National Palliative Care Research Center and Hertzberg Palliative Care Institute of Brookdale Department of Geriatrics, Mount Sinai School of Medicine, New York, New York 10029, USA.
J Palliat Med. 2013 Feb;16(2):125-9. doi: 10.1089/jpm.2012.0427. Epub 2013 Jan 22.
Palliative care clinical and educational programs are expanding to meet the needs of seriously ill patients and their families. Multiple reports call for an enhanced palliative care evidence base.
To examine current National Institutes of Health (NIH) funding of palliative medicine research and changes since our 2008 report.
We sought to identify NIH funding of palliative medicine from 2006 to 2010 in two stages. First, we searched the NIH grants database RePorter for grants with key words "palliative care," "end-of-life care," "hospice," and "end of life." Second, we identified palliative care researchers likely to have secured NIH funding using three strategies: (1) We abstracted the first and last authors' names from original investigations published in major palliative medicine journals from 2008 to 2010; (2) we abstracted these names from a PubMed generated list of all original articles published in major medicine, nursing, and subspecialty journals using the above key words Medical Subject Headings (MESH) terms "palliative care," "end-of-life care," "hospice," and "end of life;" and (3) we identified editorial board members of palliative medicine journals and key members of palliative medicine research initiatives. We crossmatched the pooled names against NIH grants funded from 2006 to 2010.
The NIH RePorter search yielded 653 grants and the author search identified an additional 352 grants. Compared to 2001 to 2005, 589 (240%) more grants were NIH funded. The 391 grants categorized as relevant to palliative medicine represented 294 unique PIs, an increase of 185 (269%) NIH funded palliative medicine researchers. The NIH supported 21% of the 1253 original palliative medicine research articles identified. Compared to 2001 to 2005, the percentage of grants funded by institutes other than the National Cancer Institute (NCI), the National Institute for Nursing Research (NINR), and the National Institute of Aging (NIA) increased from 15% to 20% of all grants.
When compared to 2001-2005, more palliative medicine investigators received NIH funding; and research funding has improved. Nevertheless, additional initiatives to further support palliative care research are needed.
姑息治疗临床和教育项目正在扩大，以满足重病患者及其家属的需求。多份报告呼吁加强姑息治疗的循证基础。
检查目前美国国立卫生研究院（NIH）对姑息医学研究的资助情况，并与我们 2008 年的报告进行比较。
我们试图分两个阶段确定 2006 年至 2010 年 NIH 对姑息医学的资助。首先，我们在 NIH 拨款数据库 RePorter 中使用“姑息治疗”、“临终关怀”、“临终关怀”和“临终”等关键词搜索拨款。其次，我们使用三种策略确定可能获得 NIH 资助的姑息治疗研究人员：（1）我们从 2008 年至 2010 年发表在主要姑息医学期刊上的原始研究中提取第一和最后作者的姓名；（2）我们从使用上述主题词（MeSH）术语“姑息治疗”、“临终关怀”、“临终关怀”和“临终”的主要医学、护理和专科期刊的 PubMed 生成的原始文章列表中提取这些姓名；（3）我们确定姑息医学期刊的编辑委员会成员和姑息医学研究计划的主要成员。我们将汇总的姓名与 2006 年至 2010 年期间资助的 NIH 拨款进行交叉匹配。
NIH RePorter 搜索产生了 653 项拨款，作者搜索又确定了 352 项拨款。与 2001 年至 2005 年相比，获得 NIH 资助的拨款增加了 589 项（240%）。391 项被归类为与姑息医学相关的拨款代表了 294 个独特的 PI，获得 NIH 资助的姑息医学研究人员增加了 185 人（269%）。NIH 资助了确定的 1253 篇姑息医学研究原始文章中的 21%。与 2001 年至 2005 年相比，除国家癌症研究所（NCI）、国家护理研究所（NINR）和国家老龄化研究所（NIA）以外的机构资助的拨款比例从所有拨款的 15%增加到 20%。
与 2001-2005 年相比，更多的姑息治疗研究人员获得了 NIH 资助；研究资金有所增加。然而，需要进一步采取措施来进一步支持姑息治疗研究。
