Table 3

Association between integration indexes and centre characteristics

PCOI-13 (0–13 points)*PCOI-9 (0–9 points)†
NMedian (IQR)P valuesNMedian (IQR)P values
Continent
 Europe1157.7 (6.3–9.4)0.301156 (5–7)0.03
 Non-Europe378.4 (6.6–9.8)377 (6–7)
Hospital type
 Non-tertiary658.6 (6.9–9.8)0.01656 (5–7)0.13
 Tertiary877.2 (6.1–8.9)876 (5–7)
Cancer centre type
 Cancer centre747.9 (6.31–9.4)0.60746 (5–7)0.62
 Non-cancer centre787.8 (6.4–9.6)786 (4–7)
Hospital size
 Beds≥500837.8 (6.5–9.5)0.96836 (5–7)0.99
 Beds<500697.8 (6.3–9.6)696 (5–7)
Years of palliative care programme
 <5 years267.3 (6–8.84)0.55265.5 (4–7)0.31
 5–10 years447.9 (6.3–9.5)446 (5–7)
 >10 years828.2 (6.4–9.6)826 (5–7)
Specialists dually board certified in palliative care and oncology
 Present998.4 (6.7–9.7)0.01996 (5–7)0.03
 Absent537.0 (5.9–8.5)535 (5–7)
Fellowship in palliative care
 Present598.1 (6.8–9.6)0.38596 (5–7)0.15
 Absent917.7 (6.1–9.6)916 (4–7)
  • *This represents a composite score based on all 13 major criteria. For questions with a dichotomised response, 1 point was given for an affirmative response. For questions with continuous variable as response (ie, questions #6–#9), we assigned a score between 0 and 1 based on the proportion of patients. Lack of response was assigned a score of 0. The total score ranges from 0 to 13, with a higher index indicating a greater level of integration.

  • †This represents a composite score based 9 of the 13 major criteria (excluding items 6, 7, 8 and 9). For questions with a dichotomised response, 1 point was given for an affirmative response. Lack of response was assigned a score of 0. The total score ranges from 0 to 9, with a higher index indicating a greater level of integration.

  • PCOI-13, Palliative Care and Oncology Integration Index-13; PCOI-9, Palliative Care and Oncology Integration Index-9.