ArticleCancer medicine2018
Cancer patients as frequent attenders in emergency departments: A national cohort study.
Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- [Characteristics and clinical outcomes of cancer patients presenting to the emergency department in Korea: a retrospective descriptive study].Journal of Korean biological nursing science · 2026Article
- Singapore Housing Index and prevalence of serious bacterial infections among febrile infants.Frontiers in pediatrics · 2026Article
- Oncology-related emergencies discharged from the emergency department.Singapore medical journal · 2025Article
- More competent informal caregivers reduce advanced cancer patients' unplanned healthcare use and costs.Cancer medicine · 2024Article
- Hospitalizations and re-hospitalizations at the end-of-life among cancer patients; a retrospective register data study.BMC palliative care · 2024Article
- Article
- Optimal care of people with brain cancer in the emergency department: A cross-sectional survey of outpatient perceptions.Asia-Pacific journal of oncology nursing · 2023Article
- Emergency Department Utilization of Adult Cancer Patient in Korea: A Nationwide Population-Based Study, 2017-2019.Cancer research and treatment · 2022Article
- Leveraging open data to reconstruct the Singapore Housing Index and other building-level markers of socioeconomic status for health services research.International journal for equity in health · 2021Article
- Evaluation of emergency departments visits in patients treated with immune checkpoint inhibitors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Health care experiences for older adults diagnosed with leukemia and lymphoma: Factors associated with emergency department use, timeliness and access of health care.Journal of geriatric oncology · 2021Article
- Patients with Liver Cirrhosis as Frequent Attenders of Emergency Departments.Emergency medicine international · 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
- Statistical tools used for analyses of frequent users of emergency department: a scoping review.BMJ open · 2019Article
- Cancer patients as frequent attenders in emergency departments: A national cohort study.Cancer medicine · 2018Article
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Authors and funding
11 authors.
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Abstract
backgroundCancer patients contribute significantly to emergency department (ED) utilization. The objective of this study was to identify factors associated with patients becoming ED frequent attenders (FA) after a cancer-related hospitalization.
methodsA retrospective cohort study was conducted using national administrative, billing, and death records of Singapore residents discharged alive from Singapore public hospitals from January 2012 to December 2015, with a primary discharge diagnosis of cancer. Patients with four or more ED visits within any 12-month period after discharge from their index hospitalization were classified as FA. Time to FA distribution was estimated using the Kaplan-Meier method, and factors associated with risk of FA were identified using multivariate Cox regression analyses.
resultsRecords for 47 235 patients were analyzed, of whom 2980 patients were FA within the study period. Age (<17 years, hazard ratio [HR] 2.92, 95% CI 2.28-3.74; 75-84 years, HR 1.29, 95% CI 1.16-1.45; and ≥85 years, HR 1.71, 95% CI 1.45-2.02, relative to age 55-64), male gender (HR 1.26, 95% CI 1.16-1.37), Charlson comorbidity index (HR 1.21, 95% CI 1.19-1.23), and socioeconomic factors (Medifund use, HR 1.40, 95% CI 1.23-1.59; housing subsidy type, HR 2.12, 95% CI 1.77-2.54) were associated with increased risk of FA. Primary malignancies associated with FA included brain and spine (HR 2.51, 95% CI 1.67-3.75), head and neck cancers (tongue, HR 2.05, 95% CI 1.27-3.31; hypopharynx, HR 2.72, 95% CI 1.56-4.74), lung (trachea and lung, HR 1.57, 95% CI 1.13-2.18; pleural, HR 3.69, 95% CI 2.12-6.34), upper gastrointestinal (stomach, HR 1.93, 95% CI 1.26-2.74; esophagus, HR 4.13, 95% CI 2.78-6.13), hepato-pancreato-biliary (liver, HR 1.42, 95% CI 1.01-2.00, pancreas, HR 2.48, 95% CI 1.72-3.59), and certain hematological malignancies (diffuse non-Hodgkin's lymphoma, HR1.59, 95% CI 1.08-2.33, lymphoid leukemia, HR 1.86, 95% CI 1.21-2.86). Brain (HR 1.69, 95% CI 1.27-2.26), lung (HR 1.31, 95% CI 1.01-1.71), liver (HR 1.46, 95% CI 1.14-1.89), and bone (HR 1.35, 95% CI 1.04-1.76) metastases were also associated with FA.
conclusionThere are cancer-specific factors contributing to ED frequent attendance. Additional resources should be allocated to support high-risk groups and prevent unnecessary ED use.
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