Evidence for Improving Palliative Care at the End of Life: A Systematic Review

  1. Karl A. Lorenz, MD, MSHS;
  2. Joanne Lynn, MD, MA, MS;
  3. Sydney M. Dy, MD;
  4. Lisa R. Shugarman, PhD;
  5. Anne Wilkinson, MS, PhD;
  6. Richard A. Mularski, MD, MSHS, MCR;
  7. Sally C. Morton, PhD;
  8. Ronda G. Hughes, RN, MHS, PhD;
  9. Lara K. Hilton, BA;
  10. Margaret Maglione, PhD;
  11. Shannon L. Rhodes, MS;
  12. Cony Rolon, BA;
  13. Virginia C. Sun, BS, MSN; and
  14. Paul G. Shekelle, MD, PhD
  1. From Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California; Southern California Evidence-based Practice Center and RAND Health, Santa Monica, California; Johns Hopkins University, Baltimore, Maryland; Agency for Healthcare Research and Quality, Bethesda, Maryland; City of Hope, Duarte, California; and Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
    1. Appendix Figure.
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      Appendix Figure. Trajectories of late-life illness.
    2. Figure.
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      Figure. Study flow diagram.

      *From the American Academy of Hospice and Palliative Medicine Fast Article Critical Summaries for Clinicians in Palliative Care and Annual Updates, November 2006 to January 2007. †Some reviews and interventions were relevant to more than 1 domain.

    Responses to this article

    • Evidence for improving palliative care at the end of life
      • Anthony T Kerigan
      Ann Intern Med published online October 26, 2009

    Summary for Patients

    • Summaries for Patients:Treatment of Seriously Ill Patients Who Are Near the End of Life: Recommendations from the American College of Physicians Ann Intern Med January 15, 2008 148:I-42
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    1. Ann Intern Med January 15, 2008 vol. 148 no. 2 147-159
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