Abstract
e20547 Background: The American Society of Clinical Oncology published the goals of individualized care including advance care planning (ACP) for advanced cancer patients in 2011, but there are no data on the ACP implementation status. Methods: We retrospectively reviewed the electronic medical records and informed consent forms of consecutive stage IV non-small cell lung cancer (NSCLC) patients treated with chemotherapy between January 2010 and December 2012 at our institution. Two outcomes were defined to investigate the ACP implementation status: C-D, the duration from the last day of chemotherapy to death, and D-D, that from the day of confirming DNAR to death. We used the Kaplan-Meier method to estimate the endpoints and Cox regression models to analyze explanatory factors associated with the endpoints. Results: In total, 136 patients were eligible (median age, 67 years; 89 men; 105 current/ever smokers). Of 103 patients with adenocarcinoma, 30 had epidermal growth factor receptor mutations, and 110 ...
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