• J Palliat Med · Jul 2022

    Palliative Care Needs and Clinical Outcomes of Patients with Advanced Cancer in the Emergency Department.

    • Sule Yilmaz, Corita R Grudzen, Danielle D Durham, Caroline McNaughton, Isabelle Marcelin, Beau Abar, David Adler, Aveh Bastani, Christopher W Baugh, Steven L Bernstein, Jason J Bischof, Christopher J Coyne, Daniel J Henning, Matthew F Hudson, Adam Klotz, Gary H Lyman, Troy E Madsen, Daniel J Pallin, Cielito Reyes-Gibby, Juan Felipe Rico, Richard J Ryan, Nathan I Shapiro, Robert Swor, Charles R Thomas, Arvind Venkat, Jason Wilson, YeungSai-Ching JimSJDepartment of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA., and Jeffrey M Caterino.
    • Division of Supportive Care in Cancer, Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA.
    • J Palliat Med. 2022 Jul 1; 25 (7): 111511211115-1121.

    AbstractBackground: Older adults with cancer use the emergency department (ED) for acute concerns. Objectives: Characterize the palliative care needs and clinical outcomes of advanced cancer patients in the ED. Design: A planned secondary data analysis of the Comprehensive Oncologic Emergencies Research Network (CONCERN) data. Settings/Subjects: Cancer patients who presented to the 18 CONCERN affiliated EDs in the United States. Measurements: Survey included demographics, cancer type, functional status, symptom burden, palliative and hospice care enrollment, and advance directive code status. Results: Of the total (674/1075, 62.3%) patients had advanced cancer and most were White (78.6%) and female (50.3%); median age was 64 (interquartile range 54-71) years. A small proportion of them were receiving palliative (6.5% [95% confidence interval; CI 3.0-7.6]; p = 0.005) and hospice (1.3% [95% CI 1.0-3.2]; p = 0.52) care and had a higher 30-day mortality rate (8.3%, [95% CI 6.2-10.4]). Conclusions: Patients with advanced cancer continue to present to the ED despite recommendations for early delivery of palliative care.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…