Palliative care needs and clinical outcomes of patients with advanced cancer in the emergency department Journal Article
| Authors: | Yilmaz, S.; Grudzen, C. R.; Durham, D. D.; McNaughton, C.; Marcelin, I.; Abar, B.; Adler, D.; Bastani, A.; Baugh, C. W.; Bernstein, S. L.; Bischof, J. J.; Coyne, C. J.; Henning, D. J.; Hudson, M. F.; Klotz, A.; Lyman, G. H.; Madsen, T. E.; Pallin, D. J.; Reyes-Gibby, C.; Rico, J. F.; Ryan, R. J.; Shapiro, N. I.; Swor, R.; Thomas, C. R. Jr; Venkat, A.; Wilson, J.; Yeung, S. C. J.; Caterino, J. M. |
| Article Title: | Palliative care needs and clinical outcomes of patients with advanced cancer in the emergency department |
| Abstract: | Background: 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. © Copyright 2022, Mary Ann Liebert, Inc., publishers 2022. |
| Keywords: | aged; middle aged; advanced cancer; united states; neoplasm; neoplasms; palliative care; palliative therapy; emergency service, hospital; palliative nursing; cohort study; humans; human; female; hospice and palliative care nursing; oncologic emergency medicine; hospital emergency service |
| Journal Title: | Journal of Palliative Medicine |
| Volume: | 25 |
| Issue: | 7 |
| ISSN: | 1096-6218 |
| Publisher: | Mary Ann Liebert, Inc |
| Date Published: | 2022-07-01 |
| Start Page: | 1115 |
| End Page: | 1121 |
| Language: | English |
| DOI: | 10.1089/jpm.2021.0567 |
| PUBMED: | 35559758 |
| PROVIDER: | scopus |
| PMCID: | PMC9467631 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 August 2022 -- Source: Scopus |
