{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:08:27Z","timestamp":1783955307944,"version":"3.55.0"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Advance care planning (ACP) is increasingly embedded in clinical practice. This study assesses perspectives of patients with advanced cancer on elements of ACP during their last year of life and identifies associated sociodemographic, clinical, and healthcare-related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used longitudinal data from the prospective, multicenter observational eQuiPe study (2017\u20132021) among patients with solid advanced cancer who died during follow-up. From inclusion until death, patients completed 3-monthly questionnaires, including three statements derived from the ACTION trial, assessing their involvement in decision-making and their perceived awareness of future care preferences by family\/friends and physicians. Elements of ACP were aggregated into a mean ACP score (range 0\u2013100). Changes over time and associated factors were analyzed using linear mixed models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 626 deceased patients (mean age 66\u00a0years, 50% male) were analyzed. Throughout their last year of life, most felt consistently involved in care decisions (88\u201391%), and perceived awareness by family\/friends (84\u201388%) and physicians (81\u201385%) regarding their future care preferences. ACP scores were positively associated with social support (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20096.71;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), peace\/meaning (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.23;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.034), satisfaction (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20091.94;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and continuity of care (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.65;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002), and negatively with physical functioning (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009-0.82;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Elements of ACP remained unchanged as death approached. Higher ACP scores were associated with better experienced care, better social and spiritual functioning, and worse physical functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>Most patients reported being involved in elements of ACP, and those who felt more involved also rated their care more positively. Promoting conversations about future care preferences with family, friends, and physicians can help ensure that care reflects what matters most to patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-026-02080-8","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:41:22Z","timestamp":1783953682000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Advance care planning in the last year of life of patients with advanced cancer: patients\u2019 perspectives on decision-making and their family and physicians\u2019 awareness of future care preferences"],"prefix":"10.1007","author":[{"given":"Christina A. M.","family":"de Laat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen P. 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Accessed 27 Oct 2025."},{"issue":"1","key":"2080_CR48","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-021-01389-5","volume":"21","author":"D van der Smissen","year":"2021","unstructured":"van der Smissen D, van der Heide A, Sudore RL, Rietjens JAC, Korfage IJ. Measuring advance care planning behavior in Dutch adults: translation, cultural adaptation and validation of the Advance Care Planning Engagement Survey. BMC Med Res Methodol. 2021;21(1):194.","journal-title":"BMC Med Res Methodol"},{"key":"2080_CR49","unstructured":"Boddaert M, Caffarel, J., Dermois, M., Kodde, A., Reyners, A.K.L. Leidraad voor het proces en uniform vastleggen van proactieve zorgplanning (advance care planning, ACP) naar aanleiding van de COVID-19 pandemie. PZNL\/IKNL; 2020. Available from: https:\/\/palliaweb.nl\/richtlijnen-palliatieve-zorg\/richtlijn\/proactieve-zorgplanning\/inleiding\/werkwijze. Accessed 6 Nov 2025."}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02080-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-026-02080-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02080-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:41:25Z","timestamp":1783953685000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-026-02080-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":49,"alternative-id":["2080"],"URL":"https:\/\/doi.org\/10.1007\/s11764-026-02080-8","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"assertion":[{"value":"20 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. The Medical Research Ethics\u00a0Committee of the Antoni van Leeuwenhoek hospital (METC17.1491) reviewed the study protocol, and it was\u00a0exempted from full medical ethical review according to the Dutch Medical Research Involving Human Subjects\u00a0Act WMO. The study is registered in the Netherlands Trial Register as NTR6584.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Written informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Written informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}]}}