Do Patient-Reported Symptoms Predict Emergency Department Visits in Cancer Patients? A Population-Based Analysis

Barbera, Lisa; Atzema, Clare L.; Sutradhar, Rinku; Seow, Hsien; Howell, Doris; Husain, Amna; Sussman, Jonathan; Earle, Craig C.; Liu, Ying; Dudgeon, Deborah

doi:10.1016/j.annemergmed.2012.10.010

Cited by 106 publications

(89 citation statements)

References 26 publications

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“…Similarly, this may be related to the incidence of primary lung cancer and metastases to lung from solid tumors. In our study , the most common presenting the reasons for the emergency department found that it was local compression of malign masses (to lung parenchyma or vessels, brain, bile duct, and spinal cord, respectively), infection and the end-of-life care (Bozdemir et al, 2009;Yates and Barrett, 2009;Mayer et al, 2011;Kraft-Rovere et al, 2012;Yucel et al, 2012;Barbera et al, 2013). These results are similar to previous studies .…”

Section: Discussionsupporting

confidence: 90%

“…Previous studies in cancer patients admitted to the ED more often found to the female gender, in our study, the majority of patients were male (Bozdemir et al, 2009;Mayer et al, 2011;Yucel et al, 2012;Barbera et al, 2013). This situation can be explained by the fact that men outnumber patients with lung cancer in our study.…”

Section: Discussionsupporting

confidence: 45%

“…In fact, the performance statusof patients reduces pain, fatigue can increase this ratio of ED admissions such situations. Previous studies have shown poor prognostic factor in poor performance status reported that intra-hospital mortality (Bozcuk et al, 2004;Bozdemir et al, 2009;Yucel et al, 2012;Barbera et al, 2013).…”

Section: Discussionmentioning

confidence: 98%

“…The reason for this may create the danger life-threatening symptoms associated with cancer and its treatment (Mayer et al, 2011;Yucel et al, 2012;Barbera et al, 2013). Co-morbidity diseases and chemotherapyrelated toxicities for lung, liver, kidney, and heart in acute symptomatic patients were part of a specific cause.…”

Section: Discussionmentioning

confidence: 99%

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Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Tanrıverdi

Beydilli²,

Yıldırım³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Emergency departments are visited by cancer patients for palliation of cancer-related symptoms, management of treatment-related side effects, oncologic emergencies, co-morbidities, and/or end of life care. In this study, we aimed to identify the characteristics of cancer patients admitted to an emergency medicine department in Southwest Turkey. Materials and Methods: In this retrospective descriptive study, a total of 304 emergency department admissions of 102 patients with cancer due to medical conditions were evaluated. Descriptive statistical methods, statistical analysis for correlation, Student's t-test, chi-square tests and logistic regression test were used. Results: The majority of patients visiting to emergency departments were male (n=66, 65%) and over 65 years of age (53, 52%). Some 30% (n=31) had a lung cancer diagnosis, 32% (n=33) presentation with dyspnea, 53% (n=55) with metastasis, 30% (n=16) with multiple metastatic lesions in lung, and 68% (n=70) had a poor ECOG performance status (score 3 to 4). Conclusions: Emergency departments have valuable roles in managing and caring for patients with malignancies.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Tanrıverdi

Beydilli²,

Yıldırım³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…In a cohort study of more than 45,000 oncology patients in Canada, the patient-reported Edmonton Symptom Assessment Scale was used to predict subsequent ED visits within 7 days of assessment. 10 Predictors of ED visits included nausea, drowsiness, dyspnea, pain, fatigue, poor appetite, and low patient-reported well-being. 10 Consistent use of patient-reported assessments can help clinicians identify and address worsening toxicities.…”

Section: Introductionmentioning

confidence: 99%

Toxicity-Related Factors Associated With Use of Services Among Community Oncology Patients

Harrison

Stella

LaVasseur

et al. 2016

JOP

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QUESTION ASKED: What are the frequency and correlates of unplanned health care service use related to chemotherapy toxicities among patients receiving first-cycle chemotherapy at five community-based ambulatory oncology practices?SUMMARY ANSWER: Unplanned service use resulting from toxicity-related factors was reported by more than one-third of patients in this community oncology population, and 45% of patients reported at least one severe or disabling toxicity. Pain and nausea were most often rated severe or disabling (by 18% and 15% of patients, respectively) and were the top reasons for service use.WHAT WE DID: In this prospective survey study, newly diagnosed patients with breast, lung, head and neck, or colorectal cancer or non-Hodgkin lymphoma completed a questionnaire that measured unplanned service use and overall distress, plus severity of nausea, vomiting, diarrhea, constipation, mouth sores, intravenous catheter problems, pain, fever and chills, extremity edema, and dyspnea on a 5-point scale (1, did not experience; 5, disabling).WHAT WE FOUND: Among 106 patients (white, 98%; female, 74.5%; mean age 6 standard deviation, 60 6 11), frequently reported toxicities were pain, nausea, diarrhea, and constipation, and 36 patients (34%) reported unplanned service use: 29% reported oncologist visits, 14% reported emergency department visits, and 8% reported hospitalizations. In regression, factors significantly associated with unplanned service use were high patient-reported distress and receipt of colonystimulating factor, a proxy measure for intensity of the chemotherapy regimen. BIAS, CONFOUNDING FACTOR(S), DRAWBACKS:Limitations included recruitment of a convenience sample, exclusion of patients with previous cancer diagnoses, a predominantly white, non-Hispanic sample, and imbalanced participant sexes. The survey instrument did not detect source of pain. Survey responses may have been subject to recall bias. REAL-LIFE IMPLICATIONS:Our study addressed several issues critical to optimal delivery of patient care in community oncology settings, including the feasibility of toxicity reporting in a community oncology population and the relationship between toxicities and unplanned health care service use. With a 91% participation rate among eligible patients and a 100% survey completion rate among patients consenting to participate, this study demonstrated that brief patient surveys are a feasible method for systematic assessment of patient-reported toxicities and associated unplanned service use. Although severe toxicities warrant medical attention, routine use of symptom assessment tools can inform proactive symptom management approaches to reduce toxicity burden between scheduled visits. With further study of the most significant toxicities in a larger, more diverse sample of patients, strategies can be developed for implementation of clinical practice guidelines to improve management of toxicities in community oncology practices (Fig). Abstract PurposeCommunity oncology practices frequently manage chemoth...

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Oncology distress screening within predominately Black Veterans: Outcomes on supportive care utilization, hospitalizations, and mortality

et al. 2022

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Do Patient-Reported Symptoms Predict Emergency Department Visits in Cancer Patients? A Population-Based Analysis

Cited by 106 publications

References 26 publications

Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Single Center Experience on Causes of Cancer Patients Visiting the Emergency Department in Southwest Turkey

Toxicity-Related Factors Associated With Use of Services Among Community Oncology Patients

Oncology distress screening within predominately Black Veterans: Outcomes on supportive care utilization, hospitalizations, and mortality

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