• Christopher E Cox, Deepshikha Charan Ashana, Nita Khandelwal, Arif H Kamal, and Ruth A Engelberg.
• Duke University School of Medicine (C.E.C., D.C.A.), Division of Pulmonary and Critical Care Medicine, Durham, North Carolina, USA; Program to Support People and Enhance Recovery (ProSPER) (C.E.C., D.C.A.), Duke University, Duke University School of Medicine, Duke Cancer Institute, Durham North Carolina, USA. Electronic address: christopher.cox@duke.edu.
• J Pain Symptom Manage. 2022 Jun 1; 63 (6): e579e586e579-e586.

AbstractPalliative care research is deeply challenging for many reasons, not the least of which is the conceptual and operational difficulty of measuring outcomes within a seriously ill population such as critically ill patients and their family members. This manuscript describes how Randy Curtis and his network of collaborators successfully confronted some of the most vexing outcomes measurement problems in the field, and by so doing, have enhanced clinical care and research alike. Beginning with a discussion of the clinical challenges of measurement in palliative care, we then discuss a selection of the novel measures developed by Randy and his collaborators and conclude with a look toward the future evolution of these concepts. Randy and his foundational work, including both successes as well as the occasional near miss, have enriched and advanced the field as well as (immeasurably) impacted the work of so many others-including this manuscript's authors.Copyright © 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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