ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Presentation patterns and outcomes of patients with cancer accessing care in emergency departments in Victoria, Australia.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Understanding oncologic emergencies and related emergency department visits and hospitalizations: a systematic review.BMC emergency medicine · 2025Pooled it
- Methodological approaches to measuring the incidence of unplanned emergency department presentations by cancer patients receiving systemic anti-cancer therapy: a systematic review.BMC medical research methodology · 2022Pooled it
- Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- 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 · 2026Article
- Comparison of resuscitation intervention utilization in the emergency department by palliative care eligible patients between cancer and non-cancer.Scientific reports · 2024Article
- Patterns and outcome of unplanned care in lung cancer patients: an observational study in a medical oncology department.Translational lung cancer research · 2023Article
- Quantifying the hospital and emergency department costs for women diagnosed with breast cancer in Queensland.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Recognizing the emergency department's role in oncologic care: a review of the literature on unplanned acute care.Emergency cancer care · 2022Review
- Evaluation of a new emergency department avoidance model of care, the Cancer Urgent Assessment Clinic, in response to the COVID-19 pandemic.Emergency cancer care · 2022Article
- Emergency department visits among people with cancer: Frequency, symptoms, and characteristics.Journal of the American College of Emergency Physicians open · 2021Article
- Cancer Patients' Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER.Journal of clinical medicine · 2021Article
- Article
- Reducing emergency department utilization for outpatient acute cancer symptoms: An integrative review on the advent of urgent cancer clinics.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- EPICANCER-Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study.Journal of clinical medicine · 2020Article
- Socio-demographic and disease related characteristics associated with unplanned emergency department visits by cancer patients: a retrospective cohort study.BMC health services research · 2019Observational
- Health service utilisation during the last year of life: a prospective, longitudinal study of the pathways of patients with chronic kidney disease stages 3-5.BMC palliative care · 2018Observational
- Article
- Oncologic emergency in patients with skeletal metastasis of unknown primary.Acute medicine & surgeryArticle
- Characteristics of Advanced Cancer Patients Admitted to the Palliative Care Unit from the Emergency Department.Indian journal of palliative careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePeople with cancer attend emergency departments (EDs) for many reasons. Improved understanding of the specific needs of these patients may assist in optimizing health service delivery. ED presentation and hospital utilization characteristics were explored for people with cancer and compared with those patients without cancer.
methodsThis descriptive, retrospective, multicentre cohort study used hospital administrative data. Descriptive and inferential statistics were used to summarise and compare ED presentation characteristics amongst cancer and non-cancer groups. Predictive analyses were used to identify ED presentation features predictive of hospital admission for cancer patients. Outcomes of interest were level of acuity, ED and inpatient length of stay, re-presentation rates and admission rates amongst cancer patients and non-cancer patients.
resultsED (529,377) presentations occurred over the 36 months, of which 2.4% (n = 12,489) were cancer-related. Compared with all other attendances, cancer-related attendances had a higher level of acuity, requiring longer management time and length of stay in ED. Re-presentation rates for people with cancer were nearly double those of others (64 vs 33%, p < 0.001), with twice the rate of hospital admission (90 vs 46%, p < 0.001), longer inpatient length of stay (5.6 vs 2.8 days, p < 0.001) and had higher inpatient mortality (7.9 vs 1.0%, p < 0.001). Acuity and arriving by ambulance were significant predictors of hospital admission, with cancer-related attendances having ten times the odds of admission compared to other attendances (OR = 10.4, 95% CI 9.8-11.1).
conclusionsED presentations by people with cancer represent a more urgent, complex caseload frequently requiring hospital admission when compared to other presentations, suggesting that for optimal cancer care, close collaboration and integration of oncology, palliative care and emergency medicine providers are needed to improve pathways of care.
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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.