231 results match your criteria Oncologic Emergencies


Abdominal Lymphoma Presenting as Terminal Ileitis: A Case Report.

J Emerg Med 2019 Apr 16. Epub 2019 Apr 16.

Department of Emergency Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Background: Most pediatric patients with lymphoma do not have classic symptoms of fever, night sweats, and weight loss. Lymphoma can present as vague symptoms and may mimic common pediatric abdominal emergencies. In this case report, we present a child who presented with abdominal pain and who was initially misdiagnosed as having a surgical emergency. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679193013
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http://dx.doi.org/10.1016/j.jemermed.2019.03.004DOI Listing
April 2019
2 Reads

Two cases of lymphangitic carcinomatosis as the primary symptom of colorectal carcinoma that achieved complete remission using combination anti-EGFR antibody therapy.

Onco Targets Ther 2019 20;12:2089-2093. Epub 2019 Mar 20.

Medical Oncology, Showa University Koto Toyosu Hospital, Tokyo, Japan,

Clinicians often encounter cases of pulmonary lymphangitic carcinomatosis when treating patients with cancer. When such a condition develops before the diagnosis of cancer, its diagnosis is often challenging. Herein, we report about two patients with colorectal carcinoma diagnosed after the identification of lymphangitic carcinomatosis, which achieved complete remission with combination anti-epidermal growth factor receptor (anti-EGFR) antibody therapy. Read More

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http://dx.doi.org/10.2147/OTT.S194224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430998PMC
March 2019
1 Read

Analysis of Diagnoses, Symptoms, Medications, and Admissions Among Patients With Cancer Presenting to Emergency Departments.

JAMA Netw Open 2019 Mar 1;2(3):e190979. Epub 2019 Mar 1.

Hutchinson Institute for Cancer Outcomes Research, Fred Hutchinson Cancer Research Center, Department of Medicine, University of Washington School of Medicine, Seattle.

Importance: Better understanding of the emergency care needs of patients with cancer will inform outpatient and emergency department (ED) management.

Objective: To provide a benchmark description of patients who present to the ED with active cancer.

Design, Setting, And Participants: This multicenter prospective cohort study included 18 EDs affiliated with the Comprehensive Oncologic Emergencies Research Network (CONCERN). Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2019.0979DOI Listing
March 2019
7 Reads

Diagnosis and Management of Oncologic Emergencies.

West J Emerg Med 2019 Mar 14;20(2):316-322. Epub 2019 Feb 14.

Virginia Tech Carilion School of Medicine, Department of Emergency Medicine, Roanoke, Virginia.

Oncologic emergencies may be seen in any emergency department and will become more frequent as our population ages and more patients receive chemotherapy. Life-saving interventions are available for certain oncologic emergencies if the diagnosis is made in a timely fashion. In this article we will cover neutropenic fever, tumor lysis syndrome, hypercalcemia of malignancy, and hyperviscosity syndrome. Read More

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https://escholarship.org/uc/item/3x84z2bq
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http://dx.doi.org/10.5811/westjem.2018.12.37335DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404710PMC
March 2019
2 Reads

How to manage pediatric oncologic emergencies: Imaging diagnosis.

Authors:
Motohiro Kato

Pediatr Int 2019 02;61(2):121

Children's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.

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http://doi.wiley.com/10.1111/ped.13790
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http://dx.doi.org/10.1111/ped.13790DOI Listing
February 2019
2 Reads

"-Omas" presenting as "-itis": acute inflammatory presentations of common gastrointestinal neoplasms.

Emerg Radiol 2019 Feb 4. Epub 2019 Feb 4.

Department of Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH, 44106, USA.

Oncologic emergencies have a high rate of morbidity and mortality. This review covers several scenarios of gastrointestinal malignancies presenting emergently as various acute abdominal pathologies. Radiologists should be familiar with the typical imaging findings, clinical presentations, and laboratory values which may suggest a background neoplasm, particularly when encountered in the context of an acute inflammatory state. Read More

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http://dx.doi.org/10.1007/s10140-019-01678-zDOI Listing
February 2019
2 Reads

Pediatric oncologic emergencies: Clinical and imaging review for pediatricians.

Pediatr Int 2019 Feb 7;61(2):122-139. Epub 2019 Feb 7.

Department of Pediatrics, St Luke's International Hospital, Tokyo, Japan.

