Evidence map›Paper›PMID 26921289›Full record

ReviewThe oncologist2016

Responding to Acute Care Needs of Patients With Cancer: Recent Trends Across Continents.

Alison Young, Ernie Marshall, Monika Krzyzanowska, Bridget Robinson, Sean Brown, Fiona Collinson, Jennifer Seligmann, Afroze Abbas, Adrian Rees, Daniel Swinson and 2 more

Abstract readReview
In one paragraph

Review in The oncologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Management of breakthrough cancer pain in the emergency department.Clinical and experimental emergency medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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
  7. Article
  8. Frequency of anticancer drug use at the end of life: a scoping review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  9. Article
  10. Review
  11. A hybrid model of acute unscheduled cancer care provided by a hospital-based acute care clinic and the emergency department: a descriptive study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  12. Article
  13. Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Article
  14. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021
    Article
  15. Article
  16. Determinants of quality of life among family caregivers of adult cancer patients in a resource-limited setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  17. Observational
  18. Article
  19. Article
  20. 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

12 authors.

Alison YoungSt. James's Institute of Oncology, St. James's University Hospital, Leeds, United Kingdom a.young@leeds.ac.uk.
Ernie MarshallMedical Oncology, Clatterbridge Cancer Centre, Merseyside, United Kingdom.
Monika KrzyzanowskaPrincess Margaret Cancer Centre, Toronto, Canada.
Bridget RobinsonChristchurch Hospital, Christchurch, New Zealand.
Sean BrownMedical Oncology, Clatterbridge Cancer Centre, Merseyside, United Kingdom.
Fiona CollinsonSt. James's Institute of Oncology, St. James's University Hospital, Leeds, United Kingdom.
Jennifer SeligmannSt. James's Institute of Oncology, St. James's University Hospital, Leeds, United Kingdom.
Afroze AbbasDiabetes Center, School of Medicine, University of Leeds, Leeds, United Kingdom.
Adrian ReesNHS Leeds West Clinical Commissioning Group, Leeds, United Kingdom.
Daniel SwinsonSt. James's Institute of Oncology, St. James's University Hospital, Leeds, United Kingdom.
Helen Neville-WebbeMedical Oncology, Clatterbridge Cancer Centre, Merseyside, United Kingdom.
Peter SelbySt. James's Institute of Oncology, St. James's University Hospital, Leeds, United Kingdom University of Leeds, Leeds, United Kingdom.

Funding

Cancer Research UK 19772Department of Health RP-PG-0707-10101
6 · The paper itself

Abstract

Remarkable progress has been made over the past decade in cancer medicine. Personalized medicine, driven by biomarker predictive factors, novel biotherapy, novel imaging, and molecular targeted therapeutics, has improved outcomes. Cancer is becoming a chronic disease rather than a fatal disease for many patients. However, despite this progress, there is much work to do if patients are to receive continuous high-quality care in the appropriate place, at the appropriate time, and with the right specialized expert oversight. Unfortunately, the rapid expansion of therapeutic options has also generated an ever-increasing burden of emergency care and encroaches into end-of-life palliative care. Emergency presentation is a common consequence of cancer and of cancer treatment complications. It represents an important proportion of new presentations of previously undiagnosed malignancy. In the U.K. alone, 20%-25% of new cancer diagnoses are made following an initial presentation to the hospital emergency department, with a greater proportion in patients older than 70 years. This late presentation accounts for poor survival outcomes and is often associated with poor patient experience and poorly coordinated care. The recent development of acute oncology services in the U.K. aims to improve patient safety, quality of care, and the coordination of care for all patients with cancer who require emergency access to care, irrespective of the place of care and admission route. Furthermore, prompt management coordinated by expert teams and access to protocol-driven pathways have the potential to improve patient experience and drive efficiency when services are fully established. The challenge to leaders of acute oncology services is to develop bespoke models of care, appropriate to local services, but with an opportunity for acute oncology teams to engage cancer care strategies and influence cancer care and delivery in the future. This will aid the integration of highly specialized cancer treatment with high-quality care close to home and help avoid hospital admission.

Indexed as

Emergency Medical ServicesOncology Service, HospitalPrecision MedicineHumansNeoplasmsPrognosisUnited KingdomAcute oncologyCancer outcomesEmergency cancer careU.K. oncology

Identifiers

PMID26921289
PMCPMC4786347

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.