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Previous Volume 342:1997-1999 June 29, 2000 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Wolfe et al. (Feb. 3 issue)¹ provide a compelling and long-overdue assessment of deficiencies in the care of terminally ill children. Though long on evidence, their report is short on practical suggestions for meaningful intervention and changes in standards of practice. Their study clearly confirms what many have suspected: that for far too many children, "end-of-life" care is in fact "brink-of-death" care, and in this context, the poor outcomes documented by Wolfe et al. should come as no surprise. It is disappointing that the authors did not take this opportunity to advocate more strongly for pediatric hospice . . . [Full Text of this Article]

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