The summary of chemo-refusing reasons as shown in Table 3.

1. The doctor wasn’t sure of the benefit of chemotherapy and didn’t recommend chemotherapy.
2. The patient trusted and used Traditional Chinese Medicine only.
3. Economic difficulty.
4. The patient was feeling uncomfortable but did other positive measures such as diet control.
5. Admitting difficulty.
6. Family members concealed the disease information to the patient.
7. Fearing of chemotherapy or lack of family support.
8. The patient was dealing with complication first and delayed chemotherapy.
9. The patient was feeling despair and refused treatment.
10. The patient couldn’t tolerate side effects of chemotherapy.

1. 医师对化疗的获益存疑，未推荐化疗。
2. 患者仅信任并使用中医药（Traditional Chinese Medicine）。
3. 经济困难。
4. 患者存在不适症状，但采取了饮食控制等其他积极干预措施。
5. 入院困难。
6. 家属向患者隐瞒了病情信息。
7. 畏惧化疗或缺乏家庭支持。
8. 患者优先处理并发症，延迟了化疗。
9. 患者情绪绝望，拒绝治疗。
10. 患者无法耐受化疗的不良反应。