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Response: what tools are available to identify patients with palliative care needs in primary care: a systematic literature review and survey of European practice?
  1. Amy C Gadoud and
  2. Miriam J Johnson
  1. Hull York Medical School, Hull, UK
  1. Correspondence to Dr Amy C Gadoud, Hull York Medical School, Hull HU6 7RX, UK; amy.gadoud{at}

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We read with interest the excellent paper by Maas and colleagues in BMJ supportive and palliative care, December 2013.1 We agree that: palliative care should be available, as needed, alongside disease- modifying treatment; early palliative care can improve outcomes for patients; it's difficult to recognise people with non-malignant diseases who would benefit from comprehensive palliative assessment and interventions before death is imminent.

We note that all but one tool found by the authors had a time-frame inherent in their definition of a palliative care patient, and even the RADboud …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.