Ambulatory emergency oncology: A key tenet of future emergency oncology care Journal Article


Authors: Cooksley, T.; Marshall, W.; Ahn, S.; Lasserson, D. S.; Marshall, E.; Rice, T. W.; Klotz, A.
Article Title: Ambulatory emergency oncology: A key tenet of future emergency oncology care
Abstract: Ambulatory emergency oncology. The challenges of emergency oncology alongside its increasing financial burden have led to an interest in developing optimal care models for meeting patients’ needs. Ambulatory care is recognised as a key tenet in ensuring the safety and sustainability of acute care services. Increased access to ambulatory care has successfully reduced ED utilisation and improved clinical outcomes in high-risk non-oncological populations. Individualised management of acute cancer presentations is a key challenge for emergency oncology services so that it can mirror routine cancer care. There are an increasing number of acute cancer presentations, such as low-risk febrile neutropenia and incidental pulmonary embolism, that can be risk assessed for care in an emergency ambulatory setting. Modelling of ambulatory emergency oncology services will be dependent on local service deliveries and pathways, but are key for providing high quality, personalised and sustainable emergency oncology care. These services will also be at the forefront of much needed emergency oncology to define the optimal management of ambulatory-sensitive presentations. © 2019 John Wiley & Sons Ltd
Keywords: clinical feature; cancer risk; outcome assessment; cancer palliative therapy; cancer pain; hypercalcemia; oncology; patient identification; risk assessment; febrile neutropenia; lung embolism; financial management; health care utilization; acute kidney failure; patient coding; brain metastasis; ambulatory care; health care system; emergency care; high risk population; hospital infection; risk reduction; catheter infection; infection risk; health care access; emergency health service; electrolyte disturbance; personalized medicine; clinical outcome; mascc; chemotherapy induced nausea and vomiting; malignant pleura effusion; low risk population; human; priority journal; article; emergency oncology; incidental pulmonary embolism; program feasibility
Journal Title: International Journal of Clinical Practice
Volume: 74
Issue: 1
ISSN: 1368-5031
Publisher: Wiley Blackwell  
Date Published: 2020-01-01
Start Page: e13436
Language: English
DOI: 10.1111/ijcp.13436
PUBMED: 31633264
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 2 March 2020 -- Source: Scopus
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  1. Adam Klotz
    21 Klotz