Arch Intern Med
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Randomized Controlled Trial Comparative Study Clinical Trial
Early intervention in planning end-of-life care with ambulatory geriatric patients: results of a pilot trial.
A large discrepancy exists between the wishes of dying patients and their actual end-of-life care. However, retrospective clinical experience suggests that early advance care planning (ACP) can markedly reduce this discrepancy. This article describes a randomized trial to evaluate the short-term clinical utility of early ACP. We also assessed the feasibility of performing a larger prospective study to document long-term outcomes. ⋯ A facilitated discussion about end-of-life care between patients and their health care agents helps define and document the patient's wishes for both patient and agent.
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Randomized Controlled Trial Comparative Study Clinical Trial
Successful blood pressure control in the African American Study of Kidney Disease and Hypertension.
The African American Study of Kidney Disease and Hypertension (AASK) is an ongoing trial to evaluate the effect of blood pressure and choice of antihypertensive drug on the rate of decline of renal function. ⋯ The blood pressure goals set and achieved in AASK participants clearly demonstrate that adequate blood pressure control can be achieved even in hypertensive populations whose blood pressure is the most difficult to control.