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Table 5 Support, recognition and priority of care pathway implementation by patient and healthcare professional characteristics

From: Barriers to symptom management care pathway implementation in pediatric Cancer

Ā 

Agreea

Neutral or Disagree

P Value

Department staff gets the support they need to implement care pathways for symptom management

NĀ =ā€‰13

NĀ =ā€‰10

Ā 

Pediatric vs. Mixed Adult and Pediatric (%)

9 (69%)

7 (70%)

1.000

Median Number Pediatric Cancer Patients Diagnosed Annually (IQR)

66 (50 to 90)

200 (105 to 302)

0.003

Median Insurance Type Percentage (IQR)

ā€ƒPrivate

38 (30 to 50)

51 (43 to 57)

0.202

ā€ƒPublic

59 (50 to 65)

46 (42 to 53)

0.225

ā€ƒNo insurance

0 (0 to 5)

2 (1 to 5)

0.276

Median Male Percentage (IQR)

55 (50 to 60)

52 (50 to 54)

0.281

Median Race Percentage (IQR)

ā€ƒAmerican Indian or Alaskan native

0 (0 to 2)

1 (0 to 1)

0.921

ā€ƒAsian

5 (1 to 10)

5 (3 to 9)

0.573

ā€ƒBlack or African American

20 (8 to 23)

9 (5 to 17)

0.351

ā€ƒNative Hawaiian or other pacific islander

0 (0 to 1)

1 (0 to 1)

0.297

ā€ƒWhite

70 (55 to 89)

72 (70 to 80)

1.000

Median Hispanic or Latino Ethnicity (IQR)

20 (8 to 34)

32 (25 to 42)

0.291

Median Language Spoken Percentage (IQR)

ā€ƒEnglish

80 (72 to 91)

80 (71 to 88)

0.852

ā€ƒSpanish

12 (3 to 20)

14 (10 to 22)

0.534

Median MD or DO Full Time Equivalents (IQR)

7 (5 to 10)

13 (9 to 21)

0.014

Median Nurse Practitioner Full Time Equivalents (IQR)

2 (1 to 5)

10 (7 to 11)

0.009

Median Physician Assistant Full Time Equivalents (IQR)

0 (0 to 1)

1 (0 to 2)

0.033

Median MD or DO Years in Practice (IQR)

11 (10 to 15)

11 (10 to 15)

0.569

Median Nurse Practitioner Years in Practice (IQR)

5 (2 to 8)

10 (7 to 12)

0.053

Median Physician Assistant Years in Practice (IQR)

0 (0 to 10)

5 (1 to 9)

0.448

Department staff gets recognition for implementing care pathways for symptom management

NĀ =ā€‰9

NĀ =ā€‰14

Ā 

Pediatric vs. Mixed Adult and Pediatric (%)

7 (78%)

9 (64%)

0.824

Median Number Pediatric Cancer Patients Diagnosed Annually (IQR)

85 (60 to 110)

105 (67 to 200)

0.636

Median Insurance Type Percentage (IQR)

ā€ƒPrivate

41 (30 to 60)

50 (36 to 52)

0.850

ā€ƒPublic

59 (40 to 65)

48 (45 to 60)

0.752

ā€ƒNo insurance

0 (0 to 2)

2 (0 to 5)

0.204

Median Male Percentage (IQR)

55 (50 to 57)

52 (50 to 55)

0.723

Median Race Percentage (IQR)

ā€ƒAmerican Indian or Alaskan native

0 (0 to 2)

1 (0 to 1)

0.840

ā€ƒAsian

5 (5 to 10)

4 (1 to 7)

0.098

ā€ƒBlack or African American

20 (10 to 29)

8 (5 to 17)

0.037

ā€ƒNative Hawaiian or other pacific islander

1 (0 to 2)

0 (0 to 1)

0.245

ā€ƒWhite

68 (54 to 70)

75 (70 to 90)

0.037

Median Hispanic or Latino Ethnicity (IQR)

20 (8 to 30)

32 (18 to 58)

0.088

Median Language Spoken Percentage (IQR)

ā€ƒEnglish

80 (75 to 87)

80 (71 to 92)

0.825

ā€ƒSpanish

12 (8 to18)

14 (6 to 22)

0.570

Median MD or DO Full Time Equivalents (IQR)

8 (5 to 10)

11 (5 to 16)

0.256

Median Nurse Practitioner Full Time Equivalents (IQR)

2 (2 to 10)

6 (1 to 10)

0.898

Median Physician Assistant Full Time Equivalents (IQR)

0 (0 to 1)

1 (0 to 2)

0.058

Median MD or DO Years in Practice (IQR)

15 (10 to 20)

11 (10 to 14)

0.101

Median Nurse Practitioner Years in Practice (IQR)

5 (3 to 8)

10 (5 to 14)

0.100

Median Physician Assistant Years in Practice (IQR)

0 (0 to 3)

5 (0 to 10)

0.255

Implementing care pathways for symptom management is a top priority of the department

NĀ =ā€‰14

NĀ =ā€‰9

Ā 

Pediatric vs. Mixed Adult and Pediatric (%)

9 (64%)

7 (78%)

0.824

Median Number Pediatric Cancer Patients Diagnosed Annually (IQR)

83 (62 to 108)

200 (70 to 329)

0.122

Median Insurance Type Percentage (IQR)

ā€ƒPrivate

41 (35 to 52)

50 (24 to 59)

0.658

ā€ƒPublic

53 (45 to 64)

46 (41 to 75)

0.658

ā€ƒNo insurance

2 (0 to 5)

1 (0 to 3)

0.494

Median Male Percentage (IQR)

53 (50 to 59)

53 (50 to 55)

0.822

Median Race Percentage (IQR)

ā€ƒAmerican Indian or Alaskan native

0 (0 to 1)

1 (0 to 1)

0.227

ā€ƒAsian

5 (3 to 10)

4 (3 to 8)

0.567

ā€ƒBlack or African American

20 (9 to 25)

5 (4 to 10)

0.013

ā€ƒNative Hawaiian or other pacific islander

0 (0 to 0)

1 (0 to 1)

0.040

ā€ƒWhite

70 (58 to 83)

75 (70 to 88)

0.526

Median Hispanic or Latino Ethnicity (IQR)

28 (14 to 40)

26 (5 to 34)

0.636

Median Language Spoken Percentage (IQR)

ā€ƒEnglish

78 (71 to 90)

85 (75 to 89)

0.614

ā€ƒSpanish

15 (9 to 20)

10 (3 to 20)

0.591

Median MD or DO Full Time Equivalents (IQR)

9 (6 to 10)

12 (5 to 16)

0.449

Median Nurse Practitioner Full Time Equivalents (IQR)

3 (2 to 7)

9 (1 to 11)

0.292

Median Physician Assistant Full Time Equivalents (IQR)

0 (0 to 1)

1 (0 to 2)

0.222

Median MD or DO Years in Practice (IQR)

11 (10 to 15)

12 (10 to 15)

0.974

Median Nurse Practitioner Years in Practice (IQR)

8 (4 to 14)

7 (4 to 10)

0.704

Median Physician Assistant Years in Practice (IQR)

2 (0 to 10)

5 (0 to 5)

0.893

  1. Abbreviations: IQR interquartile range, MD medical doctor, DO doctor of osteopathy
  2. a Rated on a 5-point Likert scale ranging from strongly disagree to strongly agree. Those who stated they agreed or strongly agreed were categorized as ā€œagreeā€