Children with cancer are at increased risk of life-threatening emergencies, either from the cancer itself or related to the cancer treatment. These conditions need to be assessed and treated as early as possible to minimize morbidity and mortality. Cardiothoracic emergencies encompass a variety of pathologies, including pericardial effusion and cardiac tamponade, massive hemoptysis, superior vena cava syndrome, pulmonary embolism, and pneumonia. Read More

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http://dx.doi.org/10.1111/ped.13755DOI Listing
February 2019
7 Reads

[Role of surgical oncologists in multidisciplinary team treatment of malignant acute abdomen].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Nov;21(11):1206-1211

Department of Oncology, The Fourth Affiliated Hospital of Harbin Medical University, Haerbin 154000, China.Email:

Malignant acute abdomen is an acute abdominal disease caused by abdominal and extra-abdominal malignant tumors or secondary to various treatments for tumors, and belongs to the category of oncologic emergencies. Malignant acute abdomen includes perforation, bowel obstruction, infection and bleeding, etc. Most of the malignant acute abdomen is urgent and critical. Read More

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November 2018
1 Read

Oncologic Emergencies-The Old, the New, and the Deadly.

J Intensive Care Med 2018 Nov 9:885066618803863. Epub 2018 Nov 9.

1 Critical Care Medicine Service, Department of Anesthesiology & Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Cancer continues to be a leading cause of death despite a broader understanding of its biology and the development of novel therapies. Nonetheless, with an increasing survival of this population, intensivists must be aware of the associated emergencies, both old and new. Oncologic emergencies can be seen as an initial presentation of the disease or precipitated by its treatment. Read More

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http://dx.doi.org/10.1177/0885066618803863DOI Listing
November 2018
17 Reads

Prognostic Factors Predicting Poor Outcome in Cancer Patients with Febrile Neutropenia in the Emergency Department: Usefulness of qSOFA.

J Oncol 2018 11;2018:2183179. Epub 2018 Oct 11.

Department of Emergency Medicine, Inha University School of Medicine, Incheon, Republic of Korea.

Background/aims: Febrile neutropenia is considered as one of the most important and potentially life-threatening oncologic emergencies, which requires prompt medical assessment and treatment with antibiotics. This was a single-center retrospective study that investigated the prognostic factors predicting poor outcome in patients with cancer who presented with febrile neutropenia at the emergency department (ED).

Methods: The medical records of patients diagnosed with febrile neutropenia in the ED from January 2014 to December 2017 were reviewed. Read More

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https://www.hindawi.com/journals/jo/2018/2183179/
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http://dx.doi.org/10.1155/2018/2183179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6201329PMC
October 2018
9 Reads

Oncologic thoracic emergencies of patients with lung cancer.

Rev Clin Esp 2019 Jan - Feb;219(1):44-50. Epub 2018 Sep 25.

Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España.

Patients with lung cancer are the type of cancer patient who are most often admitted to emergency departments due to disease-related complications. An oncologic emergency is defined as any acute event in a patient with cancer that develops directly or indirectly from the tumour and that threatens the patient's life. Oncologic emergencies are divided into metabolic, haematologic and structural emergencies. Read More

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http://dx.doi.org/10.1016/j.rce.2018.06.011DOI Listing
September 2018
14 Reads

Oncologic Emergencies: Recognition and Initial Management.

Am Fam Physician 2018 Jun;97(11):741-748

Novant health Family Medicine Residency, Charlotte, NC, USA.

Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related. Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte abnormalities. Stabilization is focused on vigorous rehydration, maintaining urine output, and lowering uric acid levels. Read More

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June 2018
6 Reads

2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation.

World J Emerg Surg 2018 13;13:36. Epub 2018 Aug 13.

Unit of General and Emergency Surgery, Ospedale Bufalini Cesena, AUSL Romagna, Romagna, Italy.

: Obstruction and perforation due to colorectal cancer represent challenging matters in terms of diagnosis, life-saving strategies, obstruction resolution and oncologic challenge. The aims of the current paper are to update the previous WSES guidelines for the management of large bowel perforation and obstructive left colon carcinoma (OLCC) and to develop new guidelines on obstructive right colon carcinoma (ORCC).

Methods: The literature was extensively queried for focused publication until December 2017. Read More

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http://dx.doi.org/10.1186/s13017-018-0192-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090779PMC
January 2019
40 Reads

Management of Immune Checkpoint Inhibitor Toxicities: A Review and Clinical Guideline for Emergency Physicians.

J Emerg Med 2018 10 16;55(4):489-502. Epub 2018 Aug 16.

Department of Emergency Medicine, University of California San Diego School of Medicine, San Diego, California.

