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So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-LifeCare at Three Academic Hospitals. And I was interested in intensity of end-of-lifecare and differences in intensity of end-of-lifecare. Liz: Right.
So I think there’s definitely overlap with that, but I think helping patients cope, make priorities, think through their goals and values early and along the illness course does facilitate and enable better end of life decision making, including advanced care planning. And I do think that is the way of the future.
In this PONDER-ICU trial, we didn’t rely on palliativecare specialists; we engaged bedside clinicians to have ICU communication and adhere to guidelines. Eric: We just did a podcast on creating palliativecare consults. Were these two resources already there? Was this the same? Am I making this up?
If we accept that frequent contact with palliativecare is the standard of care, and we’re trying to do something that entails less contact or less palliativecare, that’s the rationale for it being a non inferiority design, because we have to make the argument it’s no worse. That is correct.
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