Predictors of Urgent Cancer Care Clinic and Emergency Department Visits for Individuals Diagnosed with Cancer
Autor: | Oliver Bucher, Kathleen Decker, Harminder Singh, Pascal Lambert, Mark Kristjanson, Marshall Pitz, Tunji Fatoye, Katie Galloway, Benjamin A Goldenberg, Eric J. Bow |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Future studies Urgent Care Clinics Ambulatory Care Facilities Article 03 medical and health sciences 0302 clinical medicine Patient satisfaction Neoplasms urgent care clinics Humans Medicine 030212 general & internal medicine Socioeconomic status RC254-282 Retrospective Studies emergency service business.industry Neoplasms. Tumors. Oncology. Including cancer and carcinogens Cancer Retrospective cohort study Emergency department medicine.disease Triage 030220 oncology & carcinogenesis oncology Emergency medicine Emergency Service Hospital business |
Zdroj: | Current Oncology Volume 28 Issue 3 Pages 165-1789 Current Oncology, Vol 28, Iss 165, Pp 1773-1789 (2021) |
ISSN: | 1718-7729 |
DOI: | 10.3390/curroncol28030165 |
Popis: | In 2013, CancerCare Manitoba (CCMB) launched an urgent cancer care clinic (UCC) to meet the needs of individuals diagnosed with cancer experiencing acute complications of cancer or its treatment. This retrospective cohort study compared the characteristics of individuals diagnosed with cancer that visited the UCC to those who visited an emergency department (ED) and determined predictors of use. Multivariable logistic mixed models were run to predict an individual’s likelihood of visiting the UCC or an ED. Scaled Brier scores were calculated to determine how greatly each predictor impacted UCC or ED use. We found that UCC visits increased up to 4 months after eligibility to visit and then decreased. ED visits were highest immediately after eligibility and then decreased. The median number of hours between triage and discharge was 2 h for UCC visits and 9 h for ED visits. Chemotherapy had the strongest association with UCC visits, whereas ED visits prior to diagnosis had the strongest association with ED visits. Variables related to socioeconomic status were less strongly associated with UCC or ED visits. Future studies would be beneficial to planning service delivery and improving clinical outcomes and patient satisfaction. |
Databáze: | OpenAIRE |
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