1 From the Department of Medicine and the Institute of Health Policy, Management, and Evaluation, University of Toronto (K.L.Q., A.S.D.); the Institute for Clinical Evaluative Sciences (K.L.Q.); and the Department of Medicine (K.L.Q., A.S.D.) and the Temmy Latner Centre for Palliative Care (K.L.Q.), Sinai Health - all in Toronto.