Family discussions about end-of-life care preferences often are not made a part of patient records, leaving advance care plans less likely to be followed, according to a report in JAMA Internal Medicine. A survey involving 12 acute care centers in Canada found 47.9% of patients said they had an advance care plan and 73.3% had a designated surrogate, however, end-of-life preferences were documented in medical records in just 30% of cases.

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