288 results match your criteria Oncologic Emergencies


Cardiovascular Complications Associated with Contemporary Lung Cancer Treatments.

Curr Treat Options Oncol 2021 Jun 10;22(8):71. Epub 2021 Jun 10.

Osaka Prefectural Hospital Organization, Osaka International Cancer Institute, Department of Medical Check-up, Osaka, Japan.

Opinion Statement: Lung cancer is the most common form of cancer in humans and the leading cause of cancer-related death worldwide. Traditionally, lung cancer has been diagnosed as either small cell lung cancer (SCLC) or non-small cell lung cancer (NSCLC). However, recent developments in molecular pathology have revolutionized the diagnosis and treatment of the disease, thus improving patient prognosis and increasing the number of survivors. Read More

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A Model Oncologic Emergency Medicine Curriculum for Residency Training.

J Emerg Med 2021 May 16. Epub 2021 May 16.

Department of Emergency Medicine, University of Texas, MD Anderson Cancer Center, Houston, Texas.

Background Emergency medicine (EM) resident training in oncologic emergencies is limited, and significant gaps have been identified. Although 90% of emergency medicine residency program directors recognize the importance of residency training in oncologic emergencies, there is no standardized oncologic emergency curriculum. Objective We propose a focused oncologic EM curriculum that serves as a complement to existing EM didactics curriculums to prepare EM residents to recognize and manage the most common oncologic emergencies. Read More

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Emergency Department as the Entry Point to Inpatient Care: A Nationwide, Population-Based Study in South Korea, 2016-2018.

J Clin Med 2021 Apr 17;10(8). Epub 2021 Apr 17.

Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.

(1) Background: The emergency department provides lifesaving treatment and has become an entry point to hospital admission. The purpose of our study was to describe the characteristics and outcomes of patients who were admitted through the emergency department to the intensive care unit or general ward. (2) Methods: We performed a retrospective, cross-sectional, descriptive analysis using the National Emergency Department Information System, analyzing patient data including disease category, diagnosis, and mortality from 1 January 2016, to 31 December 2018. Read More

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Neuro-Oncologic Emergencies.

Neurol Clin 2021 05 31;39(2):545-563. Epub 2021 Mar 31.

Division of Neurohospitalist Medicine, Department of Neurology, Stanford University School of Medicine, 453 Quarry Rd, 2nd Floor, Stanford, CA 94305, USA. Electronic address:

Cancer and cancer therapies have the potential to affect the nervous system in a host of different ways. Cerebral edema, increased intracranial pressure, cerebrovascular events, status epilepticus, and epidural spinal cord compression are among those most often presenting as emergencies. Neurologic side-effects of cancer therapies are often mild, but occasionally result in serious illness. Read More

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Tumor Lysis Syndrome: Implications for Oncology Nursing Practice.

Semin Oncol Nurs 2021 Apr 17;37(2):151136. Epub 2021 Mar 17.

Emory University Hospital, Brookhaven, GA.

Objectives: To provide an overview of tumor lysis syndrome, which is one of the metabolic oncologic emergencies.

Data Sources: A review and synthesis of empirical articles.

Conclusion: One of the metabolic oncologic emergencies identified by the Oncology Nursing Society is tumor lysis syndrome. Read More

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Successful transcatheter arterial embolization to control intratumoral hemorrhage in clear cell sarcoma of the kidney.

J Nippon Med Sch 2021 Mar 9. Epub 2021 Mar 9.

Department of Pediatrics, Nippon Medical School.

Clear cell sarcoma of the kidney (CCSK) is a rare aggressive pediatric renal tumor. Intratumoral hemorrhage and tumor rupture are considered as oncologic emergencies, requiring a quick and appropriate response. Herein, we report the case of an 11-year-old boy, who visited our hospital with abdominal distension that started a month earlier. Read More

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Acute Myeloid Leukemia: Advanced Practice Management From Presentation to Cure.

J Adv Pract Oncol 2020 Nov-Dec;11(8):836-844. Epub 2020 Nov 1.

University of Colorado, Denver, Colorado.

