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Invited Commentary
February 2017

Limiting Care for Surgical Patients at the End of Life: Principles of Practice

Author Affiliations
  • 1Department of Surgery, University of California–San Francisco
JAMA Surg. 2017;152(2):191. doi:10.1001/jamasurg.2016.4002

This thought-provoking study1 of 111 vascular surgery patients who died over a 10-year period ending in 2014 discovered that 73% of the patients died after the initiation of comfort care measures. In other words, most patients on a surgical service no longer die unexpectedly. A decision is made to allow them to die. The therapeutic goals change from rescue to palliation.

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