Main findings
COPD
COPD, SENSITIVITY
In this cluster randomized controlled trial, we assessed the effectiveness of palliative care components integrated into regular COPD care. We found no effects on quality of life nor other patient-reported outcome measures. However, intervention patients were less frequently admitted to the ICU than control patients, and there was a strong indication for fewer hospital admissions. Sensitivity analyses did not corroborate these findings but showed that the intervention increased documentation of life-sustaining treatment preferences.