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Rationale: The burden of advanced chronic obstructive pulmonary disease (COPD) is high globally; however, little is known about how often end-of-life strategies are used by this population.

Objectives: To describe trends in the use of end-of-life care strategies by people with advanced COPD in Ontario, Canada.

Methods: A population-based repeated cross-sectional study examining end-of-life care strategies in individuals with advanced COPD was conducted.

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