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Comment & Response
January 4, 2018

The Paradigm of Escalation of Commitment in Treatment Decisions Near the End of Life

JAMA Oncol. Published online January 4, 2018. doi:10.1001/jamaoncol.2017.0161

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.

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