Oncologic emergencies and urgencies: A comprehensive review

Rothberg, Bonnie E. Gould; Quest, Tammie E.; Yeung, Sai‐Ching Jim; Pelosof, Lorraine; Gerber, David E.; Seltzer, Justin; Bischof, Jason J.; Thomas, Charles R.; Akhter, Nausheen; Mamtani, Mira; Sabino, Robin; Baugh, Christopher W.; Anantharaman, V.; Pettit, Nicholas; Klotz, Adam; Gibbs, Michael; Kyriacou, Demetrios N.

doi:10.3322/caac.21727

Cited by 34 publications

(41 citation statements)

References 213 publications

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“…Care for these patients can be a challenge for an inexperienced emergency physician (Brown et al, 2016). Optimising the urgent and emergent care of patients with cancer through timely symptom recognition, including the effective screening of patients who are safe for discharge home, is essential for improving the quality and value of oncology care (Gould Rothberg et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Cancer patients admitted in the emergency department: A single‐centre observational study

Santis

Wainstein

Machado

et al. 2022

European J Cancer Care

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Objective: This study aims to analyse patients' clinical profiles seen at an emergency unit of a public oncology reference hospital in Belo Horizonte, Brazil.Methods: This is a cross-sectional, observational, retrospective study, with data collection through patients' medical records seen between 2016 and 2018. The identification of patients was carried out through research on hospital admission authorization guides.Results: A total of 2932 medical records were evaluated, of which only 21.5% were cancer patients. A cancer diagnosis was made for 21.5% of patients during hospitalisation. In this group, pain and weight loss are frequent symptoms, and haematological diseases (15.2%) were the most frequent tumour type. Patients with a previous cancer diagnosis presented the most prevalent tumour breast (18.3%) and altered consciousness level as a leading symptom. Analgesics were the most prescribed drugs in both groups. Conclusion:This study showed two distinct groups of cancer patients: with or without a previous cancer diagnosis. However, these two groups are comparable in almost all the variables analysed. Therefore, we believe that the factors that could guide the care in an emergency are related to education on cancer symptoms for the population to contribute to an early diagnosis and cancer training for emergency department (ED) professionals' to better monitor advanced-stage patients for symptom management.

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Section: Discussionmentioning

confidence: 99%

Cancer patients admitted in the emergency department: A single‐centre observational study

Santis

Wainstein

Machado

et al. 2022

European J Cancer Care

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“…Patients with advanced cancer generate 4 million visits annually to EDs and other oncology urgent care centers. These emergencies represent a wide spectrum of disorders resulting from initial manifestations of malignancy, progression of the disease, recurrence, and adverse effects from therapy 10 . Due to the normal aging process, the functional capacity of organ systems is reduced, creating a higher risk for the development of chronic diseases, and increasing complications across the disease course of negative outcomes related to their medical history.…”

Section: Epidemiology and Characterization Of Older Adults With Cance...mentioning

confidence: 99%

Geriatric emergencies in older adults with cancer: why older patients need a special approach

Torres¹,

García-Valdés²,

Henriquez-Santos³

2023

GAMO

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The number of older adults with cancer presenting to the emergency departments for evaluation and treatment is increasing. There is an essential need to identify and better understand the effects of cancer and treatment on health outcomes for older adults with cancer. Cancer-related emergencies can manifest as geriatric syndromes in this population. Falls, delirium, and acute pain are highly prevalent, multifactorial, and associated with substantial morbidity and poor outcomes. In the present article, we review existing evidence regarding common geriatric emergencies in older adults with cancer, as well as the importance of a special approach and management in this population.

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“…Spinal cord compression is counted among the classical cancer-related emergencies [ 1 , 2 ]. When not treated quickly, it can lead to permanent neurological damage and long-term disability.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Approach to Spinal Metastases and Metastatic Spinal Cord Compression—A New Integrative Flowchart for Patient Management

Esperança-Martins

Roque

Barroso

et al. 2023

Cancers

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Metastatic spine disease (MSD) and metastatic spinal cord compression (MSCC) are major causes of permanent neurological damage and long-term disability for cancer patients. The development of MSD is pathophysiologically framed by a cooperative interaction between general mechanisms of bone growth and specific mechanisms of spinal metastases (SM) expansion. SM most commonly affects the thoracic spine, even though multiple segments may be affected concomitantly. The great majority of SM are extradural, while intradural-extramedullary and intramedullary metastases are less frequently seen. The management of patients with SM is particularly complex and challenging, with multiple factors—such as the spinal stability status, primary tumor radio and chemosensitivity, cancer biological burden, patient performance status and comorbidities, and patient’s oncological prognosis—influencing the clinical decision-making process. Different frameworks were developed in order to systematize and support this process. A multidisciplinary, personalized approach, enriched by the expertise of each involved specialty, is crucial. We reviewed the most recent evidence and proposed an updated algorithmic approach to patients with MSD according to the clinical scenario of each patient. A flowchart-based approach offers an evidence-based management of MSD, providing a valuable clinical decision tool in a context of high uncertainty and quick-acting need.

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Oncologic emergencies and urgencies: A comprehensive review

Cited by 34 publications

References 213 publications

Cancer patients admitted in the emergency department: A single‐centre observational study

Cancer patients admitted in the emergency department: A single‐centre observational study

Geriatric emergencies in older adults with cancer: why older patients need a special approach

Multidisciplinary Approach to Spinal Metastases and Metastatic Spinal Cord Compression—A New Integrative Flowchart for Patient Management

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