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When a prediction model says a patient has a high chance of dying within a year, their team is prompted to have a structured conversation about what matters to them, while there is still time to act on it.
Most patients with advanced cancer do not have documented conversations about goals until the final weeks. A randomised trial at Penn used a machine-learning mortality prediction to nudge oncologists, quadrupling serious illness conversations. The proposal is to make this standard: validated risk model, default prompt with a Serious Illness Conversation Guide, documentation template, and measurement of goal-concordant care and end-of-life chemotherapy use.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.
Shares Pain relief and palliative care are unavailable to most, Patients lack understanding, navigation and agency.