Survival of patients who had cancer diagnosed through an emergency hospital admission: A retrospective matched case-comparison study in Australia
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View abstract on PubMed
Summary
This summary is machine-generated.Cancer patients admitted via emergency hospital stays face significantly higher mortality risks within 12 months. Key predictors of death include older age, specific cancer types, metastatic disease, mental disorders, and disadvantaged living areas.
Area Of Science
- Oncology
- Public Health
- Epidemiology
Background
- Emergency hospital admissions for cancer diagnosis are linked to poorer patient outcomes.
- Identifying factors predicting mortality after emergency cancer diagnosis is crucial for improving survival rates.
Purpose Of The Study
- To identify characteristics of cancer diagnosed through emergency hospital admission.
- To examine predictors associated with 12-month mortality following an emergency cancer diagnosis.
Main Methods
- A population-based retrospective case-comparison study was conducted in New South Wales, Australia (2013-2020).
- Propensity-matched analysis (1:1) linked hospital, cancer registry, and mortality records.
- Conditional logistic regression identified predictors of 12-month mortality.
Main Results
- Individuals with emergency cancer admissions had a nearly fourfold increased likelihood of 12-month mortality (OR 3.93) compared to planned admissions.
- Predictors of increased mortality included older age, lung and digestive organ cancers, metastatic disease, mental disorders, and living in rural or disadvantaged areas.
- Females had a 13% lower likelihood of 12-month mortality compared to males.
Conclusions
- While not all emergency cancer admissions are preventable, enhancing preventive screening and promoting early symptom help-seeking are vital.
- These strategies can reduce emergency cancer admissions and improve overall cancer survival rates.
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