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Updated: Aug 29, 2025

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[Emergency in oncologic patient's pathway].

Isabelle Da Costa1, Paul Cottu1, Carole Bouleuc2

  • 1Institut Curie, département oncologie médicale, 26, rue d'Ulm, 75005 Paris, France.

Bulletin Du Cancer
|September 10, 2022
PubMed
Summary
This summary is machine-generated.

Patients with advanced cancer frequently use emergency consultations, often for pain management. This highlights the need for improved urgent oncology care coordination and palliative support to manage complex patient needs.

Keywords:
Appropriateness of using emergenciesComplication médicale oncologiqueOncological complicationsPertinence du recours en urgenceRisk of commitment of vital and/or functional riskRisque d’engagement du pronostic vital et/ou fonctionnel

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Area of Science:

  • Oncology
  • Emergency Medicine
  • Palliative Care

Context:

  • Urgent oncology care presents unique clinical, therapeutic, and psychosocial challenges.
  • Patient-initiated emergency consultations differ from medically defined emergencies.
  • The complexity of cancer care necessitates specialized approaches to urgent consultations.

Purpose:

  • To analyze the characteristics and outcomes of patients utilizing unplanned medical unit consultations.
  • To understand the reasons for emergency appeals in oncology patients.
  • To evaluate the effectiveness of deployed resources and the oncological pathway for urgent care.

Summary:

  • A retrospective study of 142 unplanned medical unit consultations revealed that breast and lung cancer patients are most frequent.
  • Most patients were in a non-curative stage, had recent cancer treatment, and presented with pain as the primary concern.
  • High rates of diagnostic/therapeutic procedures were performed, but many patients required re-utilization of emergency services, with significant tumor progression and mortality observed at 3-6 months.

Impact:

  • Findings suggest emergency consultations are primarily used by patients in palliative situations, indicating a potential shift towards advanced disease phases.
  • The study underscores the need to enhance urgent oncology care pathways.
  • Recommendations include formalizing longitudinal monitoring, interdisciplinary collaboration with palliative care, and improved coordination with community-based providers.