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Palliative Care Needs and Clinical Outcomes of Patients with Advanced Cancer in the Emergency Department. 2022
Sule Yilmaz, and
Corita R Grudzen, and
Danielle D Durham, and
Caroline McNaughton, and
Isabelle Marcelin, and
Beau Abar, and
David Adler, and
Aveh Bastani, and
Christopher W Baugh, and
Steven L Bernstein, and
Jason J Bischof, and
Christopher J Coyne, and
Daniel J Henning, and
Matthew F Hudson, and
Adam Klotz, and
Gary H Lyman, and
Troy E Madsen, and
Daniel J Pallin, and
Cielito Reyes-Gibby, and
Juan Felipe Rico, and
Richard J Ryan, and
Nathan I Shapiro, and
Robert Swor, and
Charles R Thomas, and
Arvind Venkat, and
Jason Wilson, and
Sai-Ching Jim Yeung, and
Jeffrey M Caterino
Division of Supportive Care in Cancer, Department of Surgery, University of Rochester Medical Center, Rochester, New York, USA.
Older adults with cancer use the emergency department (ED) for acute concerns. Characterize the palliative care needs and clinical outcomes of advanced cancer patients in the ED. A planned secondary data analysis of the Comprehensive Oncologic Emergencies Research Network (CONCERN) data. Cancer patients who presented to the 18 CONCERN affiliated EDs in the United States. Survey included demographics, cancer type, functional status, symptom burden, palliative and hospice care enrollment, and advance directive code status. 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]). Patients with advanced cancer continue to present to the ED despite recommendations for early delivery of palliative care.
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