Background: Immune checkpoint inhibitors (ICIs) are a novel class of drugs used in cancer immunotherapy that are becoming more commonly used among advanced-stage cancers. Unfortunately, these therapies are sometimes associated with often subtle, potentially fatal immune-related adverse events (irAEs).

Objectives: We conducted a review of relevant primary research and clinical guidelines in oncology, pharmacology, and other literature, and synthesized this information to address the needs of the emergency physician in the acute management of irAEs. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.07.005DOI Listing
October 2018
14 Reads

Hematologic and Oncologic Emergencies.

Authors:
Amal Mattu

Emerg Med Clin North Am 2018 Aug;36(3):xiii-xiv

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

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http://dx.doi.org/10.1016/j.emc.2018.05.002DOI Listing
August 2018
3 Reads

The Oncologic Emergency Medicine Fellowship.

Emerg Med Clin North Am 2018 Aug 12;36(3):637-643. Epub 2018 Jun 12.

Department of Emergency Medicine, UT MD Anderson Cancer Center, 1515 Holcombe boulevard, Unit 1468, Houston, TX 77030, USA.

The United States cancer population is growing and is projected to grow further. The current cancer population has a high rate of emergency department admission. Further training about oncologic emergencies may be needed and would ideally strive to care for the whole patient, including sequelae of the malignancy, progressive disease, symptom control, adverse effects of treatment, and palliative care. Read More

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http://dx.doi.org/10.1016/j.emc.2018.04.013DOI Listing
August 2018
4 Reads

Rapid Fire: Central Nervous System Emergencies.

Emerg Med Clin North Am 2018 Aug 12;36(3):537-548. Epub 2018 Jun 12.

Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA; Department of Internal Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.

Neurologic complications are unfortunately common in oncology patients, with many presenting to the emergency department for diagnosis and management. This case-based review provides a brief overview of the key points in pathophysiology, diagnosis, and management of 2 oncologic central nervous system emergencies: malignant spinal cord compression and intracranial mass. Read More

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http://dx.doi.org/10.1016/j.emc.2018.04.010DOI Listing
August 2018
5 Reads

Pediatric Oncologic Emergencies.

Emerg Med Clin North Am 2018 Aug 11;36(3):527-535. Epub 2018 Jun 11.

Department of Emergency Medicine, University of Rochester, 601 Elmwood Avenue Box 655, Rochester, NY 14642, USA.

Pediatric patients with cancer, although rarely, do present to emergency departments for first-time diagnosis, as well as for complications of treatment. The presenting symptoms can be vague, so emergency physicians must maintain a high index of suspicion and be aware of guidelines to help direct appropriate care after an initial diagnosis. It is also necessary to know the complications of treatment. Read More

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http://dx.doi.org/10.1016/j.emc.2018.04.007DOI Listing
August 2018
7 Reads

Hypopituitarism: Case Study Involving Hypernatremia Prompting Discovery of a Pituitary Disorder in a Patient With Lymphoma.

Authors:
Jace D Johnny

Clin J Oncol Nurs 2018 08;22(4):E115-E119

University of Utah.

Background: The endocrine system contributes to numerous physiologic processes. Compensatory mechanisms are in place that can assist when endocrine dysfunction occurs, which may make it difficult to identify pathologic states.

Objectives: The case study in this article presents a 74-year-old woman with diffuse large B-cell lymphoma who was admitted to an oncology critical care unit with neutropenic fevers and suspicion of gastrointestinal bleeding. Read More

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http://dx.doi.org/10.1188/18.CJON.E115-E119DOI Listing
August 2018
15 Reads

Emergent Neuroimaging in the Oncologic and Immunosuppressed Patient.

Neuroimaging Clin N Am 2018 Aug;28(3):397-417

Neuroradiology Division, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Neuroimaging in the emergency department increasingly involves patients at increased risk for acute neurologic complications from malignancy and immunosuppression, including patients with organ transplantation, diabetes mellitus, treatment of chronic disease, and HIV positivity. These patients are susceptible to the same infections and emergencies as immunocompetent patients, but may present differently with common illnesses and are susceptible to a variety of other diseases. This article reviews important patient risk factors, emergent central nervous system abnormalities, and their imaging findings. Read More

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http://dx.doi.org/10.1016/j.nic.2018.03.004DOI Listing
August 2018
11 Reads

Oncology education for Canadian internal medicine residents: the value of participating in a medical oncology elective rotation.

Curr Oncol 2018 06 28;25(3):213-218. Epub 2018 Jun 28.

Tom Baker Cancer Centre, Calgary, AB.

