Journal of palliative medicine
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Survey research indicates that decisions about the provision and limitation of treatment near the end of life in patients with cancer vary considerably. ⋯ The identified variables raise ethical issues with regards to possible influence of value judgments underlying decisions about limitation of treatment in end-of-life care.
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Early patient-physician care planning discussions may influence the intensity of end-of-life (EOL) care received by veterans with advanced cancer. ⋯ Early care planning discussions are associated with lower rates of acute care use at the EOL in a system with already low rates of intensive EOL care.
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Interventions to improve pediatric trainee education in palliative care have been limited by a lack of reliable and valid tools for measuring effectiveness. ⋯ This questionnaire is capable of assessing self-efficacy and fellow-perceived adequacy of their prior palliative care training. We recommend use of this tool for fellowship programs seeking to evaluate fellow education in palliative care, or for research studies assessing the effectiveness of a palliative care educational intervention.