Evidence map›Paper›PMID 25984244›Full record

ArticleInternational journal of emergency medicine2015

Managing the advanced cancer patient in the Australian emergency department environment: findings from a national survey of emergency department clinicians.

Tracey J Weiland, Heather Lane, George A Jelinek, Claudia H Marck, Jennifer Weil, Mark Boughey, Jennifer Philip

Abstract read
In one paragraph

Article in International journal of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Mixed methods scoping review of patients' experiences of urgent and emergency cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
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  8. Review
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  11. Early integration of palliative medicine into emergency care: Is it a feasible option.Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology
    Article
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

7 authors.

Tracey J WeilandEmergency Practice Innovation Centre, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy 3065 Australia ; Department of Medicine, The University of Melbourne, Parkville, 3052 Australia.
Heather LaneCentre for Palliative Care, The University of Melbourne (St Vincent's Hospital), Fitzroy, 3065 Australia ; St Vincent's Hospital Melbourne, Fitzroy, 3065 Australia.
George A JelinekEmergency Practice Innovation Centre, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy 3065 Australia ; Department of Medicine, The University of Melbourne, Parkville, 3052 Australia.
Claudia H MarckEmergency Practice Innovation Centre, St Vincent's Hospital Melbourne, Victoria Parade, Fitzroy 3065 Australia ; Erasmus Medical Centre, Rotterdam, The Netherlands.
Jennifer WeilSt Vincent's Hospital Melbourne, Fitzroy, 3065 Australia.
Mark BougheyCentre for Palliative Care, The University of Melbourne (St Vincent's Hospital), Fitzroy, 3065 Australia ; St Vincent's Hospital Melbourne, Fitzroy, 3065 Australia.
Jennifer PhilipCentre for Palliative Care, The University of Melbourne (St Vincent's Hospital), Fitzroy, 3065 Australia ; St Vincent's Hospital Melbourne, Fitzroy, 3065 Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivery of care to people with advanced cancer in the emergency department (ED) is complicated by competing service demands, workloads and physical design constraints. We explored emergency clinicians' attitudes to the ED environment when caring for patients who present with advanced cancer, and how these attitudes are affected by access to palliative care services, palliative care education, staff type, ED experience and patient demographic, hospital type and region.

methodsWe electronically surveyed clinicians from the College of Emergency Nursing Australasia, Australian College of Emergency Nursing and Australasian College for Emergency Medicine working in an Australian ED.

resultsRespondents were 444 doctors and 237 nurses. They reported overcrowding, noise, lack of time and privacy as barriers to care. Most (93.3%) agreed/strongly agreed that the dying patient should be allocated private space in ED. 73.6% (451) felt unable to provide a desired level of care to advanced cancer patients in ED. Clinician attitudes were affected by staff type, experience, ED demographic and hospital type, but not education in palliative care.

conclusionsED environments place pressure on clinicians delivering care to people with advanced cancer. Integrating palliative care services in ED and redesigning EDs to better match its multifaceted functions should be considered.

Indexed as

CancerEmergency medicineEnd-of-life carePalliative careSurvey

Identifiers

PMID25984244
PMCPMC4424226

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.