Background: Despite the high incidence and burden of cancer in Canadians, medical oncology (mo) rotations are not mandatory in most Canadian internal medicine (im) residency training programs.

Methods: All im residents scheduled for a mo rotation at 4 Canadian teaching cancer centres between 1 January 2013 and 31 December 2015 were invited to complete an online survey before and after their rotation. The survey was designed to evaluate perceptions of oncology, comfort in managing cancer patients, and basic oncology knowledge. Read More

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http://dx.doi.org/10.3747/co.25.3934DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023568PMC
June 2018
5 Reads

Validation of the EPIPHANY index for predicting risk of serious complications in cancer patients with incidental pulmonary embolism.

Support Care Cancer 2018 Oct 4;26(10):3601-3607. Epub 2018 May 4.

Department of Emergency Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Purpose: The EPIPHANY index was developed to classify cancer associated pulmonary embolism (PE) into different risk categories using decision tree modeling. In this study, we tried to externally validate this index in a distinct group of patients solely composed of incidental PE (IPE).

Methods: A retrospective study of patients diagnosed with IPE in two Emergency Departments in the USA and South Korea from 2013 to 2014 was performed. Read More

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http://dx.doi.org/10.1007/s00520-018-4235-9DOI Listing
October 2018
1 Read
2.364 Impact Factor

Imaging of Oncologic Emergencies.

Semin Ultrasound CT MR 2018 Apr 15;39(2):151-166. Epub 2017 Dec 15.

Department of Radiology, "Pineta Grande" Hospital, Castel Volturno (CE), Italy; Department of Radiology, Sunderland Royal Hospital, NHS, Sunderland, UK. Electronic address:

Oncologic emergencies can be either the result of the primary tumor, its metastasis, a paraneoplastic syndrome or reaction to the chemotherapy. Imaging plays a crucial role in ensuring a prompt diagnosis as well as assisting in the therapeutic management. In this article, we discuss the common thoracic and abdominal oncological emergencies that may be encountered in an emergency department. Read More

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http://dx.doi.org/10.1053/j.sult.2017.12.001DOI Listing
April 2018
2 Reads

Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide.

PLoS One 2018 20;13(2):e0191658. Epub 2018 Feb 20.

Department of Emergency Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America.

Background: Although cancer patients (CPs) are increasingly likely to visit emergency department (ED), no population-based study has compared the characteristics of CPs and non-cancer patients (NCPs) who visit the ED and examined factors associated with hospitalization via the ED. In this study, we (1) compared characteristics and diagnoses between CPs and NCPs who visited the ED in a cancer center or general hospital; (2) compared characteristics and diagnoses between CPs and NCPs who were hospitalized via the ED in a cancer center or general hospital; and (3) investigated important factors associated with such hospitalization.

Methods And Findings: We analyzed patient characteristic and diagnosis [based on International Classification of Diseases-9 (ICD-9) codes] data from the ED of a comprehensive cancer center (MDACC), 24 general EDs in Harris County, Texas (HCED), and the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 1/1/2007-12/31/2009. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191658PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819770PMC
March 2018
46 Reads
3.234 Impact Factor

The Surgical Apgar Score predicts outcomes of emergency abdominal surgeries both in fit and frail older patients.

Arch Gerontol Geriatr 2018 May - Jun;76:54-59. Epub 2018 Feb 10.

Department of General, Oncologic and Geriatric Surgery, Jagiellonian Univeristy Medical College, 35-37 Pradnicka Str., 31-202, Krakow, Poland. Electronic address:

The Surgical Apgar Score (SAS) is a simple and rapid scoring system predicting postoperative mortality and morbidity. However, it remains unknown whether it might be useful in fit and frail older patients undergoing abdominal emergency surgery.

Methods: Consecutive patients ≥65 years, needing emergency abdominal surgery were enrolled in this prospective study. Read More

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http://dx.doi.org/10.1016/j.archger.2018.02.001DOI Listing
March 2019
3 Reads

[Cancer patients in operative intensive care medicine].

Anaesthesist 2018 Feb;67(2):83-92

Medizinische Klinik I, Uniklinik Köln, Köln, Deutschland.

Cancer is one of the leading causes of death worldwide. New targeted and individualized therapies and drugs provide a survival benefit for an increasing number of patients, but can also cause severe side effects. An increasing number of oncology patients are admitted to intensive care units (ICU) because of cancer-related complications or treatment-associated side effects. Read More

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http://dx.doi.org/10.1007/s00101-018-0406-9DOI Listing
February 2018
4 Reads

Characteristics and care pathways of advanced cancer patients in a palliative-supportive care unit and an oncological ward.

