“…It is also known that, despite these uncontrolled symptoms, patients in the end stage of COPD have limited access to specific palliative care services when compared to, for example, patients suffering from advanced lung cancer [11,19,20]. Crosssectional studies have shown that health-related quality of life (HRQoL) is low in these patients, even compared to advanced lung cancer patients [11,19,21]. CLAESSENS et al [20] state, in their report on the results of the Study to Understand Prognosis and Preferences for Outcomes and Risks of Treatments (SUPPORT), that despite similar preferences about end-of-life care, hospitalised patients with COPD were more likely to have mechanical ventilation, tube feeding and cardiopulmonary resuscitation, compared with patients with lung cancer.…”