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Table 4 Status of PC education and research in Chinese hospitals participating in the study

From: National survey on the availability of oncology palliative care services at tertiary general and cancer hospitals in China

 

Tertiary general hospitals (n = 268)

Cancer hospitals (n = 99)

p value

n

% (95%CI)

n

% (95%CI)

PC training program available

    

0.014

 Yes

24

9.0 (5.5–12.4)

18

18.2 (10.6–25.8)

 

 No

244

91.0 (87.6–94.5)

81

81.8 (74.2–89.4)

 

Professional requirement

     

 PC board certification for physicians

41/226

18.1 (13.1–23.2)

16/82

19.5 (10.9–28.1)

0.784

 PC board certification for nurses

36/226

15.9 (11.2–20.7)

18/82

22.0 (13.0–30.9)

0.219

Use of patient-reported outcomes in hospitals offering PC

90/226

39.8(33.4–46.2)

37/82

45.1 (34.4–55.9)

0.404

 PROM-NRS pain scale

75/226

33.2 (27.0–39.3)

32/82

39.0 (28.5–49.6)

0.342

 PROM-multidimensional scale (BPI)

57/226

25.2 (19.6–30.9)

25/82

30.5 (28.5–49.6)

0.355

 PROM-multi symptom assessment (MDASI)

37/226

16.4 (11.5–21.2)

13/82

15.9 (7.9–23.8)

0.913

 PC scale (ESAS)

25/226

11.1 (7.0–15.2)

10/82

12.2 (5.1–19.3)

0.782

PC topics offered at grand rounds

    

0.095

 Yes

66

24.6 (19.5–29.8)

33

33.3 (24.0–42.6)

 

 No

202

75.4 (70.2–80.5)

66

66.7 (57.4–76.0)

 

Hospitals offering PC grand rounds

66

 

33

 

0.999

 PC grand rounds offered to oncologists

65

98.5 (95.5–101.4)

32

97.0 (91.1–102.8)

 

 PC research projects available

    

 < 0.001

       Yes

25

9.3 (5.8–12.8)

17

17.2 (9.7–24.6)

 

       No

243

90.7 (87.2–94.2)

82

82.8 (75.4–90.3)

 

Among hospitals with research projects available

25

 

17

  

 Receives research funding

    

0.913

       Yes

5

20.0 (4.3–35.7)

4

23.5 (3.4–43.7)

 

       No

20

80.0 (64.3–95.7)

13

76.5 (56.3–96.6)

 

    PC research conducted in the past year

     

       Prospective therapeutic RCT

3

12.0 (− 0.7–24.7)

5

29.4 (7.8–51.1)

0.312

       Prospective non-therapeutic study

3

12.0 (− 0.7–24.7)

1

5.9 (− 5.3–17.1)

0.899

       Other prospective study

3

12.0 (− 0.7–24.7)

7

41.2 (17.8–64.6)

0.070

       Retrospective study

14

56.0 (36.5–75.5)

7

41.2 (17.8–64.6)

0.346

       Case report

15

60.0 (40.8–79.2)

12

70.6 (48.9–92.2)

0.482

       Qualitative study

3

12.0 (− 0.7–24.7)

2

11.8 (− 3.6–27.1)

0.634

       Other

1

4.0 (− 3.7–11.7)

0

0

0.999

       None

2

8.0 (− 2.6–18.6)

1

5.9 (− 5.3–17.1)

0.727

  1. BPI Brief Pain Inventory, ESAS Edmonton Symptom Assessment Scale, MDASI MD Anderson Symptom Inventory, NRS numeric rating scale, PC palliative care, PROM patient-reported outcome measure, RCT randomized controlled trial