Evidence map›Paper›PMID 29573899›Full record

ArticleThe American journal of emergency medicine2018

National characteristics of Emergency Department visits by patients with cancer in the United States.

Joann Hsu, John P Donnelly, Justin Xavier Moore, Karen Meneses, Grant Williams, Henry E Wang

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 6% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Febrile neutropenia in patients treated with chemotherapy/immune checkpoint inhibition: a MASCC consensus statement.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  6. Article
  7. Article
  8. 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
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Observational
  14. The current state and future direction of childcare for cancer patients: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  15. Observational
  16. Article
  17. Article
  18. Review
  19. Article
  20. [Usefulness of the MPB-INFURG-SEMES model to predict bacteremia in the patient with solid tumor in the Emergency Department].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Observational
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

6 authors at 1 institution in 1 country.

Joann HsuUniversity of Alabama School of Medicine, Birmingham, AL, United States.
John P DonnellyDepartment of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL, United States; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States.
Justin Xavier MooreUniversity of Alabama School of Medicine, Birmingham, AL, United States; Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States; Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States.
Karen MenesesComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States; School of Nursing, University of Alabama at Birmingham Birmingham, AL.
Grant WilliamsComprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States.
Henry E WangDepartment of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL, United States; Department of Emergency Medicine, The University of Texas Health Science Center at Houston, Houston, TX, United States. Electronic address: henry.e.wang@uth.tmc.edu.
University of Alabama at Birmingham · US

Funding

Cancer Prevention & Control Training ProgramR25CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY, MENESES, KAREN M · 1988 to 2016
$11.2M
Risk Factors for Sepsis in the CommunityR01NR012726 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WANG, HENRY E. · 2011 to 2015
$2.6M
Immunosuppression and Risk Prediction of Sepsis after Solid Organ TransplantationF31GM122180 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DONNELLY, JOHN P · 2017 to 2018
$52k
NCI NIH HHS R25 CA047888NIGMS NIH HHS F31 GM122180NINR NIH HHS R01 NR012726
6 · The paper itself

Abstract

purposeThe Emergency Department (ED) is an important venue for the care of patients with cancer. We sought to describe the national characteristics of ED visits by patients with cancer in the United States.

methodsWe performed an analysis of 2012-2014 ED visit data from the National Hospital Ambulatory Medical Care Survey (NHAMCS). We included adult (age≥18years) ED patients, stratified by history of cancer. Using the NHAMCS survey design and weighting variables, we estimated the annual number of adult ED visits by patients with cancer. We compared demographics, clinical characteristics, ED resource utilization, and disposition of cancer vs. non-cancer patients.

resultsThere were an estimated 104,836,398 annual ED visits. Patients with cancer accounted for an estimated 3,879,665 (95% CI: 3,416,435-4,342,895) annual ED visits. Compared with other ED patients, those with cancer were older (mean 64.8 vs. 45.4years), more likely to arrive by Emergency Medical Services (28.0 vs. 16.9%), and experienced longer lengths of ED stay (mean 4.9 vs. 3.8h). Over 65% of ED patients with cancer underwent radiologic imaging. Patients with cancer almost twice as likely to undergo CT scanning; four times more likely to present with sepsis; twice as likely to present with thrombosis, and three times more likely to be admitted to the hospital than non-cancer patients.

conclusionsPatients with cancer comprise nearly 4 million ED visits annually. The findings highlight the important role of the ED in cancer care and need for addressing acute care conditions in patients with cancer.

Indexed as

AdolescentAdultAgedAge DistributionEmergency Medical ServicesEmergency Service, HospitalFemaleHealth Care SurveysHumansLength of StayMaleMiddle AgedNeoplasmsPatient AdmissionSepsisThrombosisCancerEmergency Department

Identifiers

PMID29573899
PMCPMC6988579
OpenAlexW2792844454

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.