Support Care Cancer 2018 Jun 8;26(6):1961-1966. Epub 2018 Jan 8.

Department of Sciences for Health Promotion and Mother Child care, University of Palermo, Palermo, Italy.

Background: A supportive palliative care unit (SPCU) may have a positive impact on patients' care. The aim of this study was to compare the pattern of patients admitted to a specialized SPCU and to a traditional oncologic ward (OW) in a consecutive sample of advanced cancer patients.

Methods: Data on patients demographics, reasons for and kind of admission, care-giver, anticancer treatments, being on/off treatment or uncertain, origin setting, who proposed hospital admission, the use of opioids, and hospitalization were gathered. Read More

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http://dx.doi.org/10.1007/s00520-017-4037-5DOI Listing
June 2018
18 Reads

Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Chemotherapy Safety.

J Infus Nurs 2017 Nov/Dec;40(6):346-352

University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, Maryland. Nancy Corbitt, BSN, RN, OCN®, CRNI®, has worked at the University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center (UMGCCC) for 31 years. Her focus is caring for inpatients, with a special interest in hematologic malignancies. She teaches on multiple topics, including leukemia, lymphoma, safe chemotherapy administration, and oncologic emergencies. Lisa Malick, MS, RN, OCN®, is a nurse coordinator who leads education, quality improvement, and patient safety initiatives at the UMGCCC. She has extensive experience in caring for patients with hematologic malignancies, didactic and clinical teaching, clinical research, and staff development. Jennifer Nishioka, PharmD, BCOP, has 23 years of oncology experience. For the past 7 years, she has been a board-certified oncology pharmacist. During her career, she has worked in both inpatient and outpatient settings with adult and pediatric patients. For the past 5 years, her role at the UMGCCC has been as the oncology clinical manager for the cancer center's pharmacy, and as the bone marrow transplant clinical specialist. Ann Rigdon, MS, RN, OCN®, has 11 years of experience in oncology nursing. She was a clinical practice and education specialist at the UMGCCC at the time of this project. She has since relocated and continues to work in support of nursing education. Stephanie Szoch, BSN, RN, OCN®, is a senior clinical staff nurse at the UMGCCC. She has worked in hematology for 7 years and has focused her involvement in both clinical practice and chemotherapy safety. Peggy Torr, BSN, RN, OCN®, is an oncology nurse at the UMGCCC. She has practiced in the field of oncology in the inpatient setting since 1984, with a primary focus on hematologic malignancies. She has helped develop and teaches in the center's hospital-based oncology programs.

The first fatal incident of wrong-route administration of vinca alkaloids occurred in 1968. Initial recommendations for practice change occurred in 2005. In 2012, 54% of oncology treatment sites had changed their practice. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000246DOI Listing
January 2018
6 Reads

Hospital malnutrition screening at admission: malnutrition increases mortality and length of stay.

Nutr Hosp 2017 Jul 28;34(4):907-913. Epub 2017 Jul 28.

Hospital Universitari de Bellvitge. IDIBELL..

Introduction: Malnutrition is common in patients admitted to hospital and is associated with morbidity and mortality. We conducted a study to assess the prevalence of nutritional risk, risk factors associated and its consequences in a third-level hospital.

Methods: This is a prospective nutritional screening study of hospitalized patients evaluated within the first 72 hours of admission, by Malnutrition Universal Screening Tool (MUST) and Short Nutritional Assessment Questionnaire (SNAQ) screening tests. Read More

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http://dx.doi.org/10.20960/nh.657DOI Listing
July 2017
3 Reads

Pediatric Oncologic Emergencies.

Hematol Oncol Clin North Am 2017 12;31(6):959-980

Virginia Tech Carilion School of Medicine, 1906 Belleview Avenue, Roanoke, VA 24014, USA.

The overall prognosis for most pediatric cancers is good. Mortality for all childhood cancers combined is approximately half what it was in 1975, and the survival rates of many malignancies continue to improve. However, the incidence of childhood cancer is significant and the related emergencies that develop acutely carry significant morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.hoc.2017.08.003DOI Listing
December 2017
3 Reads

Oncologic Metabolic Emergencies.

Hematol Oncol Clin North Am 2017 12;31(6):941-957

Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, 1200 North State Street, Room 1011, Los Angeles, CA 90033, USA.

