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Medical decision making in palliative care
There is a need for prospective randomised trials in palliative care
and end of life issues!?
But:
-Trials measure only what is measurable
and not always what is meaningfull (QoL) !
-Moral and ethical issues are always coming up NOT to do clinical
trials in this group of very frail patients!
Is it not immoral and unethical if no research
is done to solve the many difficult questions at the end of life?