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Study Finds Many Advanced Cancer Patients Get Unwanted Life‑Extending Care

Unwanted life‑prolonging treatment did not improve two‑year survival for patients who preferred comfort‑focused care.

Overview

  • Among patients who prioritized comfort, 37% of those with advanced cancer reported receiving life‑extending treatment compared with 19% of patients with other serious illnesses.
  • In the study cohort, 49% of the 231 patients with advanced cancer preferred comfort‑focused care, and 16% died within two years.
  • For cancer patients preferring comfort, two‑year mortality showed no statistically significant difference between those reporting life‑extending care and those reporting comfort‑focused care (24% versus 15%).
  • The analysis drew on surveys from 1,099 adults enrolled in a multi‑site advance care planning trial in the United States, including 231 with advanced cancer.
  • Authors call for earlier, clearer goals‑of‑care discussions, citing evidence that many oncologists hesitate to start these conversations when patients appear well or still have treatment options.