JAMA internal medicine
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JAMA internal medicine · Jun 2019
Randomized Controlled TrialEffect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial.
High-quality conversations between clinicians and seriously ill patients about values and goals are associated with improved outcomes but occur infrequently. ⋯ The results of this cluster randomized clinical trial were null with respect to the coprimary outcomes of goal-concordant care and peacefulness at the end of life. Methodologic challenges for the primary outcomes, including measure selection and sample size, limit the conclusions that can be drawn from the study. However, the significant reductions in anxiety and depression in the intervention group are clinically meaningful and require further study.