Kang JH, et al. - Researchers evaluated potential predictors of advance care planning (ACP) documentation and discussion via this cross-sectional study, 2012-2014. Participants comprised a total of 60,917 community-dwelling female nurses aged 66 to 93 years living across the United States. Based on self-reports, ACP documentation was noted in the large majority (84%); 35% reported a recent ACP discussion. This suggests a major participatory gap in an element critical to ACP effectiveness. Demographic factors such as age and race were noted to be correlated with both ACP categories. Multivariable analyses suggested that race had the most strong association: compared with whites, African Americans were 27% less likely to report ACP documentation alone and 41% less likely to report documentation with discussion.