Table 4 The differences between models for the delivery of PCO, symptomatic management, communication with patients and family and end-of-life care before and after PCO integration

III. What are models for the delivery of simultaneous oncology and PC at your oncology center?

a) Inpatient PC consultation service

0.81548

0.52071

-10.934

< 0.001

b) Regular palliative care outpatient clinic

0.57396

0.55273

-9.377

< 0.001

c) On-demand joint oncology-palliative care outpatient clinic

0.76331

0.51485

-10.788

< 0.001

d) Palliative care unit

0.89412

0.30860

-8.899

< 0.001

e) Weekends and holidays PMT inpatient ward round

0.57059

0.49645

-12.329

< 0.001

f) 24/7 phone calls for continuity of care

0.29412

0.45699

-9.849

< 0.001

g) Standalone PCC with 24 h services

0.26627

0.46941

-7.071

< 0.001

h) Community-based palliative care or home health care

0.49112

0.52461

-6.429

< 0.001

IV. Do you agree with the following statements about the symptomatic management of cancer patients before and after PCO integration?

a) Physical, psychological, social and spiritual pain was properly managed

1.26471

1.12815

-9.681

< 0.001

b) Dyspnea and other respiratory symptoms were easy to manage

1.08824

1.14529

-9.069

< 0.001

c) Difficult cases of nausea and vomiting were well controlled

0.92941

1.15424

-8.159

< 0.001

d) Constipation and other GIT symptoms were underestimated and under treated

0.92353

1.35438

-7.401

< 0.001

e) Psychological issues (e.g. depression, insomnia and anxiety) were routinely assessed and properly managed

1.22353

1.18048

-9.349

< 0.001

f) Delirium was easily identified and managed

1.08235

1.28452

-8.432

< 0.001

g) Opioids initiation, titration, rotation and related side effects were properly managed

1.38235

1.92484

-9.683

< 0.001

h) Symptoms were adequately controlled on discharge

1.08235

1.15857

-9.026

< 0.001

i) Allowing for more effective delivery of oncological treatments through control of symptoms

1.00000

1.18671

-8.331

< 0.001

V. Do you agree with the following statements about communication with patients and family before and after PCO integration?

a) Repeated honest and accurate communication in a sensitive manner.

0.98824

1.11466

-8.699

< 0.001

b) Goals of care were discussed.

0.87647

1.05023

-8.171

< 0.001

c) Dealing more effectively with issues of ending active treatments.

0.90000

1.06393

-8.525

< 0.001

d) Conflicts among patient, family and medical team were resolved

0.81765

1.13926

-7.344

< 0.001

e) Higher patients’ and families’ acceptance of PC policy of transfer.

0.75294

0.99592

-7.593

< 0.001

VI. Do you agree with the following statements about end-of-life care before and after the PCO?

a) End of life symptoms were effectively managed (e.g. delirium, pain, upper respiratory secretions)

1.27059

1.22487

-9.419

< 0.001

b) Prognosis was communicated clearly to the family.

0.78235

3.31301

-8.473

< 0.001

c) Compassionate communication was regularly delivered to patient, family and medical staff

0.87647

1.00415

-8.582

< 0.001

d) Bereavement support was provided

2.12941

1.22873

-10.610

< 0.001

e) Limitation of the role of life sustaining measures were discussed

1.62941

0.99005

-10.591

< 0.001

f) Patient and family values, preferences and goals were discussed and incorporated into PC plan

1.45882

0.89115

-10.720

< 0.001

g) Managing the place of death based on patient/family preference were discussed and declared (e.g.: ICU, home.)

0.81765

1.06961

-7.810

< 0.001