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- W2183627366 abstract "Evidence-based medicine is increasingly regarded as the gold standard of clinical care. The Liverpool Care Pathway (LCP) is a pre-specified “care plan” used for patients who are judged to be “in the last hours or days of life”. 29% of patients in National Health Service (NHS) hospitals currently die on the LCP. The median time to death on the LCP is 33 hrs. A review of the literature reveals that there are no published criteria that can predict death within this time frame. The lack of an evidence-base for institution of the LCP makes it a form of assisted death rather than a care plan. The personal judgment of the physician and other medical team members about perceived quality of life or low likelihood of a good outcome are is probably central in the decision to put a patient on the LCP. There are likely many patients who have been killed by this pathway who could have lived substantially longer. The LCP is also likely to negatively affecting doctor-patient relationships and have a negative effect on medical care, particularly of the elderly, in NHS hospitals." @default.
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- W2183627366 date "2012-01-01" @default.
- W2183627366 modified "2023-09-24" @default.
- W2183627366 title "THE DANGERS OF ABANDONMENT OF EVIDENCE-BASED MEDICINE IN THE USE OF THE" @default.
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