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When patients lose the capacity to make their own decisions, current practice relies on their family and loved ones to try to identify the treatment course the patient would have chosen for themselves. The fact that this approach has remained essentially unchanged for over 40 years raises the question of whether it successfully provides care that is consistent with patients' treatment preferences. Published studies on the outcomes and impact of surrogate decision-making. All identified articles. Review by the author. Surrogates frequentl