Letters End stage chronic lung disease

Authors’ reply

BMJ 2009; 338 doi: http://dx.doi.org/10.1136/bmj.b45 (Published 09 January 2009) Cite this as: BMJ 2009;338:b45
  1. Daisy J A Janssen, nursing home physician and palliative care consultant1,
  2. Ton P G Alsemgeest, nursing home physician and manager1,
  3. Guy A M Widdershoven, professor of ethics of health care2,
  4. Emiel F M Wouters, professor in respiratory medicine3,
  5. Jos M G A Schols, professor in nursing home medicine4,
  6. Martijn A Spruit, staff functionary, department of research, development, and education3
  1. 1Central Department of Treatment and Care, Proteion Thuis, 6085NM Horn, Netherlands
  2. 2School for Public Health and Primary Care, Care and Public Health Research Institute (CAPHRI), Faculty of Health Medicine and Life Sciences, University of Maastricht, 6229ER Maastricht, Netherlands
  3. 3Centre for Integrated Rehabilitation of Organ Failure (CIRO), 6085NM Horn
  4. 4Department of General Practice, Faculty of Health Medicine and Life Sciences, University of Maastricht, 6229HA Maastricht
  1. daisyjanssen{at}proteion.nl

    We agree that the palliative care needs of patients with chronic obstructive pulmonary disease are often insufficiently addressed.1 Their daily symptom burden is likely to be high,2 and communication about end of life care, prognosis, and dying is an important area for improvement.3 Further research is …

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