CancerCare Manitoba Research Institute, 675 McDermot Avenue, CancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.
Department of Community Health Sciences, University of Manitoba, 750 Bannatyne Avenue, Winnipeg, MB R3E 0V9, Canada.
Curr Oncol. 2021 May 8;28(3):1773-1789. doi: 10.3390/curroncol28030165.
In 2013, CancerCare Manitoba (CCMB) launched an urgent cancer care clinic (UCC) to meet the needs of individuals diagnosed with cancer experiencing acute complications of cancer or its treatment. This retrospective cohort study compared the characteristics of individuals diagnosed with cancer that visited the UCC to those who visited an emergency department (ED) and determined predictors of use. Multivariable logistic mixed models were run to predict an individual's likelihood of visiting the UCC or an ED. Scaled Brier scores were calculated to determine how greatly each predictor impacted UCC or ED use. We found that UCC visits increased up to 4 months after eligibility to visit and then decreased. ED visits were highest immediately after eligibility and then decreased. The median number of hours between triage and discharge was 2 h for UCC visits and 9 h for ED visits. Chemotherapy had the strongest association with UCC visits, whereas ED visits prior to diagnosis had the strongest association with ED visits. Variables related to socioeconomic status were less strongly associated with UCC or ED visits. Future studies would be beneficial to planning service delivery and improving clinical outcomes and patient satisfaction.
2013 年，马尼托巴癌症中心（CancerCare Manitoba，CCMB）开设了一个紧急癌症护理诊所（urgent cancer care clinic，UCC），以满足被诊断患有癌症并出现癌症或其治疗急性并发症的个人的需求。本回顾性队列研究比较了到 UCC 就诊的癌症患者与到急诊科（emergency department，ED）就诊的患者的特征，并确定了就诊的预测因素。采用多变量逻辑混合模型预测个体到 UCC 或 ED 就诊的可能性。计算了缩放 Brier 评分，以确定每个预测因素对 UCC 或 ED 使用的影响程度。我们发现，UCC 就诊量在符合就诊资格后的 4 个月内增加，然后减少。ED 就诊量在符合就诊资格后立即达到峰值，然后减少。UCC 就诊的分诊到出院的中位时间为 2 小时，ED 就诊的中位时间为 9 小时。化疗与 UCC 就诊的关联最强，而诊断前的 ED 就诊与 ED 就诊的关联最强。与社会经济地位相关的变量与 UCC 或 ED 就诊的关联较弱。未来的研究将有助于规划服务提供，并改善临床结果和患者满意度。