Acute myeloid leukemia (AML) is the most common acute leukemia in adults, diagnosed in approximately 21,450 individuals annually in the US with nearly 11,000 deaths attributable to this disease (National Cancer Institute, 2020). Acute myeloid leukemia is a disease of the elderly, with the average age of diagnosis being 68 years old (Kouchkovsky & Abdul-Hay, 2016). It is a heterogeneous disease with widely varying presentations but universally carries a poor prognosis in the majority of those affected. Read More

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November 2020

Cancer pain management in the emergency department: a multicenter prospective observational trial of the Comprehensive Oncologic Emergencies Research Network (CONCERN).

Support Care Cancer 2021 Jan 22. Epub 2021 Jan 22.

Departments of Emergency Medicine and Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Purpose: Many patients with cancer seek care for pain in the emergency department (ED). Prospective research on cancer pain in this setting has historically been insufficient. We conducted this study to describe the reported pain among cancer patients presenting to the ED, how pain is managed, and how pain may be associated with clinical outcomes. Read More

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January 2021

Managing tumor lysis syndrome.

Authors:
Chloe Greguska

JAAPA 2021 Jan;34(1):10-13

Chloe Greguska practices on the inpatient malignant hematology team at Levine Cancer Institute in Charlotte, N.C. The author has disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Tumor lysis syndrome (TLS) is one of the most common oncologic emergencies, occurring when tumor cell contents are rapidly released into the bloodstream. This release of cellular contents, including uric acid, phosphate, and potassium, can rapidly overwhelm the body's homeostasis mechanisms, leading to renal failure, seizures, cardiac dysrhythmias, or death. With an estimated 1. Read More

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January 2021

STAT: Superior Vena Cava Syndrome.

Clin J Oncol Nurs 2020 12;24(6):712

Oncology Nursing Society.

Superior vena cava syndrome is the obstruction of blood flow through the superior vena cava. Read More

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December 2020

Oncologic Emergencies: Traditional and Contemporary.

Crit Care Clin 2021 Jan 29;37(1):85-103. Epub 2020 Oct 29.

Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Sinai Health System and University Health Network, Toronto, Ontario, Canada; Mount Sinai Hospital, 600 University Avenue, Suite 18-206, Toronto, Ontario M5G 1X5, Canada. Electronic address:

The recognition and management of oncologic emergencies are becoming increasingly relevant in the intensive care unit, particularly in the era of novel biologic therapies. Early recognition and multidisciplinary collaboration are essential to improving patient outcomes. This article discusses aspects of diagnosis and management for important malignancy-associated emergencies. Read More

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January 2021

COVID-19: The Impact in Oncology Care.

SN Compr Clin Med 2020 Oct 23:1-10. Epub 2020 Oct 23.

Baylor College of Medicine, Houston, TX USA.

The COVID-19 pandemic has imposed a critical challenge to the current oncology care and practices including late diagnoses, delayed anti-cancer treatment, and static clinical trials. With the increasing risk of cancer patients acquiring infection during receiving the essential care, the debate ensues on how to balance the risk factors and benefits out of the oncologic emergencies in cancer patients. In this review article, we have focused on the current global re-organization of the integrity and effectiveness of the treatment modalities depending on the patient and cancer-specific urgencies while minimizing exposure to the infection. Read More

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October 2020

COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy).

Obes Surg 2021 03 31;31(3):942-948. Epub 2020 Oct 31.

General and Oncologic Surgery Department - Centre of Bariatric Surgery, San Marco Hospital GSD, Corso Europa, 7, 24040, Zingonia, BG, Italy.

Introduction: On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 infection and its severity in patients who have undergone bariatric surgery. Read More

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Oncologic Emergencies: Palliative Care in the Emergency Department Setting.

J Emerg Med 2021 Feb 20;60(2):175-191. Epub 2020 Oct 20.

Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.

Background: Palliative care is an essential component of emergency medicine, as many patients with terminal illness will present to the emergency department (ED) for symptomatic management at the end of life (EOL).

Objective: This narrative review evaluates palliative care in the ED, with a focus on the literature behind management of EOL symptoms, especially dyspnea and cancer-related pain.

Discussion: As the population ages, increasing numbers of patients present to the ED with severe EOL symptoms. Read More

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February 2021

Oncological Emergencies from Pathophysiology and Diagnosis to Treatment: A Narrative Review.

Soc Work Public Health 2020 10 24;35(8):689-709. Epub 2020 Sep 24.

