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Introduction Studies addressing palliative care delivery in neuro-oncology are limited. Objectives To compare inpatients with brain tumors who received palliative care (through referral or trigger) with those receiving usual care. Design Retrospective cohort study. Setting/Subjects Inpatients with primary or secondary brain tumors who did or did not receive palliative care at a U.S. medical center. Measurements Sociodemographic, clinical, and utilization characteristics were compared. Results Of 1669 brain tumor patients, 386 (23.1%) rece