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- Publisher
- American Medical Association
- Copyright
- Copyright 2021 American Medical Association. All Rights Reserved.
- ISSN
- 2168-6254
- eISSN
- 2168-6262
- DOI
- 10.1001/jamasurg.2021.1521
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionDo older adults undergoing high-risk surgery receive preoperative discussion or documentation of advance directives (ADs) or advance care planning? FindingsAmong 213 patients with at least 1 comorbid condition who were included in this exploratory analysis of data collected in a randomized clinical trial testing a patient-mediated intervention to improve preoperative communication, only 13 preoperative visits included discussion related to ADs, the patient’s health care proxy, or preferences for treatment limitations. One hundred forty-one patients (66%) did not have an AD on file before major surgery. MeaningDespite the consensus that preoperative advance care planning is important for older adults undergoing high-risk surgery, these findings suggest that it is not routinely performed.
Journal
JAMA Surgery – American Medical Association
Published: Jul 12, 2021