The likelihood of rupture of unruptured intracranial aneurysms that were less than 10 mm in diameter was exceedingly low among patients in group 1 and was substantially higher among those in group 2. The risk of morbidity and mortality related to surgery greatly exceeded the 7.5-year risk of rupture among patients in group 1 with unruptured intracranial aneurysms smaller than 10 mm in diameter.

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T he coronavirus disease 2019 (COVID-19) pandemic has highlighted the central importance of palliative care to our increasingly strained healthcare system. Palliative care is specialized care for people struggling with serious illnesses. Its aim is to improve the patient's quality of life by providing expert-level symptom management and skilled communication and by supporting caregivers to ensure patients and their families receive goal-concordant care. 1 Faced with a reality that patients with frailty and serious illness are the most vulnerable to critical illness and death, early inquiries into patient and family wishes were essential to avoid preventable suffering. To prevent spread