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. 2021 Jan 11;181(3):1–9. doi: 10.1001/jamainternmed.2020.5950

Table 2. Advanced Care Planning Outcomes by Randomized Group.

Outcomes within the EHR No. (%) Odds ratio (95% CI) P value
Nurse navigator (n = 379) Usual care (n = 380)
Documented ACP/goals of care 160 (42.2) 14 (3.7) 20.7 (11.6-36.9) <.001
Named surrogate decision maker 241 (63.6) 132 (34.7) 3.3 (2.5-4.5) <.001
Advance directive/living will/power of attorney 92 (24.3) 38 (10) 3.0 (2.0-4.5) <.001
Medical scope of treatment form 39 (10.3) 4 (1.1) 12.2 (4.2-34.9) <.001
Use of advance care planning billing codes 96 (25.3) 5 (1.3) 28.3 (11.4-70.7) <.001

Abbreviations: ACP, advanced care planning; EHR, electronic health record. Odds ratio based on generalized linear mixed model with random effect for primary care practice.