Which late-stage Alzheimer's patients should be referred for hospice care?
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Medicare guidelines are used to determine eligibility for hospice care (strength of recommendation [SOR]: C, based on expert opinion), but they correlate with 6-month mortality no better than an experienced clinician's judgment (SOR: B, based on 1 cohort study). Recent studies, however, have identified additional criteria that may better predict survival in select populations.
Clinical Inquiries, 2005 (MU)
Journal of Family Practice, 54(11) 2005: 984-986.