Analysis of Diagnoses, Symptoms, Medications, and Admissions Among Patients With Cancer Presenting to Emergency Departments

Caterino, Jeffrey M.; Adler, David; Durham, Danielle D.; Yeung, Sai Ching Jim; Hudson, Matthew F.; Bastani, Aveh; Bernstein, Steven L.; Baugh, Christopher W.; Coyne, Christopher J.; Grudzen, Corita; Henning, Daniel J.; Klotz, Adam; Madsen, Troy; Pallin, Daniel J.; Reyes‐Gibby, Cielito C.; Rico, Juan Felipe; Ryan, Richard J.; Shapiro, Nathan I.; Swor, Robert A.; Venkat, Arvind; Wilson, Jason; Thomas, Charles R.; Bischof, Jason J.; Lyman, Gary H.

doi:10.1001/jamanetworkopen.2019.0979

Cited by 119 publications

(154 citation statements)

References 43 publications

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“…There are an increasing number of acute cancer presentations that can be risk assessed for care in an emergency ambulatory setting. These include low-risk febrile neutropenia, cancer-associated deep vein thrombosis, incidental pulmonary embolism, chemotherapy-related acute kidney injury, chemotherapy-induced nausea and vomiting, indwelling line infections, acute management of pain crises, malignant hypercalcaemia and other electrolyte abnormalities, asymptomatic brain metastases and malignant pleural effusion [ [43] , [44] , [45] , [46] ].…”

Section: Interface With Acute Oncology – Ambulatory Supportive Carementioning

confidence: 99%

Supportive Care: An Indispensable Component of Modern Oncology

et al. 2020

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The advent of new cancer therapies, alongside expected growth and ageing of the population, better survival rates and associated costs of care, is uncovering a need to more clearly define and integrate supportive care services across the whole spectrum of the disease. The current focus of cancer care is on initial diagnosis and treatment, and end of life care. The Multinational Association of Supportive Care in Cancer defines supportive care as ‘the prevention and management of the adverse effects of cancer and its treatment’. This encompasses the entire cancer journey, and necessitates involvement and integration of most clinical specialties. Optimal supportive care can assist in accurate diagnosis and management, and ultimately improve outcomes. A national strategy to implement supportive care is needed to acknowledge evolving oncology practice, changing disease patterns and the changing patient demographic.

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Section: Interface With Acute Oncology – Ambulatory Supportive Carementioning

confidence: 99%

Supportive Care: An Indispensable Component of Modern Oncology

et al. 2020

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“…Oncologic emergencies may result from the disease itself or complications related to cancer treatment (8) . From this perspective, studies indicate that most cancer patients experience at least one emergency episode during their treatment for the disease, resulting in complications and aggravations, resulting in death.…”

Section: Introductionmentioning

confidence: 99%

Nurses and physicians’ perception of the care of oncology patients in the emergency department

et al. 2020

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Objectives: to understand nurses’ and physicians’ perceptions of the care of people with cancer admitted to an emergency department of a general hospital. Methods: descriptive study with a qualitative approach. Data collection took place from September to November 2017 through semi-structured interviews in which participated 12 professionals from the emergency department, including nurses and physicians. The data were analyzed using Minayo’s operative proposal. Results: three categories emerged: 1) The person with cancer from nurses and physicians’ perspective; 2) Comprehensive care of people with cancer or deconfiguration in the emergency department?; and 3) The context of the emergency department and the repercussions on the care of people with cancer. Final Considerations: we identified that the care provided to people with cancer in the emergency department is carried out differently regarding the overall population due to the disease’s particularities, which lead us to reflect on the quality and humanization of care.

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“…Also, hospitalization of these patients for pain palliation or parenteral fluid treatment alone is more harmful than beneficial due to hospital-acquired infections, deep venous thrombosis, etc. 12 In one study, cancer patients' one-year mortality was determined as 39%, and in another, the mortality rate was 70.6% 14,19 . In our study, the one-year mortality rate was 49.4%, and the median duration until death after the last emergency admission was 13 days.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the frequency of patients with cancer presenting to an emergency department

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et al. 2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.

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Analysis of Diagnoses, Symptoms, Medications, and Admissions Among Patients With Cancer Presenting to Emergency Departments

Cited by 119 publications

References 43 publications

Supportive Care: An Indispensable Component of Modern Oncology

Supportive Care: An Indispensable Component of Modern Oncology

Nurses and physicians’ perception of the care of oncology patients in the emergency department

Evaluation of the frequency of patients with cancer presenting to an emergency department

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