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Comment & Response |

Assessing Evidence for Physician Orders for Life-Sustaining Treatment Programs

Susan W. Tolle, MD1; Alvin H. Moss, MD2; Susan E. Hickman, PhD3
[+] Author Affiliations
1Center for Ethics in Health Care, Oregon Health & Science University, Portland
2Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown
3School of Nursing, Indiana University, Indianapolis
JAMA. 2016;315(22):2471-2472. doi:10.1001/jama.2016.4024.
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To the Editor Ms Moore and colleagues1 noted that the US health care system provides many dying patients with unwanted medical interventions. They acknowledged the widespread and increasing use of the Physician Orders for Life-Sustaining Treatment (POLST) program and appealed for greater research about the effectiveness of POLST in supporting informed, patient-centered decision making. We agree but diverge in our views about the strength of existing evidence.

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June 14, 2016
Kendra A. Moore, BA; Emily B. Rubin, MD, JD; Scott D. Halpern, MD, PhD
1Perelman School of Medicine, University of Pennsylvania, Philadelphia
2Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia
3Fostering Improvement in End-of-Life Decision Science Program, University of Pennsylvania, Philadelphia
JAMA. 2016;315(22):2472. doi:10.1001/jama.2016.4039.
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