Evidence map›Paper›PMID 26925998›Full record

SynthesisCancer nursing

A Systematic Review of Emergency Department Use Among Cancer Patients.

Rebecca S Lash, Janice F Bell, Sarah C Reed, Hermine Poghosyan, James Rodgers, Katherine K Kim, Richard J Bold, Jill G Joseph

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% of its field
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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Anxiety in patients with cancer and emergency department use: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  10. Telehealth education for patients with cancer: a standalone solution for symptom relief?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  11. Impact of an oncology urgent care center on preventable emergency department visits: revisiting lessons from a global pandemic to improve quality of care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  18. Understanding Barriers and Distress Experienced Among Cancer Patients: Analysis from an Urban Academic Emergency Department.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  19. Evaluation of emergency department visits and immune-related adverse effects (irAEs) in patients treated with nivolumab.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  20. Article

2 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

8 authors at 1 institution in 1 country.

Rebecca S LashAuthor Affiliations: Collaborative Cancer Care Research Group (3CRG), Betty Irene Moore School of Nursing, University of California, Davis, Sacramento (Drs Lash, Bell, Kim, Bold, and Joseph; Ms Reed; and Mr Rodgers); Department of Nursing Research and Education, UCLA Health (Dr Lash); and College of Nursing and Health Sciences University of Massachusetts, Boston (Dr Poghosyan).
Janice F Bell
Sarah C Reed
Hermine Poghosyan
James Rodgers
Katherine K Kim
Richard J Bold
Jill G Joseph
UC Davis Health · US

Funding

Center for Innovation in Point of Care Technologies for the Future of Cancer CareU54EB015403 · NIBIB · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI KLAPPERICH, CATHERINE M. · 2012 to 2016
$8.9M
NIBIB NIH HHS U54 EB015403
6 · The paper itself

Abstract

backgroundRecent reports call for reductions in costly and potentially avoidable services such as emergency department (ED) visits. Providing high-quality and safe care for oncology patients remains challenging for ED providers given the diversity of patients seeking care and the unpredictable clinical environment. While ED use by oncology patients is appropriate for acute health concerns, some ED visits may be preventable with well-coordinated care and adequate symptom management.

objectiveThe aim of this study was to summarize available evidence regarding the incidence, predictors of, and reasons for ED visits among oncology patients.

methodsKeyword/MeSH term searches were conducted using 4 online databases. Inclusion criteria were publication date between April 1, 2003, and December 5, 2014; sample size of 50 or more; and report of the incidence or predictors of ED use among oncology patients.

resultsThe 15 studies that met criteria varied in study aim, design, and time frames for calculating ED utilization rates. The incidence of ED visits among oncology patients ranged from 1% to 83%. The 30-day standardized visit rate incidence ranged from 1% to 12%. Collectively, the studies lack population-based estimates for all cancers combined.

conclusionsThe studies included in this review suggest that rates of ED use among cancer patients exceed those of the general population. However, the extent of ED use by oncology patients and the reasons for ED visits remain understudied. IMPLICATIONS FOR PRACTICE: Nurses are involved in the treatment of cancer, patient education, and symptom management. Nurses are well positioned to develop patient-centered treatment and care coordination plans to improve quality of care and reduce ED visits.

Indexed as

Emergency Service, HospitalHumansNeoplasmsRandomized Controlled Trials as Topic

Identifiers

PMID26925998
PMCPMC5001935
OpenAlexW2295302342

What OpenQuestion holds

Textmetadata
LicenceTDM
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.