In the partnership between the medical departments of Würzburg University, Germany, and Nagasaki University, Japan, palliative care is a relevant topic. The aim of the study was to perform a comparative analysis of the hospital-based palliative care teams in Würzburg (PCT-W) and Nagasaki (PCT-N). Survey of staff composition and retrospective analysis of PCT patient charts in both PCTs were conducted. Patients self-assessed their symptoms in PCT-W and in Radiation Oncology Würzburg (RO-W). The (negative) quality indicator 'percentage of deceased hospitalised patients with PCT contact for less than 3 days before death' (Earle in Int J Qual Health Care 17(6):505-509, 2005) was analysed. Both PCTs follow a multidisciplinary team approach. PCT-N saw 410 cancer patients versus 853 patients for PCT-W (22.8% non-cancer patients). The Eastern Cooperative Oncology Group Performance Status at first contact with PCT-N was 3 or 4 in 39.3% of patients versus 79.0% for PCT-W. PCT-N was engaged in co-management longer than PCT-W (mean 20.7 days, range 1-102 versus mean 4.9 days, range 1-48). The most frequent patient-reported psychological symptom was anxiety (family anxiety: 98.3% PCT-W and 88.7% RO-W, anxiety 97.9% PCT-W and 85.9% RO-W), followed by depression (98.2% PCT-W and 80.3% RO-W). In 14 of the 148 deceased patients, PCT-N contact was initiated less than 3 days before death (9.4%) versus 121 of the 729 deceased PCT-W patients (16.6%). Psychological needs are highly relevant in both Germany and Japan, with more than 85% anxiety and depression in patients in the Japanese IPOS validation study (Sakurai in Jpn J Clin Oncol 49(3):257-262, 2019). This should be taken into account when implementing PCTs.

中文翻译：

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焦虑、抑郁和心理社会需求是患者报告的最常见问题：对德国和日本的两个医院姑息治疗团队进行比较探索性分析的初步结果。

在德国维尔茨堡大学和日本长崎大学的医学系之间的合作中，姑息治疗是一个相关主题。该研究的目的是对维尔茨堡 (PCT-W) 和长崎 (PCT-N) 的医院姑息治疗团队进行比较分析。对两个 PCT 的工作人员构成进行了调查，并对 PCT 患者图表进行了回顾性分析。患者在 PCT-W 和放射肿瘤学维尔茨堡 (RO-W) 中自我评估他们的症状。分析了（负面）质量指标“死亡前接触 PCT 少于 3 天的住院患者的百分比”（Earle in Int J Qual Health Care 17(6):505-509, 2005）。两个 PCT 都遵循多学科团队方法。PCT-N 有 410 名癌症患者，而 PCT-W 有 853 名患者（22.8% 非癌症患者）。39.3% 的患者首次接触 PCT-N 时东部肿瘤协作组的表现状态为 3 或 4，而 PCT-W 为 79.0%。PCT-N 参与共同管理的时间比 PCT-W 长（平均 20.7 天，范围 1-102 天，平均 4.9 天，范围 1-48）。患者报告的最常见的心理症状是焦虑（家庭焦虑：98.3% PCT-W 和 88.7% RO-W，焦虑 97.9% PCT-W 和 85.9% RO-W），其次是抑郁（98.2% PCT-W 和80.3% RO-W)。在 148 名已故患者中，有 14 名在死亡前不到 3 天开始接触 PCT-N (9.4%)，而在 729 名已故 PCT-W 患者中，有 121 名 (16.6%) 开始接触 PCT-N。心理需求在德国和日本都高度相关，在日本 IPOS 验证研究中，超过 85% 的患者存在焦虑和抑郁（Sakurai in Jpn J Clin Oncol 49(3):257-262, 2019）。