Evidence map›Paper›PMID 25812117›Full record

ArticlePloS one2015

Hospital admission of cancer patients: avoidable practice or necessary care?

Gianmauro Numico, Antonella Cristofano, Alessandro Mozzicafreddo, Olga Elisabetta Cursio, Pierfrancesco Franco, Giulia Courthod, Antonio Trogu, Alessandra Malossi, Mariella Cucchi, Zuzana Sirotovà and 5 more

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Cancer patient distress and health service use is linked with carer distress: evidence from a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  4. Pilot randomized trial of an electronic symptom monitoring intervention for hospitalized patients with cancer.Annals of oncology : official journal of the European Society for Medical Oncology · 2019
    Trial
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  6. Telehealth service use in people with cancer compared to people without cancer: analysis of Patient Experience Surveys in Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  17. Identification and Characterization of Avoidable Hospital Admissions in Patients With Lung Cancer.Journal of the National Comprehensive Cancer Network : JNCCN · 2023
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Gianmauro NumicoMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Antonella CristofanoMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Alessandro MozzicafreddoMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Olga Elisabetta CursioMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Pierfrancesco FrancoUniversity of Torino, Department of Oncology, Radiation Oncology Unit, Corso Bramante 88, 10126 Torino, Italy.
Giulia CourthodMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Antonio TroguMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Alessandra MalossiMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Mariella CucchiMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Zuzana SirotovàMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Maria Rosa AlvaroMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Anna StellaMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Fulvia GrassoMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Silvia SpinazzéMedical Oncology and Hematology, Azienda USL della Valle d'Aosta, Viale Ginevra 3, 11100 Aosta, Italy.
Nicola SilvestrisMedical Oncology Unit, National Cancer Research Center, Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer patients are frequently admitted to hospital due to acute conditions or refractory symptoms. This occurs through the emergency departments and requires medical oncologists to take an active role. The use of acute-care hospital increases in the last months of life. PATIENTS AND

methodsWe aimed to describe the admissions to a medical oncology inpatient service within a 16-month period with respect to patients and tumor characteristics, and the outcome of the hospital stay.

results672 admissions of 454 patients were analysed. The majority of admissions were urgent (74.1%), and were due to uncontrolled symptoms (79.6%). Among the chief complaints, dyspnoea occurred in 15.7%, pain in 15.2%, and neurological symptoms in 14.5%. The majority of the hospitalizations resulted in discharge to home (60.6%); in 26.5% the patient died and in 11.0% was transferred to a hospice. Admissions due to symptoms correlated with a longer hospital stay and a higher incidence of in-hospital death.

conclusionWe suggest that hospital use is not necessarily a sign of inappropriately aggressive care: inpatient care is probably an unavoidable step in the cancer trajectory. Optimization of inpatient supportive procedures should be a specific task of modern medical oncology.

Indexed as

HospitalizationAgedAged, 80 and overFemaleHospital MortalityHumansItalyLength of StayMaleMiddle AgedNeoplasmsPalliative Care

Identifiers

PMID25812117
PMCPMC4374858

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.