Strategies for Timely and Effective Hospice Discussions: End-Stage Renal Disease

  1. Michael J. Germain, MD;
  2. Lewis M. Cohen, MD; and
  3. Alvin H. Moss, MD
  1. From Tufts University School of Medicine, Baystate Medical Center, Springfield, MA 01199, and West Virginia University School of Medicine, Morgantown, WV 26506-9022.

    TO THE EDITOR:

    Casarett and Quill describe excellent strategies for discussing hospice and supportive (palliative) care with patients and families, including how to overcome the barriers to such discussions (1). Absent from Table 1 is a common condition with an increasing incidence and worse mortality rate than the other …

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