Abstract
The need for supportive and palliative care services in patients with cancer is well established. However, the emerging unique challenges of acutely unwell patients with cancer necessitate the need for research into the optimal strategies and pathways for their management. The clinical challenges of emergency oncology alongside its increasing financial burden have led to an interest as to the best strategies for delivering this care. In the USA and UK, varying models of emergency and acute care are developing. There is a clear need for non-oncology physicians with an interest in the management of oncological emergencies to be at the heart of this work. This paper considers the current situation in the USA and UK and the future directions for the delivery of this care.
References
Cancer research UK. http://www.cancerresearchuk.org/cancerinfo/cancerstats/keyfacts/Allcancerscombined
American Cancer Society 2014, Surveillance and Health Services Research
Berger J, Cooksley T, Holland M (2013) The burden of cancer on the acute medical unit. Clin Med 13:457–459
Mansour D, Simcock R, Gilbert D (2011) Acute oncology service: assessing the need and its implications. Clin Oncol 23:168–173
National Chemotherapy Advisory Group 2009. www.dh.gov.uk/en/Publicationsandstatistics/Publications/DH_104500
Cooksley T, Kitlowski E, Haji-Michael P (2012) Effectiveness of modified early warning score in predicting outcomes in oncology patients. QJM 105(11):1083–1088
Brown J, Grudzen C, Kyriacou J, et al. 2016, The emergency care of patients with cancer: setting the research agenda. Ann Emerg Med
Todd KH, Thomas CR Jr (2016) An inflection point in the evolution of oncologic emergency medicine. Ann Emerg Med. doi:10.1016/j.annemergmed.2016.03.008
Harrison JM, Stella PJ, Lavasseur B et al (2016) Toxicity-related factors associated with use of services among community oncology patients. Journal of Oncology Practice. doi:10.1200/JOP.2016.010959
Brooks GA, Chen E, Murakami M et al (2016) An ED pilot intervention to facilitate outpatient acute care for cancer patients. AmJ Emerg Med. doi:10.1016/j.ajem.2016.06.076
Wattana M, Merriman K, Todd KH2013. Emergency department visits among cancer patients in Harris County, Texas (abstract). In: 7th annual mediterranean emergency medicine congress; Marseille, France
Wathes R, Clifford A, Januszewki A, Urch C (2015) Transformation of oncology inpatients: effects on length of stay and patient satisfaction. Future Hosp Journal 2(3):162–165
Putt L, Jones P (2013) The role of the specialist acute oncology nurse in the new acute oncology services. Clin Oncol 26(3):125–127
King J, Ingham-Clark C et al (2011) Towards saving a million bed days: reducing length of stay through an acute oncology model of care for inpatients diagnosed as having cancer. BMJ Qual Saf 20(8):718–724
Neville-Webb H, Carser J et al (2013) The impact of a new acute oncology service in acute hospitals: experience from the Clatterbridge Cancer Centre and Merseyside and Cheshire Cancer Network. Clin Med 13(6):565–569
Royal College of Physicians 2015. Acute care toolkit 7: acute oncology on the acute medical unit
Health Improvement Scotland http://www.healthcareimprovementscotland.org/our_work/governance_and_assurance/programme
Rice TW, Klotz A et al (2016) Models of emergency department care. In: Todd, Thomas Jr (eds) Oncologic emergency medicine: principles and practice. Springer, Berlin, pp. 3–12
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Cooksley, T., Rice, T. Emergency oncology: development, current position and future direction in the USA and UK. Support Care Cancer 25, 3–7 (2017). https://doi.org/10.1007/s00520-016-3470-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00520-016-3470-1