Cancer and its therapies may lead to several metabolic emergencies that emergency providers (EPs) should be well-versed in identifying and managing. With prompt recognition and treatment initiation in the emergency department, lives can be saved and quality of life maintained. Most oncologic metabolic emergencies occur in advanced cancer states, but some follow initiation of treatment or may be the presenting syndrome that leads to the cancer diagnosis. Read More

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http://dx.doi.org/10.1016/j.hoc.2017.08.002DOI Listing
December 2017
6 Reads

Oncologic Mechanical Emergencies.

Hematol Oncol Clin North Am 2017 12;31(6):927-940

Division of Pulmonary and Critical Care, University of Maryland School of Medicine, 110 South Paca Street, 2nd Floor, Baltimore, MD 21201, USA. Electronic address:

Prevalence of cancer and its various related complications continues to rise. Increasingly these life-threatening complications are initially managed in the emergency department, making a prompt and accurate diagnosis crucial to effectively institute the proper treatment and establish goals of care. The following oncologic emergencies are reviewed in this article: pericardial tamponade, superior vena cava syndrome, brain metastasis, malignant spinal cord compression, and hyperviscosity syndrome. Read More

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http://dx.doi.org/10.1016/j.hoc.2017.08.001DOI Listing
December 2017
8 Reads

Myelosuppression, Bone Disease, and Acute Renal Failure: Evidence-Based Recommendations for Oncologic Emergencies.

Clin J Oncol Nurs 2017 10;21(5 Suppl):60-76

Mayo Clinic.

Background: Oncologic emergencies associated with multiple myeloma include myelosuppression (anemia, neutropenia, and thrombocytopenia), bone-related emergencies, and acute renal failure. 
.

Objectives: This article reviews the pathophysiology of these multiple myeloma-associated oncology emergencies and provides a framework for assessment and effective intervention. Read More

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http://cjon.ons.org/cjon/21/5/supplement/myelosuppression-bo
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http://dx.doi.org/10.1188/17.CJON.S5.60-76DOI Listing
October 2017
9 Reads

[Vascular Complications and Emergencies within Oncologic Abdominal Surgery - What Knowledge and Skills Are Essential for the Visceral Surgeon].

Zentralbl Chir 2017 Aug 24;142(4):411-420. Epub 2017 Aug 24.

Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Bonn, Deutschland.

Continuous improvements in perioperative and neoadjuvant therapy concepts nowadays permit more extensive tumor resections with curative intention. In patients with arterial or venous tumour involvement in preoperative imaging, physicians with expertise in vascular surgery should be involved in the planning phase of the operation. Unexpected vascular complications during abdominal surgery demand prompt management by the oncological surgeon. Read More

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http://dx.doi.org/10.1055/s-0043-114735DOI Listing
August 2017
3 Reads

Burden of Skin and Subcutaneous Diseases in Iran and Neighboring Countries: Results from the Global Burden of Disease Study 2015.

Arch Iran Med 2017 07;20(7):429-440

Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.

Background: Iran and its neighboring countries represent four world regions with unique cultures and geography. Skin diseases span a wide diversity of etiologies including infectious, inflammatory, autoimmune, vascular, neurogenic, and oncologic. The Global Burden of Disease Study (GBD) 2015 measures the burden from skin diseases in 195 countries. Read More

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July 2017
36 Reads
1.110 Impact Factor

Effectiveness and risk of biliary drainage prior to pancreatoduodenectomy: review of current status.

Surg Today 2018 Apr 13;48(4):371-379. Epub 2017 Jul 13.

Service de Chirurgie Digestive, Centre Hospitalier "Simone Veil", Eaubonne, France.

Preoperative biliary drainage (PBD) prior to pancreatoduodenectomy (PD) has gained popularity as bridge management to resolve jaundice, but its role is being challenged as it is thought to increase morbidity. To clarify the current recommendations for PBD prior to PD, we reviewed the literature, including all relevant articles published in English up until December, 2015. There is increasing evidence that PBD causes bile infection, which is related to the morbidity of infectious complications. Read More

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http://dx.doi.org/10.1007/s00595-017-1568-9DOI Listing
April 2018
5 Reads

Cardiovascular Oncologic Emergencies.

Cardiology 2017;138(3):147-158. Epub 2017 Jun 28.

Department of Inpatient Medicine, Banner University of Arizona, Tucson, AZ, USA.

