Advance care planning in patients with advanced cancer: A 6-country, cluster-randomised clinical trial.

ABSTRACT:

Background

Advance care planning (ACP) supports individuals to define, discuss, and record goals and preferences for future medical treatment and care. Despite being internationally recommended, randomised clinical trials of ACP in patients with advanced cancer are scarce.

Methods and findings

To test the implementation of ACP in patients with advanced cancer, we conducted a cluster-randomised trial in 23 hospitals across Belgium, Denmark, Italy, Netherlands, Slovenia, and United Kingdom in 2015-2018. Patients with advanced lung (stage III/IV) or colorectal (stage IV) cancer, WHO performance status 0-3, and at least 3 months life expectancy were eligible. The ACTION Respecting Choices ACP intervention as offered to patients in the intervention arm included scripted ACP conve

SUBMITTER: Korfage IJ 

PROVIDER: S-EPMC7665676 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature