Dear Editor We read with interest the paper by Benbenishty et al. (2021) in which a comparison is made between select findings from two international surveys focused on end-of-life practices in intensive care, known as ETHICUS-I and ETHICUS-II. I want to start by commending the authors on undertaking this comparative study, which specifically examines the changes in nurse involvement in end-of-life decision making between 1999 and 2000, when ETHICUS-I was conducted and 2015–16 when ETHICUS-II was conducted. Whilst there were some inherent differences in sample size and the number of countries represented between the two surveys, there were also differences in survey respondents with all responses to ETHICUS-I provided by physicians, compared to ETHICUS-II where just over 8% of respondents were nurses.