Salvador Diaz-Lobato1, Dan Smyth2, J Randall Curtis3. 1. Dept of Pneumology, Hospital Ramón y Cajal, IRYCIS, Madrid, Spain University of Alcalá, Alcalá de Henares, Spain. 2. European Lung Foundation. 3. Cambia Palliative Care Center of Excellence, Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA jrc@u.washington.edu.