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SAN DIEGO -- Nearly one-third of patients with end-stage heart and lung disease at two large urban medical centers had no advance directive to specify end-of-life care, Sharon Tennstedt, Ph.D., reported in a poster session at the annual meeting of the Gerontological Society of America.
This finding underscores the need for physicians to discuss advance treatment preferences with dying patients, said Dr. Tennstedt, vice president and director of New England Research Institutes, Watertown, Mass.
The finding might be related to the inability to accurately predict life expectancy in these patients, compared with patients who have terminal cancer or another …