Marie Bakitas

speaker
466 appearances 2 recordings 1 series first heard Mar 2020 last heard Feb 2025

Marie Bakitas’s voice in public audio — every appearance, attributed to the second.

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before they should have
And so it turns out that um you know they had exposure.
For a lot of the symptom things and so forth before they should have.
And you know, I think that nobody across the country, when I would tell this story, believed it.
But when we proposed this design, because we had already demonstrated, you know, it wouldn't be ethical to write like withhold palliative care when we've already
you know, shown that it was a benefit um in so many ways for patients.
That um we proposed this design so that we would have that you know rigor of having a randomized trial.
Um, but with this delayed arm.
And it was the surgical oncologist, the GI surgical oncologist, um, who did a lot of pancreatic uh cancer surgeries, said, Are you kidding me?
I have to wait twelve weeks to get my patient on palliative care.
Yeah.
It was like crazy.
Um
Um, that's right.
This time we powered for survival.
And you know, we we speculated a lot of different reasons why survival still would have been better in the early group.
And that's because some of the things that we taught people about was, you know, we did a lot of decision support.
And so people made choices about their treatment, they were prioritizing their own preferences and values.
Um, and so it it's possible that um some of the things in enable that didn't have to do with the symptoms per se.
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