Observational studyScientific reports2022
Disparities in outcomes among patients diagnosed with cancer in proximity to an emergency department visit.
Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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
17 citing papers in PubMed.
- Emergency diagnosis of multiple myeloma: a SEER-Medicare study.Cancer causes & control : CCC · 2026Article
- Predictors of Healthcare-Associated Bloodstream Infections in Subjects Hospitalised from the Emergency Department for Non-Infectious Disease.Journal of clinical medicine · 2026Article
- Routes to cancer diagnosis for migrants in Denmark: a population-based nationwide cohort study.BMC cancer · 2026Article
- Emergency physicians' experiences managing patients with a suspected cancer diagnosis in Ontario, Canada: a qualitative study.BMJ open · 2025Article
- Emergency Department Use Prior to Cancer Diagnosis and Mortality.JAMA network open · 2025Article
- Prevalence and Outcomes of Emergency Presentations of Colorectal Cancer in Veterans Affairs Health Care System.Digestive diseases and sciences · 2025Article
- Emergency department use before cancer diagnosis in Ontario, Canada: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Development and Implementation of a Digital Quality Measure of Emergency Cancer Diagnosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- The emergency department is no place to be told you have cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Understanding mechanisms of racial disparities in breast cancer: an assessment of screening and regular care in the Carolina Breast Cancer Study.Cancer causes & control : CCC · 2024Article
- Emergency department involvement in the diagnosis of cancer among older adults: a SEER-Medicare study.JNCI cancer spectrum · 2024Article
- Reduced Survival Outcome After Receiving a New Cancer Diagnosis in the Emergency Department: Findings from a Hospital Network in Rural Eastern North Carolina.Journal of racial and ethnic health disparities · 2023Article
- Potentially Avoidable Admissions and Prolonged Hospitalization in Patients with Suspected Colon Cancer.Annals of surgical oncology · 2023Article
- ASO Author Reflections: Potentially Avoidable and Prolonged Hospitalizations for Suspected Colon Cancer-Hospital Impact.Annals of surgical oncology · 2023Article
- Retrospective study of cancer patients' predictive factors of care in a large, Hungarian tertiary care centre.BMJ open · 2023Observational
- Worsened outcomes of newly diagnosed cancer in patients with recent emergency care visits: A retrospective cohort study of 3699 adults in a safety net health system.Cancer medicine · 2023Article
- Lung cancer in the emergency department.Emergency cancer care · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A suspected diagnosis of cancer in the emergency department (ED) may be associated with poor outcomes, related to health disparities, however data are limited. This is a retrospective observational cohort of the Indiana State Department of Health Cancer Registry, and the Indiana Network for Patient Care. First time cancer diagnoses appearing in the registry between January 2013 and December 2017 were included. Cases identified as patients who had an ED visit in the 6 months before their cancer diagnosis; controls had no preceding ED visits. The primary outcome was mortality, comparing ED-associated mortality to non-ED-associated. 134,761 first-time cancer patients were identified, including 15,432 (11.5%) cases. The mean age was same at 65, more of the cases were Black than the controls (12.4% vs 7.4%, P < .0001) and more were low income (36.4%. vs 29.3%). The top 3 ED-associated cancer diagnoses were lung (18.4%), breast (8.9%), and colorectal cancers (8.9%), whereas the controls were breast (17%), lung (14.9%), and prostate cancers (10.1%). Cases observed an over three-fold higher mortality, with cumulative death rate of 32.9% for cases vs 9.0% for controls (P < .0001). Regression analysis predicting mortality, controlling for many confounders produced an odds ratio of 4.12 (95% CI 3.72-4.56 for cases). This study found that an ED visit within 6 months prior to the first time of ICD-coded cancer is associated with Black race, low income and an overall three-fold increased adjusted risk of death. The mortality rates for ED-associated cancers are uniformly worse for all cancer types. These data suggest that additional work is needed to reduce disparities among ED-associated cancer diagnoses.
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