4, SD=1.4, n=88) and not ‘feeling good’ (M=1.9, SD=1.3, n=87). There were less problems with ‘waste of time’ (M=0.3, SD=0.7, n=88) and ‘information given’ (M=0.5,

SD=1.1, n=87), where more than 80% of the 3-deazaneplanocin A datasheet patients did not report any problems at all. Patients in the two groups did not differ significantly in their perception of the various aspects of care outcomes (Table 4). Table 4 Results of the POS (sum and item scores) Inhibitors,research,lifescience,medical Discussion This study evaluated if there are differences within the health-related QoL of patients cared for by GPs who participated in a palliative training course offered by GPs (PAMINO) compared to patients of other GPs. In our study sample, patients did not report any differences in their Inhibitors,research,lifescience,medical QoL and care as measured by QLQ-C15-PAL and POS. The study suggests that PAMINO training makes no noticeable difference to the quality of care for patients between comparable groups of GPs. We tried to include as many GPs and patients as possible, but did not reach our targeted sample size. GPs either did not care for enough eligible patients or did not participate due to time constraints. There were enough practices participating

Inhibitors,research,lifescience,medical in the study (n=90), but only half of them included patients. Mostly, there were less eligible patients in the practices than expected: there were not as many cancer patients as we assumed for our sample size calculation. Therefore, this study has the character of a pilot study and conclusions need to be drawn cautiously. Although our study Inhibitors,research,lifescience,medical is underpowered, it nevertheless describes the quality of life in palliative patients cared for by GPs. Patients considered their QoL to Inhibitors,research,lifescience,medical be moderately high. Not surprisingly, QoL was much lower than in the general German population [13], but higher than in comparable palliative care populations [14]. Additionally, GPs in general

delivered high-quality care in the patients’ view. Compared to patients cared for in nursing these homes [11], they reported better care outcomes. The patients of the German POS validation study [8], who were mostly cared for in palliative care units in hospital, also reported worse care outcomes than our study population. As was to be expected, both measures correlated highly showing the high interdependence of care outcomes and health-related quality of life as perceived by patients. Although our study failed to reveal statistical significant differences within the QoL of patients, it does not mean that the initiative had no impact at all. Unlike non-participating doctors, GPs participating in this voluntary training might gain valuable knowledge and skills in caring for palliative patients, which are of increasing importance in the future.