To the Editor: The observations of Dr Hui and colleagues1 on palliative care at US cancer centers are timely. Hospice and palliative care is a rapidly emerging discipline encompassing the care of many patients with terminal illness in addition to those with cancer. For many reasons, including the limited ability until recent years to cure most malignancies, the foundations of palliative care were laid by programs focused on cancer patients. Although cancer is the second leading cause of death in the United States, accounting for 23% of deaths in 2007, 44% of deaths occurred from other categories of chronic conditions, including heart disease, cerebrovascular disease, chronic lung disease, dementia, diabetes, and renal disease.2 Many of the deaths in these categories occurred in patients with advanced stages of their illness for whom the palliative model, which emphasizes symptom control over disease eradication, should become the primary focus of care.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.