Oncologic emergencies can present either as a progression of a known cancer or as the initial presentation of a previously undiagnosed cancer. In most of these situations, a very high degree of suspicion is required to allow prompt assessment, diagnosis, and treatment. In this article, we review the presentation and management of cardiovascular oncologic emergencies from primary and metastatic tumors of the heart and complications such as pericardial tamponade, superior vena cava syndrome, and hyperviscosity syndrome. Read More

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http://dx.doi.org/10.1159/000475491DOI Listing
August 2018
33 Reads

Cohort study of oncologic emergencies in patients with head and neck cancer.

Head Neck 2017 06 27;39(6):1195-1204. Epub 2017 Mar 27.

Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Background: Treatments for head and neck squamous cell carcinoma (HNSCC) are associated with toxicities that lead to emergency department presentation.

Methods: We utilized data from an ongoing prospective cohort of newly diagnosed, previously untreated patients (N = 298) with HNSCC to evaluate the association between clinical and epidemiologic factors and risk for and frequency of emergency department presentation. Time to event was calculated from the date of treatment initiation to emergency department presentation, date of death, or current date. Read More

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http://dx.doi.org/10.1002/hed.24748DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429871PMC
June 2017
15 Reads

Management of neuro-oncologic emergencies.

Authors:
J T Jo D Schiff

Handb Clin Neurol 2017 ;141:715-741

Neuro-Oncology Center, University of Virginia, Charlottesville, VA, USA. Electronic address:

Patients with brain tumors and systemic malignancies are subject to diverse neurologic complications that require urgent evaluation and treatment. These neurologic conditions are commonly due to the tumor's direct effects on the nervous system, such as cerebral edema, increased intracranial pressure, seizures, spinal cord compression, and leptomeningeal metastases. In addition, neurologic complications can develop as a result of thrombocytopenia, coagulopathy, hyperviscosity syndromes, infection, immune-related disorders, and adverse effects of treatment. Read More

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http://dx.doi.org/10.1016/B978-0-444-63599-0.00039-9DOI Listing
March 2017
15 Reads

[Three Cases of Gastric Cancer with Rare Presentation of Oncologic Emergency].

Gan To Kagaku Ryoho 2016 Nov;43(12):2398-2400

Dept. of Surgery, Nishinomiya Municipal Central Hospital.

We report 3 cases of gastric cancer with rare presentations of oncologic emergency. Case 1 involved cardiac tamponade caused by mediastinitis-induced pericarditis. Metastatic lymph nodes became enlarged after total gastrectomy and invaded the esophagojejunal anastomotic region. Read More

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November 2016
9 Reads

[A Case of Malignant Obstruction of the Colon Due to Peritoneal Dissemination of Gastric Carcinoma Treated with Colon Stenting and Colectomy after Chemotherapy].

Gan To Kagaku Ryoho 2016 Nov;43(12):2389-2391

Dept. of Surgery, Hiroshima City Hiroshima Citizens Hospital.

A man in his 60s underwent gastrectomy to treat gastric carcinoma. Approximately 2.5 years after the surgery, he was admitted to the hospital because of abdominal pain. Read More

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November 2016
17 Reads

Colonic stenting as a bridge to surgery versus emergency surgery for malignant colonic obstruction: results of a multicentre randomised controlled trial (ESCO trial).

Surg Endosc 2017 08 6;31(8):3297-3305. Epub 2016 Dec 6.

Department of Surgical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.

Background: The aim of colonic stenting with self-expandable metallic stents in neoplastic colon obstruction is to avoid emergency surgery and thus potentially reduce morbidity, mortality, and need for a stoma. Concern has been raised, however, about the effect of colonic stenting on short-term complications and long-term survival. We compared morbidity rates after colonic stenting as a bridge to surgery (SBTS) versus emergency surgery (ES) in the management of left-sided malignant large-bowel obstruction. Read More

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http://dx.doi.org/10.1007/s00464-016-5362-3DOI Listing
August 2017
13 Reads

Leukemia Blast Crisis: A Simulation Case for Residents.

MedEdPORTAL 2016 Nov 18;12:10504. Epub 2016 Nov 18.

Emergency Medicine Resident, Perelman School of Medicine at the University of Pennsylvania.

Introduction: Oncologic emergencies are life-threatening and often require advanced team-management skills as well as a mastery of disease processes and therapeutic interventions. Simulation of an oncologic emergency case is a useful way to experience, reflect on, and practice these skills. This case involving a simulated patient in blast crisis was created as part of our Emergency Medicine (EM) Resident Simulation Curriculum at the Perelman School of Medicine at the University of Pennsylvania. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440397PMC
November 2016
1 Read

Emergency oncology: development, current position and future direction in the USA and UK.

