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Letters Palliative care beyond cancer

Good death for all remains distant goal

BMJ 2010; 341 doi: (Published 19 October 2010) Cite this as: BMJ 2010;341:c5815
  1. R J Clearkin, physician1
  1. 1Market Harborough, Leicestershire LE16 8EL, UK
  1. rjemc{at}

Ellershaw and colleagues again defend their Liverpool care pathway.1 The pathway has obvious appeal, but it has proved controversial, and reports of misuse remain disturbingly frequent.2

Despite decades of research in the care of patients with cancer, the accurate prediction of dying—the last 48 hours of life—remains difficult.3 Accuracy is …

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