Evidence map›Paper›PMID 41335211›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Impact of an oncology urgent care center on preventable emergency department visits: revisiting lessons from a global pandemic to improve quality of care.

Brian M Russell, Ashley L O'Donoghue, Tenzin Dechen, Emma M Lee, Mary Linton B Peters, Aya Sato-DiLorenzo, Meghan E Shea, Matthew J Weinstock, Jennifer P Stevens, Jessica A Zerillo

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Time toxicity among patients with cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

10 authors.

Brian M RussellDepartment of Medicine, Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA. bmrussel@bidmc.harvard.edu.
Ashley L O'DonoghueCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Tenzin DechenCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Emma M LeeUniversity of Colorado School of Medicine, Aurora, CO, USA.
Mary Linton B PetersDepartment of Medicine, Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Aya Sato-DiLorenzoDepartment of Medicine, Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Meghan E SheaDepartment of Medicine, Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Matthew J WeinstockDepartment of Medicine, Division of Hematology & Hematologic Malignancies, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jennifer P StevensCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jessica A ZerilloDepartment of Medicine, Division of Medical Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOncologic urgent care centers (UCCs) have been shown to reduce emergency department (ED) visits. However, their impact on potentially preventable (PP) presentations, including those with diagnoses in CMS' OP-35 (OP-35) quality metric, has not been evaluated. This study assesses the impact of a specialty-specific UCC on PP ED visits in patients receiving chemotherapy.

methodsIn this retrospective, single-center analysis, patients were included if they received parenteral or oral chemotherapy within 30 days of ED presentation between March 2019 and June 2021. A UCC tailored toward managing patients with COVID-19 symptoms was opened between March 2020 and June 2021 (intervention period). Outcomes compared before and during the intervention period included weekly incidence of PP ED visits, defined as visits that would be captured in OP-35. Interrupted time series design was utilized.

resultsA total of 2272 ED visits occurred in the study period. Most were for patients > 55 years old (n = 1706, 75%), female (n = 1227, 54%), and with gastrointestinal cancer (n = 637, 28%). Overall 928 (41%) ED visits during the study period were PP. There were 3.8 (95% CI, 0.6 to 7.0) PP weekly ED visits during the intervention period versus 11.0 (95% CI, 9.4 to 12.6) before the intervention period, reflecting a reduction in 7.2 weekly visits (95% CI, - 10.8 to - 3.6).

conclusionThe opening of an oncologic UCC was associated with a reduction in PP ED visits. UCCs can be important in an oncologic service line to reduce unnecessary ED usage, but prospective evaluations are needed to confirm this finding.

Indexed as

Ambulatory Care FacilitiesCancer Care FacilitiesCOVID-19Emergency Service, HospitalNeoplasmsQuality ImprovementQuality of Health CareAdultAgedAntineoplastic AgentsEmergency Room VisitsFemaleHumansMaleMiddle AgedRetrospective StudiesAntineoplastic AgentsEmergency visitsHospital admissionQuality of careUrgent care centers

Identifiers

PMID41335211

What OpenQuestion holds

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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.