Jumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg
Today\u2019s podcast is a follow up to our 2018 podcast with Randy Curtis about the Jumpstart intervention.\xa0 On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations.\xa0 Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+.\xa0 They found a difference of 4% in documented goals of care discussions.\xa0 Is 4% meaningful?\xa0 You\u2019ll have to decide for yourself, though it likely is meaningful on a population basis.\xa0 Intriguingly, in a sub-analysis, they found a much higher rate of difference among minoritized older adults - more like 10%.\xa0 In a compelling editorial, Doug White and Sarah Anderson argue that even a 4% difference is important on a population basis, and that higher rates of difference among minoritized older adults demonstrate the potential of the intervention to address long-standing disparities in goals of care.
Randy Curtis was first author of the JAMA paper.\xa0 Randy died February 26, 2023.\xa0 We begin today\u2019s podcast asking his co-authors Erin Kross, Bob Lee, and Ruth Engelberg, all from the University of Washington and the Cambia Palliative Care Center of Excellence, to reflect on Randy and his dedication to seeing this work completed while living with ALS.\xa0 Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.\xa0 We have lost a giant.\xa0 He is sorely missed, and celebrated.
And\u2026the guests torture me about songs I can\u2019t play with the word Jump.
-@AlexSmithMD
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