Table 4 Current status of education and research indicators in the integration of oncology and palliative care programs in Japan
From: Current status of integrating oncology and palliative care in Japan: a nationwide survey
Designated Cancer Hospitals (n = 269) | Non-Designated Cancer Hospitals (n = 150) | P-value | Adjusted P-value | |
|---|---|---|---|---|
n (%) | n (%) | |||
Education, major indicators | ||||
Didactic palliative care curriculum for oncology fellows | < 0.001 | 0.195 | ||
≥ 50% fellows attend | 63 (23.4) | 14 (9.3) | ||
< 50% fellows attend | 78 (29.0) | 39 (26.0) | ||
Not available for the palliative care education | 124 (46.1) | 95 (63.3) | ||
Oncology fellows have routine rotation in palliative care | 0.007 | 0.224 | ||
≥ 50% fellows have | 22 (8.2) | 3 (2.0) | ||
< 50% fellows have | 26 (9.7) | 12 (8.0) | ||
Not available for the palliative care education | 217 (80.7) | 133 (88.7) | ||
Combined palliative care and oncology educational activities for fellows/trainees | 0.002 | 0.394 | ||
≥ 50% fellows/trainees attend | 20 (7.4) | 6 (4.0) | ||
< 50% fellows/trainees attend | 69 (25.7) | 25 (16.7) | ||
Not available for the palliative care education | 174 (64.7) | 117 (78.0) | ||
Continuing medical education in palliative care for attending oncologists | 0.002 | 0.260 | ||
≥ 50% attending oncologists attend | 28 (10.4) | 7 (4.7) | ||
< 50% attending oncologists attend | 108 (40.1) | 47 (31.3) | ||
Not available for the palliative care education | 129 (48.0) | 94 (62.7) | ||
Education, minor indicators | ||||
Palliative care fellows have routine rotation in oncology | < 0.001 | 0.011 | ||
≥ 50% fellows attend | 26 (9.7) | 2 (1.3) | ||
< 50% fellows attend | 20 (7.4) | 10 (6.7) | ||
Not available for the palliative care education | 220 (81.8) | 137 (91.3) | ||
Continuing medical education in oncology for palliative care specialists | 0.003 | 0.376 | ||
≥ 50% specialists attend | 36 (13.4) | 12 (8.0) | ||
< 50% specialists attend | 34 (12.6) | 11 (7.3) | ||
Not available for the palliative care education | 197 (73.2) | 126 (84.0) | ||
Research | ||||
Institutional funding for palliative oncology research | 50 (18.6) | 11 (7.3) | 0.002 | 0.039 |
Peer-reviewed publications in palliative oncology | 58 (21.6) | 18 (12.0) | 0.015 | 0.052 |
Tenured faculty in palliative care | 9 (3.3) | 2 (1.3) | 0.213 | 0.312 |
Collaborative research between oncology and palliative care | 29 (10.8) | 13 (8.7) | 0.467 | 0.858 |