Acute Care Use by Breast Cancer Patients on Adjuvant Chemotherapy in Alberta: Demonstrating the Importance of Measurement to Improving Quality
| Autor: | Lisa Barbera, Shiying Kong, Che Hsuan David Wu, Yuan Xu, Sasha M. Lupichuk, Jeffrey Q. Cao, May Lynn Quan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment acute care use Population Breast Neoplasms chemotherapy Article Alberta Cohort Studies Breast cancer breast cancer Acute care Health care medicine Humans education RC254-282 Retrospective Studies Chemotherapy education.field_of_study business.industry Incidence (epidemiology) Neoplasms. Tumors. Oncology. Including cancer and carcinogens healthcare Emergency department medicine.disease Chemotherapy Adjuvant quality Emergency medicine Female business Cohort study |
| Zdroj: | Current Oncology Volume 28 Issue 6 Pages 375-4431 Current Oncology, Vol 28, Iss 375, Pp 4420-4431 (2021) |
| ISSN: | 1718-7729 |
| DOI: | 10.3390/curroncol28060375 |
| Popis: | Breast cancer patients receiving adjuvant chemotherapy are at increased risk of acute care use. The incidence of emergency department (ED) visits and hospitalizations (H) have been characterized in other provinces but never in Alberta. We conducted a retrospective population-based cohort study using administrative data of women with stage I-III breast cancer receiving adjuvant chemotherapy. Rates of ED and H use in the 180 days following chemotherapy initiation were determined, and logistic regression was performed to identify risk factors. We found that 47% of women receiving adjuvant chemotherapy experienced ED or H, which compared favourably to other provinces. However, Alberta had the highest rate of febrile neutropenia-related ED visits, and among the highest chemotherapy-related ED visits. The incidence of acute care use increased over time, and there were significant institutional differences despite operating under a single provincial healthcare system. Our study demonstrates the need for systematic measurement and the importance of quality improvement programs to address this gap. |
| Databáze: | OpenAIRE |
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