CONCERN for Cancer

Greene, J

doi:10.1016/j.annemergmed.2015.05.015

Cited by 14 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At day 30 after hospital admission, 558 (62.2%) patients had been discharged, 120 (13.4%) had died and 156 (17.4%) were still in the hospital. The median length of hospital stay was 6 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12) days. Among the hospitalized patients, Figure 3 shows the rates of in-hospital mortality according to the reasons why they attended EDs.…”

Section: Outcome After Ed Visit and At Day 30mentioning

confidence: 99%

“…Descriptive data are therefore needed to both describe how emergency departments (EDs) are attended by cancer patients and report their particular outcomes, such as the need for hospitalization, Intensive Care Unit (ICU) admission and mortality [6]. The Comprehensive Oncologic Emergencies Research Network (CONCERN) [7] identified several research priorities, including the need to collect epidemiologic data. However, only retrospective data based on nationwide survey databases have described the characteristics of the ED visits of patients with cancer [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

Peyrony

Fontaine

Beaune

et al. 2020

JCM

View full text Add to dashboard Cite

Background: We aimed to estimate the prevalence of cancer patients who presented to Emergency Departments (EDs), report their chief complaint and identify the predictors of 30-day all-cause mortality. Patients and methods: we undertook a prospective, cross-sectional study during three consecutive days in 138 EDs and performed a logistic regression to identify the predictors of 30-day mortality in hospitalized patients. Results: A total of 1380 cancer patients were included. The prevalence of cancer patients among ED patients was 2.8%. The most frequent reasons patients sought ED care were fatigue (16.6%), dyspnea (16.3%), gastro-intestinal disorders (15.1%), trauma (13.0%), fever (12.5%) and neurological disorders (12.5%). Patients were admitted to the hospital in 64.9% of cases, of which 13.4% died at day 30. Variables independently associated with a higher mortality at day 30 were male gender (Odds Ratio (OR), 1.63; 95% CI, 1.04–2.56), fatigue (OR, 1.65; 95% CI, 1.01–2.67), poor performance status (OR, 3.00; 95% CI, 1.87–4.80), solid malignancy (OR, 3.05; 95% CI, 1.26–7.40), uncontrolled malignancy (OR, 2.27; 95% CI, 1.36–3.80), ED attendance for a neurological disorder (OR, 2.38; 95% CI, 1.36–4.19), high shock-index (OR, 1.80; 95% CI, 1.03–3.13) and oxygen therapy (OR, 2.68; 95% CI, 1.68–4.29). Conclusion: Cancer patients showed heterogeneity among their reasons for ED attendance and a high need for hospitalization and case fatality. Malignancy and general health status played a major role in the patient outcomes. This study suggests that the emergency care of cancer patients may be complex. Thus, studies to assess the impact of a dedicated oncology curriculum for ED physicians are warranted.

show abstract

Section: Outcome After Ed Visit and At Day 30mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

Peyrony

Fontaine

Beaune

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…The network will begin some proof-of-concept studies soon. 40 These will focus on collecting epidemiologic data about the use of EDs by patients with cancer. We hope that steps such as these will further improve emergency care of the cancer patient.…”

Section: Summary and Future Directionsmentioning

confidence: 99%

The Emergency Care of Patients With Cancer: Setting the Research Agenda

Brown

Grudzen

Kyriacou

et al. 2016

Annals of Emergency Medicine

View full text Add to dashboard Cite

To identify research priorities and appropriate resources and to establish the infrastructure required to address the emergency care of patients with cancer, the National Institutes of Health’s National Cancer Institute and the Office of Emergency Care Research sponsored a one-day workshop, “Cancer and Emergency Medicine: Setting the Research Agenda,” in March 2015 in Bethesda, MD. Participants included leading researchers and clinicians in the fields of oncology, emergency medicine, and palliative care, and representatives from the National Institutes of Health. Attendees were charged with identifying research opportunities and priorities to advance the understanding of the emergency care of cancer patients. Recommendations were made in 4 areas: the collection of epidemiologic data, care of the patient with febrile neutropenia, acute events such as dyspnea, and palliative care in the emergency department setting.

show abstract

“…These complications may have multiple causes making the diagnostic work-up challenging and, in some cases, putting patients at the high risk of becoming critically ill [4]. Therefore, cancer has become a focus of interest for emergency research [5,6]. Epidemiological data have recently been published about cancer patients visiting emergency departments (EDs) [7][8][9][10][11][12], but less has been said about cancer patients attended to by prehospital emergency services [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

Peyrony

Fontaine

Trabattoni

et al. 2021

JCM

View full text Add to dashboard Cite

Background: Very little data are available concerning the prehospital emergency care of cancer patients. The objective of this study is to report the trajectories and outcomes of cancer patients attended by prehospital emergency services. Methods: This was an ancillary study from a three-day cross-sectional prospective multicenter study in France. Adult patients with cancer were included if they called the emergency medical dispatch center Service d’Aide Médicale Urgente (SAMU). The study was registered on ClinicalTrials.gov (NCT03393260, accessed on 8th January 2018). Results: During the study period, 1081 cancer patients called the SAMU. The three most frequent reasons were dyspnea (20.2%), neurological disorder (15.4%), and fatigue (13.1%). Among those patients, 949 (87.8%) were directed to the hospital, among which 802 (90.8%) were directed to an emergency department (ED) and 44 (5%) were transported directly to an intensive care unit (ICU). A mobile intensive care unit (MICU) was dispatched 213 (31.6%) times. The decision to dispatch an MICU seemed generally based on the patient’s reason for seeking emergency care and the presence of severity signs rather than on the malignancy or the patient general health status. Among the patients who were directed to the ED, 98 (16.1%) were deceased on day 30. Mortality was 15.4% for those patients directed to the ED but who were not admitted to the ICU in the next 7 days, 28.2% for those who were admitted to ICU in the next 7 days, and 56.1% for those patients transported by the MICU directly to the ICU. Conclusion: Cancer patients attending prehospital emergency care were most often directed to EDs. Patients who were directly transported to the ICU had a high mortality rate, raising the question of improving triage policies.

show abstract

CONCERN for Cancer

Cited by 14 publications

References 1 publication

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

EPICANCER—Cancer Patients Presenting to the Emergency Departments in France: A Prospective Nationwide Study

The Emergency Care of Patients With Cancer: Setting the Research Agenda

Cancer Patients’ Prehospital Emergency Care: Post Hoc Analysis from the French Prospective Multicenter Study EPICANCER

Contact Info

Product

Resources

About