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Comment: Commenters expressed various concerns over the use of CAHPS Hospice Survey measures and the CAHPS Hospice Survey Index as an appropriate indicator in the proposed SFP algorithm, while also acknowledging the importance of including caregiver voices in the algorithm

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Since oxidative stress increases the heterogeneity of the RBCs population, the hematological parameter RDW might be preferable for detection and analysis of damaging levels of oxidizing agents and deterioration of microcirculation than MCV
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doi: 10.1016/j.bbamcr.2016.01.023