9 dey Manzariye Hospital, Isfahan University of Medical Sciences , Isfahan, Iran.

Oncological emergencies are defined as any acute possible morbid or life-threatening events in patients with cancer either because of the malignancy or because of their treatment. These events may occur at any time during malignancy, from symptoms present to end-stage disease. The aim of this study is the review of urgent conditions results from cancer or cancer treatment side effects that need to be addressed immediately. Read More

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October 2020

STAT: Spinal Cord Compression.

Authors:
Kathleen Wiley

Clin J Oncol Nurs 2020 10;24(5):592

Spinal cord compression involves tumor invasion or extension into the epidural space or pathologically collapsed vertebral bone fragments impinging on the spinal cord. Read More

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October 2020

Long-term Oncologic Results After Stenting as a Bridge to Surgery Versus Emergency Surgery for Malignant Left-sided Colonic Obstruction: A Multicenter Randomized Controlled Trial (ESCO Trial).

Ann Surg 2020 11;272(5):703-708

Department of Surgical Sciences, University of Torino, Torino, Italy.

Objective: To assess overall (OS), time to progression (TTP), and disease-free survival (DFS) at 3 years after treatment, comparing stenting as bridge-to-surgery (SBTS) versus emergency surgery (ES) in neoplastic left colon obstruction, secondary endpoints of the previously published randomized controlled trial.

Background: While SBTS in neoplastic colon obstruction may reduce morbidity and need for a stoma compared with ES, concern has been raised, about long-term survival.

Methods: Individuals affected by left-sided malignant large-bowel obstruction were enrolled from 5 European hospitals and randomly assigned (1:1 ratio) to receive SBTS or ES. Read More

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November 2020

Acute Cord Compression Left Untreated for Fear of Contracting COVID-19: A Case Report and a Call for Health Care Plans for Oncologic Emergencies during Crisis.

Am J Med Case Rep 2020 23;8(11):397-399. Epub 2020 Jul 23.

Department of Medicine, Downstate-Health Science University, Brooklyn, NY USA.

Coronavirus disease 2019 (COVID-19) is a pandemic that started in Wuhan city, Hubei province in China in December 2019 and is associated with high morbidity and mortality. This pandemic has overwhelmed health care systems in the USA, Europe and many other countries around the globe. Several health care institutions, including ours, SUNY-Downstate Health Science University in Brooklyn, New York, were designated as COVID-only hospitals. Read More

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Surgical activity during the Covid-19 pandemic: Results for 112 patients in a French tertiary care center, a quality improvement study.

Int J Surg 2020 Aug 18;80:194-201. Epub 2020 Jul 18.

Department of General Surgery and Liver Transplantation, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon 1 University, INSERM Unit 1052 / CNRS 5286 103 Grande Rue de La Croix-Rousse, 69004, Lyon, France. Electronic address:

Background: After the emergence of Covid-19 in China, Hubei Province, the epidemic quickly spread to Europe. France was quickly hit and our institution was one of the first French university to receive patients infected with Sars-COV2. The predicted massive influx of patients motivated the cancellation of all elective surgical procedures planned to free hospitalization beds and to free intensive care beds. Read More

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The 3 Bs of cancer care amid the COVID-19 pandemic crisis: "Be safe, be smart, be kind"-A multidisciplinary approach increasing the use of radiation and embracing telemedicine for head and neck cancer.

Cancer 2020 09 8;126(18):4092-4104. Epub 2020 Jul 8.

Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.

Because of the national emergency triggered by the coronavirus disease 2019 (COVID-19) pandemic, government-mandated public health directives have drastically changed not only social norms but also the practice of oncologic medicine. Timely head and neck cancer (HNC) treatment must be prioritized, even during emergencies. Because severe acute respiratory syndrome coronavirus 2 predominantly resides in the sinonasal/oral/oropharyngeal tracts, nonessential mucosal procedures are restricted, and HNCs are being triaged toward nonsurgical treatments when cures are comparable. Read More

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September 2020

Reconstructive Microsurgery Emergency in a Patient with COVID-19.

Plast Reconstr Surg 2020 10;146(4):523e-525e

Department of Plastic, Reconstructive, and Aesthetic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Université de Paris, Paris, France.

