Paolo Bossi

Background: This work evaluated the proportion of patients who continue therapy until their last month of life or initiate a new therapy in the last 3 months of life (end of life [EOL]). Methods: Data for 486 patients were retrospectively collected. Results: In EOL, 205 (42.3%) received systemic therapy. Better performance status (last month overall response [OR]: 0.39; 95% CI: 0.25–0.60; p < 0.001; last 3 months OR: 0.47; 95% CI: 0.34–0.65; p < 0.001) and lack of activation of palliative care (last month OR: 0.26; 95% CI: 0.13–0.54; p < 0.001; last 3 months OR: 0.18; 95% CI: 0.10–0.32; p < 0.001) were associated with higher probability of EOL therapy. Conclusion: A non-negligible proportion of patients in real-life settings continue to receive systemic treatment in EOL.