Healthcare Utilization of Oral and Oropharyngeal Cancer Patients in Emergency Department and Outpatient Settings: An 8‐year Population‐Based Study
Introduction This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits. Methods This is a retrospective, population‐based, cohort stud...
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| Veröffentlicht in: | Head & neck 2024-06, Vol.46 (6), p.1439-1449 |
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| creator | MiriMoghaddam, Masoud Bohlouli, Babak Lai, Hollis Ganatra, Seema Amin, Maryam |
| description | Introduction
This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits.
Methods
This is a retrospective, population‐based, cohort study using administrative data collected by all healthcare facilities between 2010 and 2019 in Alberta, Canada. Trend of visits to different facilities, patients' primary diagnosis, and predictors of ED visits were analyzed.
Results
In total, 34% of patients had at least one cancer‐related ED visit. With a rise of 31% in cancer incidence, there was a notable upswing in visits to outpatient clinics and community offices, while ED visits decreased. Cancer stage, rural residence, high material deprivation score, and treatments were found as predictors of ED visits.
Conclusion
Improved symptom management and better care access for disadvantaged and rural oral cancer patients may decrease avoidable ED visits. |
| doi_str_mv | 10.1002/hed.27753 |
| format | Article |
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This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits.
Methods
This is a retrospective, population‐based, cohort study using administrative data collected by all healthcare facilities between 2010 and 2019 in Alberta, Canada. Trend of visits to different facilities, patients' primary diagnosis, and predictors of ED visits were analyzed.
Results
In total, 34% of patients had at least one cancer‐related ED visit. With a rise of 31% in cancer incidence, there was a notable upswing in visits to outpatient clinics and community offices, while ED visits decreased. Cancer stage, rural residence, high material deprivation score, and treatments were found as predictors of ED visits.
Conclusion
Improved symptom management and better care access for disadvantaged and rural oral cancer patients may decrease avoidable ED visits.</description><identifier>ISSN: 1043-3074</identifier><identifier>ISSN: 1097-0347</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.27753</identifier><identifier>PMID: 38558155</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Alberta ; Ambulatory Care - statistics & numerical data ; Cohort Studies ; Delivery of Health Care ; Emergency Department ; Emergency medical care ; Emergency Service, Hospital - statistics & numerical data ; Female ; Head & neck cancer ; Health care ; Healthcare Utilization ; Humans ; Male ; Middle Aged ; Mouth Neoplasms - epidemiology ; Mouth Neoplasms - therapy ; Oral Cancer ; Oral carcinoma ; Oral cavity ; Oropharyngeal Cancer ; Oropharyngeal Neoplasms - epidemiology ; Oropharyngeal Neoplasms - therapy ; Patient Acceptance of Health Care - statistics & numerical data ; Population studies ; Retrospective Studies ; Symptom management ; Throat cancer</subject><ispartof>Head & neck, 2024-06, Vol.46 (6), p.1439-1449</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC.</rights><rights>2024 The Authors. Head & Neck published by Wiley Periodicals LLC.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3483-c5dd4ace2568ac2cccddfd3eef7a280a143dccba626ac448381af8534915c5383</cites><orcidid>0000-0002-2631-6156</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.27753$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.27753$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38558155$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MiriMoghaddam, Masoud</creatorcontrib><creatorcontrib>Bohlouli, Babak</creatorcontrib><creatorcontrib>Lai, Hollis</creatorcontrib><creatorcontrib>Ganatra, Seema</creatorcontrib><creatorcontrib>Amin, Maryam</creatorcontrib><title>Healthcare Utilization of Oral and Oropharyngeal Cancer Patients in Emergency Department and Outpatient Settings: An 8‐year Population‐Based Study</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Introduction
This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits.
Methods
This is a retrospective, population‐based, cohort study using administrative data collected by all healthcare facilities between 2010 and 2019 in Alberta, Canada. Trend of visits to different facilities, patients' primary diagnosis, and predictors of ED visits were analyzed.
Results
In total, 34% of patients had at least one cancer‐related ED visit. With a rise of 31% in cancer incidence, there was a notable upswing in visits to outpatient clinics and community offices, while ED visits decreased. Cancer stage, rural residence, high material deprivation score, and treatments were found as predictors of ED visits.
