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Understanding Barriers and Distress Experienced Among Cancer Patients: Analysis from an Urban Academic Emergency
Heather Prendergast1, Ryan Stratton1, Nia Butler1
1Department of Emergency Medicine, University of Illinois Chicago, 808 S. Wood St., Chicago, IL, 60612, USA.
Summary
Cancer patients in the emergency department (ED) experience high distress, particularly those with active cancer. Barriers include practical and physical problems, highlighting challenges in care transitions.
Area of Science:
- Oncology
- Public Health
- Health Services Research
Background:
- Cancer patients frequently utilize emergency departments (EDs) for episodic care.
- Transitions in cancer care can be challenging, leading to increased patient distress.
- Understanding barriers and facilitators to cancer care compliance is crucial for improving patient outcomes.
Purpose of the Study:
- To examine barriers and facilitators to compliance for cancer care in patients utilizing an ED-based assessment.
- To identify predictors of high distress among adult cancer patients and survivors in the ED.
Main Methods:
- Prospective cohort study of 152 adult ED patients with active or history of cancer (August 2020 - January 2022).
- Utilized the National Comprehensive Cancer Network (NCCN) Distress Thermometer to assess distress levels.
- Employed multivariable regression analyses to determine predictors of high distress.
Main Results:
- 73% of patients had active cancer; 44% of ED visits were cancer-related.
- 30% of patients reported high distress (score ≥ 6).
- Active cancer (aOR=3.01) and race/ethnicity were significant predictors of high distress. Practical (43%) and physical (40%) problems were most common.
Conclusions:
- Cancer patients/survivors face significant distress and difficulties transitioning between care settings.
- ED visits represent a point of high distress for cancer patients, often due to practical and physical issues.
- Targeted interventions are needed to address distress and improve care coordination for cancer patients utilizing EDs.
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