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Background Lung cancer patients may inappropriately receive systemic anti-cancer therapy (SACT) when they are close to end of life, despite evidence that early palliative intervention can led to less aggressive care and longer survival [1]. The National Confidential Enquiry into Patient Outcome and Death made the recommendation that acceptance of treatment/treatment decision should be made by the patient after they have been fully informed of the risks and benefits [2].

Developing an intervention to support lung cancer patients and their clinicians when considering systemic anti-cancer therapy: pact study