JMA Journal

Figure 1. Ease of Living Questionnaire at Tokai University Hospital (in Japanese)
The questionnaire is as follows:
Please describe your physical and emotional pain, as well as any difficulties you are experiencing in your life.
(1) About your physical symptoms
What are your current physical symptoms? Please circle the number that applies.
4 Symptoms that I cannot endure have been continuing for a long time.
3 I often have problems that I cannot endure, and I want you to take care of them.
2 It is not that bad, but if there is a way to improve the symptoms, please let me know.
1 I am satisfied with my current treatment.
0 No symptoms
What are your symptoms? (Free answer)
(2) About emotional distress
How distressed have you been during the past week? Please circle the number that applies most to you.
10 Most painful
0 Not painful
(3) Symptoms, treatment, and life-related issues (check boxes)
I have concerns about symptoms and treatment.
I have concerns or problems with finances.
I have worries or problems about living at home or caring for my family.
I have concerns about working, such as continuing to work or returning to work.
Others (free answers)
(4) Do you want to have a consultation? (check box)
Matters related to illness or treatment
About the physical or emotional distress
Financial concerns
Living at home or nursing care
About continuing to work, returning to work, etc.
Others (free answers).

Figure 2. Departments referring patients to the CGP outpatient clinic.
Gastroenterological surgery was the most common referral source within the hospital (22 cases, 36%), followed by urology (9 cases, 15%).
CGP: Cancer Genome Profiling.

Figure 3. Reasons for visiting to CGP outpatient clinic.
The primary physician made the recommendations in 49 cases (82%). Patients made the request in seven cases (11%), and family provided the recommendation in four cases (7%).
CGP: Cancer Genome Profiling.

Figure 4. Pie chart showing physical distress (0, no symptoms; 4, unbearable distress persists). Eight patients (13%) had physical symptoms graded as ≥3 on a 5-point scale. Four patients had visited the palliative care outpatient clinic before visiting the CGP outpatient clinic, one patient was referred from the CGP outpatient clinic, one patient did not visit the CGP outpatient clinic, and two patients visited outside the study period.
CGP: Cancer Genome Profiling.

Figure 5. Pie chart showing emotional distress (0, light; 10, heavy).
Sixteen patients (27%) had a score ≥6 on a 10-point scale. Five patients visited the palliative care outpatient clinic before they visited the CGP outpatient clinic. Three patients were referred from the CGP outpatient clinic, four were not seen, and one visited outside the study period.
CGP: Cancer Genome Profiling.

Table 1. Details of patients who were referred to the palliative care outpatient clinic from the CGP outpatient clinic and those who were not seen.
It should be noted that two patients had both physical and emotional distress, but one visited the palliative care outpatient clinic at the suggestion of the CGP outpatient clinic, whereas the other did not (shown in red). CGP: Cancer Genome Profiling.