title: [Chemotherapy at the end of life for patients with lung cancer. A practice analysis].
abstract: BACKGROUND
  Few studies have analyzed the aggressiveness of the care (continuation of active treatments) at the end of life in patients with lung cancer. The objective of this study was to assess practices in this setting in a university department of respiratory medicine.
  
  
  METHODS
  This retrospective study has consecutively included all patients who were managed for lung cancer and died over a period of 18 months. The analysis focused on the characteristics of the patients, the modalities of cancer treatment and the delays between the last active treatment and death.
  
  
  RESULTS
  The overall median survival of the 94 patients included was 9.6 months; 92% of patients having received at least one active treatment. During the 4 and 2 weeks periods preceding death, respectively 55% and 22% of the patients received active treatments. The median time between the last day of active treatment and death was 27 days.
  
  
  CONCLUSIONS
  These results, in concordance with the published data, showed that end of life active treatment in patients with lung cancer is a complex problem. We need prospective multicentric studies, with testing tools allowing better sharing of the decisions on active treatment between the medical team, the patient and his family.
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
authors.forename: L
authors.initials: L
authors.lastname: Sesé
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Didier
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Rousseau-Bussac
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Crequit
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France.
authors.forename: M J
authors.initials: MJ
authors.lastname: Masanes
authors.affiliation: Service de pneumologie, hôpital Saint-Antoine, AP-HP, 75012 Paris, France; Service de pneumologie et de pathologie professionnelle, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France. Electronic address: christos.chouaid@chicreteil.fr.
authors.forename: C
authors.initials: C
authors.lastname: Chouaid
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002289:Carcinoma, Non-Small-Cell Lung / Q000188:drug therapy / Q000453:epidemiology; D018288:Carcinoma, Small Cell / Q000188:drug therapy / Q000453:epidemiology; D002986:Clinical Trials as Topic; D004363:Drug Utilization; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy* / Q000453:epidemiology; D008297:Male; D018447:Medical Futility; D008875:Middle Aged; D058990:Molecular Targeted Therapy; D010166:Palliative Care; D012189:Retrospective Studies; D016879:Salvage Therapy; D012959:Socioeconomic Factors; D013727:Terminal Care; D013997:Time Factors; D019564:Unnecessary Procedures
chemical_list: D000970:Antineoplastic Agents
keywords: Cancer du poumon; Chemotherapy; Chimiothérapie; End of life; Evaluation; Fin de vie; Lung cancer; Palliative care; Soins palliatifs; Évaluation