Introduction: 
Lung cancer (LC) is one of the worldwide most common tumors, presenting a substantial symptom burden. Several studies describe that integrated early palliative intervention with standard oncological treatments improves symptom control, quality of life and life-expectancy.

Objectives 
To compare clinical-administrative characteristics between early palliative care intervention (EPCI) and standard referral (SR) in patients diagnosed with LC at the Lung Cancer Clinic.

Methods 
In this observational retrospective study, data were extracted from electronic records.. Eligible criteria to early intervention: <3months LC diagnosis with  SCLC stage III-IV, NSCLC and poor pain control with strong opioids, emotional distress, substance abuse, family frailty, ethical dilemma or poor performance status (Barthel ≤ 60).

Results 
From June to November 2016, 80 patients were selected. 34 patients were EPCI and 46 were SR.  No differences in age, gender, pathology were observed. Median time from first oncology visit to palliative care (PC) visit was 29.45days (d) and 604d (p<0.05), respectively. Higher burden of symptoms and emotional distress was objective in EPCI group. Although these patients needed more frequent follow-up visits (21 vs 28d, respectively, p<0.05), there were no differences in emergency room visits or hospital admissions. PC improved symptoms control, except for asthenia and dyspnea, and reduced anxiety and sadness in both groups. Overall survival was 245d vs 827 d (p<0.05), respectively. However, life-expectancy after first visit in PC was longer (15d) for EPCI than SR, with no statistical differences.

Conclusions 
Integrated palliative care in a LC Clinic might improve symptom management and emotional suffering in patients with advanced lung cancer.

16 / INTEGRATED PALLIATIVE CARE IN LUNG CANCER AT OUTPATIENT CLINIC. CLINICAL AND ADMINISTRATIVE OUTCOMES