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Medline ® Abstract for Reference 36

of 'Communication of prognosis in palliative care'

Accurate prognostications of death. Opportunities and challenges for clinicians.
Lynn J, Teno JM, Harrell FE Jr
West J Med. 1995;163(3):250.
Linking survival time to an array of prognostic variables through a powerful statistical model can provide reliable, valid and potentially useful information for patient care. We present a summary of the recently developed SUPPORT model [Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment]for estimating survival time of seriously ill adult inpatients and illustrate the possible clinical use of such a model. This model is then translated into counseling. Clinicians are positioned to evaluate the relevance and validity of any model and to understand their persistent shortcomings.
Center to Improve Care of the Dying, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.