“…Recently, in Japan, not only for medical professionals and researchers, but also for the general public, thinking about how to live life and the end of life has become a familiar topic (e.g., “ending notes” and “end of life plan”) (Sumita, 2015). In addition, especially at our hospital, we have been providing palliative care and advance care planning topics for pancreatobiliary cancer patients and their caregivers since early treatment stages (Mori et al, 2020). Therefore, it may have been easier for participants in this study to talk about such serious topics.…”