Conclusion
Improved symptom management and better care access for disadvantaged and rural oral cancer patients may decrease avoidable ED visits.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alberta</subject><subject>Ambulatory Care - statistics & numerical data</subject><subject>Cohort Studies</subject><subject>Delivery of Health Care</subject><subject>Emergency Department</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Health care</subject><subject>Healthcare Utilization</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - epidemiology</subject><subject>Mouth Neoplasms - therapy</subject><subject>Oral Cancer</subject><subject>Oral carcinoma</subject><subject>Oral cavity</subject><subject>Oropharyngeal Cancer</subject><subject>Oropharyngeal Neoplasms - epidemiology</subject><subject>Oropharyngeal Neoplasms - therapy</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Population studies</subject><subject>Retrospective Studies</subject><subject>Symptom management</subject><subject>Throat cancer</subject><issn>1043-3074</issn><issn>1097-0347</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAQxy1ERT_gwAsgS1zoIa0_kyy3druwlSoVqfQcTe3JbqrECbYjlJ76CJx4QJ4Eb9NekDh5NP7Nbyz_CXnP2QlnTJxu0Z6IotDyFTngbFFkTKri9a5WMpOsUPvkMIR7xpjMlXhD9mWpdcm1PiC_1wht3BrwSG9j0zYPEJve0b6m1x5aCs6moh-24Ce3SSxdgjPo6bfEoYuBNo6uOvQbdGaiFziAj126mCfHOMwcvcEYG7cJn-mZo-Wfx18TQrL0w9g-bUydcwho6U0c7fSW7NXQBnz3fB6R2y-r78t1dnX99XJ5dpUZqUqZGW2tAoNC5yUYYYyxtrYSsS5AlAy4ktaYO8hFDkaliZJDXWqpFlwbLUt5RD7N3sH3P0YMseqaYLBtwWE_hkoyybkUudihH_9B7_vRu_S6RCXXoshZkajjmTK-D8FjXQ2-6dLnVZxVu7CqFFb1FFZiPzwbx7sudV_Il3QScDoDP5sWp_-bqvXqYlb-BXrjogc</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>MiriMoghaddam, Masoud</creator><creator>Bohlouli, Babak</creator><creator>Lai, Hollis</creator><creator>Ganatra, Seema</creator><creator>Amin, Maryam</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2631-6156</orcidid></search><sort><creationdate>202406</creationdate><title>Healthcare Utilization of Oral and Oropharyngeal Cancer Patients in Emergency Department and Outpatient Settings: An 8‐year Population‐Based Study</title><author>MiriMoghaddam, Masoud ; Bohlouli, Babak ; Lai, Hollis ; Ganatra, Seema ; Amin, Maryam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3483-c5dd4ace2568ac2cccddfd3eef7a280a143dccba626ac448381af8534915c5383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alberta</topic><topic>Ambulatory Care - statistics & numerical data</topic><topic>Cohort Studies</topic><topic>Delivery of Health Care</topic><topic>Emergency Department</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Health care</topic><topic>Healthcare Utilization</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - epidemiology</topic><topic>Mouth Neoplasms - therapy</topic><topic>Oral Cancer</topic><topic>Oral carcinoma</topic><topic>Oral cavity</topic><topic>Oropharyngeal Cancer</topic><topic>Oropharyngeal Neoplasms - epidemiology</topic><topic>Oropharyngeal Neoplasms - therapy</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Population studies</topic><topic>Retrospective Studies</topic><topic>Symptom management</topic><topic>Throat cancer</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MiriMoghaddam, Masoud</creatorcontrib><creatorcontrib>Bohlouli, Babak</creatorcontrib><creatorcontrib>Lai, Hollis</creatorcontrib><creatorcontrib>Ganatra, Seema</creatorcontrib><creatorcontrib>Amin, Maryam</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Online Library Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MiriMoghaddam, Masoud</au><au>Bohlouli, Babak</au><au>Lai, Hollis</au><au>Ganatra, Seema</au><au>Amin, Maryam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare Utilization of Oral and Oropharyngeal Cancer Patients in Emergency Department and Outpatient Settings: An 8‐year Population‐Based Study</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2024-06</date><risdate>2024</risdate><volume>46</volume><issue>6</issue><spage>1439</spage><epage>1449</epage><pages>1439-1449</pages><issn>1043-3074</issn><issn>1097-0347</issn><eissn>1097-0347</eissn><abstract>Introduction
This study aimed to determine trends in the healthcare utilization by Oral Cavity and Oropharyngeal cancer patients across emergency department (ED) and outpatient settings in Alberta and examine the predictors of ED visits.
Methods
This is a retrospective, population‐based, cohort study using administrative data collected by all healthcare facilities between 2010 and 2019 in Alberta, Canada. Trend of visits to different facilities, patients' primary diagnosis, and predictors of ED visits were analyzed.
Results
In total, 34% of patients had at least one cancer‐related ED visit. With a rise of 31% in cancer incidence, there was a notable upswing in visits to outpatient clinics and community offices, while ED visits decreased. Cancer stage, rural residence, high material deprivation score, and treatments were found as predictors of ED visits.
Conclusion
Improved symptom management and better care access for disadvantaged and rural oral cancer patients may decrease avoidable ED visits.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38558155</pmid><doi>10.1002/hed.27753</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2631-6156</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Alberta Ambulatory Care - statistics & numerical data Cohort Studies Delivery of Health Care Emergency Department Emergency medical care Emergency Service, Hospital - statistics & numerical data Female Head & neck cancer Health care Healthcare Utilization Humans Male Middle Aged Mouth Neoplasms - epidemiology Mouth Neoplasms - therapy Oral Cancer Oral carcinoma Oral cavity Oropharyngeal Cancer Oropharyngeal Neoplasms - epidemiology Oropharyngeal Neoplasms - therapy Patient Acceptance of Health Care - statistics & numerical data Population studies Retrospective Studies Symptom management Throat cancer |
| title | Healthcare Utilization of Oral and Oropharyngeal Cancer Patients in Emergency Department and Outpatient Settings: An 8‐year Population‐Based Study |
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