better prognostic disease perception”1 that tends to lead to less aggressive treatment, such specialist-level involvement by a palliative care team brings wider collateral benefit to the patient, family, and staff.
Fleishman SB. The Paradigm of Escalation of Commitment in Treatment Decisions Near the End of Life. JAMA Oncol. Published online January 04, 2018. doi:10.1001/jamaoncol.2017.0161