Reduced Survival Outcome After Receiving a New Cancer Diagnosis in the Emergency Department: Findings from a Hospital Network in Rural Eastern North Carolina

Purpose Patients whose cancer was found during an Emergency Department (ED) visit often present at later stages when survival outcomes are worse. Limited research has characterized the survival experience of cancer patients who receive their diagnosis through the ED versus those who do not. Methods...

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Veröffentlicht in:Journal of racial and ethnic health disparities 2023-10, Vol.10 (5), p.2434-2443
Hauptverfasser: Conley, Hannah L., Lea, C. Suzanne, Delgado, Raven V., Vos, Paul, Harris, Eleanor E., Ju, Andrew, Rathbun, Kimberly M.
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Sprache:eng
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Zusammenfassung:Purpose Patients whose cancer was found during an Emergency Department (ED) visit often present at later stages when survival outcomes are worse. Limited research has characterized the survival experience of cancer patients who receive their diagnosis through the ED versus those who do not. Methods A retrospective cohort study identified all patients presenting to the ED between 2014 and 2015 in a rural, regional hospital system with a visit or resulting admission associated with an oncologic ICD-9 code. The chart was abstracted to determine a new cancer diagnosis versus an existing case. Cox proportional hazards (HR) estimated survival time. Patient and cancer characteristics were compared between those who were newly diagnosed through the ED and patients who were not. Findings Thirty-nine percent of patients in our sample received their new cancer diagnosis as a result of an ED visit. The median survival was lower in cancer cases diagnosed through the ED (13 vs. 39 months, P  
ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-022-01422-3