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Patients Fare Better When They Get Palliative Care Sooner, Not Later

Scientific American May 14, 2024

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Excerpt

“In January 2024 the Journal of the Am­­er­i­can Medical Association published a pair of studies that broke ‘new ground’ in developing sustainable, scalable palliative care programs, according to an accompanying editorial. One, the largest-ever randomized trial of palliative care, included more than 24,000 people with COPD, kidney failure and dementia across 11 hospitals in eight states. The researchers made palliative care an automated order, where doctors had to opt out of such care for their patients instead of going through an extra step of opting in. The rate of referrals to palliative care increased from 16.6 to 43.9 percent, says Courtright, lead author of the study. Length of hospital stay did not decline overall, but it did drop by 9.6 percent among those who received palliative care only because of the automated order.”

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