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October 2020

Forecasting the Future of Urology Practice: A Comprehensive Review of the Recommendations by International and European Associations on Priority Procedures During the COVID-19 Pandemic.

Eur Urol Focus 2020 Sep 31;6(5):1032-1048. Epub 2020 May 31.

Division of Urology, Department of Oncology, School of Medicine, San Luigi Hospital, University of Turin, Orbassano, Turin, Italy. Electronic address:

Context: The unprecedented health care scenario caused by the coronavirus disease 2019 (COVID-19) pandemic has revolutionized urology practice worldwide.

Objective: To review the recommendations by the international and European national urological associations/societies (UASs) on prioritization strategies for both oncological and nononcological procedures released during the current emergency scenario.

Evidence Acquisition: Each UAS official website was searched between April 8 and 18, 2020, to retrieve any document, publication, or position paper on prioritization strategies regarding both diagnostic and therapeutic urological procedures, and any recommendations on the use of telemedicine and minimally invasive surgery. Read More

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September 2020

[Hypopituitarism].

Gan To Kagaku Ryoho 2020 Jun;47(6):885-890

Dept. of Medical Oncology, Toranomon Hospital.

In recent years, the role ofimmune checkpoint inhibitors(ICIs)has become crucial in cancer therapy. However, ICIs are known to trigger a wide variety of autoimmune side effects, termed immune-related adverse events(irAEs), which can influence multiple organs. Hypophysitis induced by ICIs, which is defined as the inflammation of the pituitary gland and is the cause ofhypopituitarism, is one ofthe important toxicities, because it can be life-threatening event when it is not diagnosed or managed properly. Read More

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[Malignant Spinal Cord Compression].

Gan To Kagaku Ryoho 2020 Jun;47(6):875-880

Dept. of Medical Oncology, Toranomon Hospital.

Malignant spinal cord compression(MSCC)is defined as a compression of the spinal cord or cauda equina with neuropathy caused by tumor spreading to the vertebral body. The common symptoms of MSCC are back pain, neck pain, muscle weakness, sensory reduction, bladder and rectal disturbance. The risk of MSCC is relatively high in patients with lung cancer, breast cancer, and prostate cancer. Read More

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[Superior Vena Cava Syndrome].

Gan To Kagaku Ryoho 2020 Jun;47(6):870-874

Dept. of Respiratory Medicine, Okazaki City Hospital.

Superior vena cava(SVC)syndrome is a syndrome caused by impaired venous return due to stenosis of the SVC. Most of such cases are due to tumors(non-small cell lungcancer, small cell lungcancer, malignant lymphoma, etc), and the most common cause of SVC syndrome is lungcancer. Symptoms of SVC syndrome are caused by external compression of the SVC, direct invasion, internal thrombus or embolization. Read More

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STAT: Anaphylaxis.

Authors:

Clin J Oncol Nurs 2020 06;24(3):336

Anaphylaxis is a severe, potentially life-threatening acute allergic reaction that involves more than one system of the body. Read More

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Care Models Preventing Readmission.

Authors:
Kiersten LeBar

Semin Oncol Nurs 2020 Jun 19;36(3):151021. Epub 2020 May 19.

Vice President, Advanced Practice Providers Jefferson Health, Philadelphia, PA. Electronic address:

Objectives: This article aims to identify the steps necessary to evaluate the clinical need for innovative coverage models within the oncology setting to help prevent hospital readmissions.

Data Sources: Multiple published studies suggest alternative methods for patient care delivery that are safe and cost effective.

Conclusion: Improving care transitions for the oncology patient is necessary to be able to provide low-cost, high-quality, and patient-centered care. Read More

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Imaging in Oncologic Emergencies.

Semin Roentgenol 2020 04 21;55(2):95-114. Epub 2019 Nov 21.

Virginia Mason Medical Center, Seattle, WA.

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Oncologic Emergencies: Immune-Based Cancer Therapies and Complications.

West J Emerg Med 2020 Apr 13;21(3):566-580. Epub 2020 Apr 13.

The University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas.

Cancer therapies have undergone several recent advancements. Current cancer treatments include immune-based therapies comprised of checkpoint inhibitors, and adoptive immunotherapy; each treatment has the potential for complications that differ from chemotherapy and radiation. This review evaluates immune-based therapies and their complications for emergency clinicians. Read More

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