TY - JOUR
T1 - Palliative Care Needs and Clinical Outcomes of Patients with Advanced Cancer in the Emergency Department
AU - Yilmaz, Sule
AU - Grudzen, Corita R.
AU - Durham, Danielle D.
AU - McNaughton, Caroline
AU - Marcelin, Isabelle
AU - Abar, Beau
AU - Adler, David
AU - Bastani, Aveh
AU - Baugh, Christopher W.
AU - Bernstein, Steven L.
AU - Bischof, Jason J.
AU - Coyne, Christopher J.
AU - Henning, Daniel J.
AU - Hudson, Matthew F.
AU - Klotz, Adam
AU - Lyman, Gary H.
AU - Madsen, Troy E.
AU - Pallin, Daniel J.
AU - Reyes-Gibby, Cielito
AU - Rico, Juan Felipe
AU - Ryan, Richard J.
AU - Shapiro, Nathan I.
AU - Swor, Robert
AU - Thomas, Charles R.
AU - Venkat, Arvind
AU - Wilson, Jason
AU - Yeung, Sai Ching Jim
AU - Caterino, Jeffrey M.
N1 - Funding Information:
Dr. Yeung was a member of an expert panel for Celgene, Inc. Dr. Yeung had funding support from Bristol-Myer Squibb, Inc., and DepoMed, Inc. All other authors declare no competing financial or nonfinancial interests.
Publisher Copyright:
© Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.
PY - 2022/7/1
Y1 - 2022/7/1
N2 - 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.
AB - 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.
KW - advanced cancer
KW - cohort study
KW - oncologic emergency medicine
KW - palliative care
UR - http://www.scopus.com/inward/record.url?scp=85133713066&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85133713066&partnerID=8YFLogxK
U2 - 10.1089/jpm.2021.0567
DO - 10.1089/jpm.2021.0567
M3 - Article
C2 - 35559758
AN - SCOPUS:85133713066
SN - 1096-6218
VL - 25
SP - 1115
EP - 1121
JO - Journal of palliative medicine
JF - Journal of palliative medicine
IS - 7
ER -