Single-Center, Prospective Pilot Study To Evaluate Advance Care Planning Implementing The 3 Questions And 3 Elements To Identify An Informed Health Care Proxy In An Outpatient Oncology Palliative Care Clinic.

TPS9655 Background: Despite the growing cancer therapeutics arsenal, the vast majority of advanced cancer patients will die. Consequently, understanding and communicating their end-of-life (EoL) care wishes is critical. Advance care planning (ACP) should occur in the non-emergent outpatient setting. However, given social and pragmatic challenges, these discussions are delayed until moments of crisis. In order to increase the probability that patients receive care consistent with their EoL wishes, health care providers require simple, effective, and efficient tools to initiate and complete meaningful ACP discussions. Methods: This is a single center, prospective, pilot study sponsored by the American Cancer Society to evaluate the average identification rate of an informed health care proxy by advanced cancer patients implementing a novel ACP tool in an academic oncology palliative care clinic over one year. Eligible subjects must have a known cancer diagnosis and a prognosis of less than 1 year. Consented...