Support Care Cancer 2017 01 4;25(1):3-7. Epub 2016 Nov 4.

Department of Emergency Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

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. Read More

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http://dx.doi.org/10.1007/s00520-016-3470-1DOI Listing
January 2017
9 Reads
4 Citations
2.364 Impact Factor

Role of computed tomography at a cancer center emergency department.

Emerg Radiol 2017 Apr 8;24(2):113-117. Epub 2016 Oct 8.

Department of Imaging, AC Camargo Cancer Center, R. Prof. Antonio Prudente, 211, São Paulo, SP, 09015-010, Brazil.

To evaluate the imaging methods used at the emergency department (ED) of a cancer center, with emphasis on computed tomography (CT). A descriptive, retrospective, single-center study was conducted by reviewing imaging exams and medical records, after approval of the institution's Ethics Review Board. The demographic data, cancer history, and imaging exam requested were evaluated for all patients and the indications and results of head, chest, and abdominopelvic CT scans were also evaluated. Read More

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http://dx.doi.org/10.1007/s10140-016-1449-3DOI Listing
April 2017
12 Reads

Management of neutropenic patients in the intensive care unit (NEWBORNS EXCLUDED) recommendations from an expert panel from the French Intensive Care Society (SRLF) with the French Group for Pediatric Intensive Care Emergencies (GFRUP), the French Society of Anesthesia and Intensive Care (SFAR), the French Society of Hematology (SFH), the French Society for Hospital Hygiene (SF2H), and the French Infectious Diseases Society (SPILF).

Ann Intensive Care 2016 Dec 15;6(1):90. Epub 2016 Sep 15.

University Hospital, Saint-Etienne, France.

Neutropenia is defined by either an absolute or functional defect (acute myeloid leukemia or myelodysplastic syndrome) of polymorphonuclear neutrophils and is associated with high risk of specific complications that may require intensive care unit (ICU) admission. Specificities in the management of critically ill neutropenic patients prompted the establishment of guidelines dedicated to intensivists. These recommendations were drawn up by a panel of experts brought together by the French Intensive Care Society in collaboration with the French Group for Pediatric Intensive Care Emergencies, the French Society of Anesthesia and Intensive Care, the French Society of Hematology, the French Society for Hospital Hygiene, and the French Infectious Diseases Society. Read More

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http://dx.doi.org/10.1186/s13613-016-0189-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025409PMC
December 2016
32 Reads

Different Contributions of Physical Activity on Arterial Stiffness between Diabetics and Non-Diabetics.

PLoS One 2016 10;11(8):e0160632. Epub 2016 Aug 10.

Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Background: We compared the contribution of physical activity to the change in arterial stiffness between patients with and without diabetes in ischemic heart disease.

Methods: We studied 96 (diabetes) and 109 (without diabetes) patients with ischemic heart disease treated by percutaneous coronary intervention (PCI). Arterial stiffness was assessed by cardio-ankle vascular index (CAVI) at the first diagnosis of significant coronary ischemia and 6 months after PCI and optimal medical therapy. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0160632PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980026PMC
August 2017
9 Reads
5 Citations
3.234 Impact Factor

Cancer patients, emergencies service and provision of palliative care.

Rev Assoc Med Bras (1992) 2016 May-Jun;62(3):207-11

Instituto Materno Infantil de Pernambuco, Imip, Dinter Inca, Recife PE , Brazil, Oncology PhD Student at Dinter Inca/Imip. Director of Hospital de Câncer de Pernambuco, Recife, PE, Brazil.

Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care.

Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student's t-test and Pearson chi-square test were used to compare the means. Read More

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http://dx.doi.org/10.1590/1806-9282.62.03.207DOI Listing
January 2017
16 Reads

Clinical benefits and oncologic equivalence of self-expandable metallic stent insertion for right-sided malignant colonic obstruction.

Surg Endosc 2017 01 18;31(1):153-158. Epub 2016 May 18.

Division of Colorectal Surgery, Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, 126-1, Anam-dong 5-ga, Seongbuk-gu, Seoul, 136-705, Republic of Korea.

Background: The efficacy of stenting for right-sided malignant colonic obstruction is unknown. This study aimed to evaluate the safety, feasibility, and clinical benefits of self-expandable metallic stent insertion for right-sided malignant colonic obstruction.

Methods: Clinical data from patients who underwent right hemicolectomy for right colon cancer from January 2006 to July 2014 at three Korea University hospitals were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00464-016-4946-2DOI Listing
January 2017
28 Reads

Report of the Japan diabetes society/Japanese cancer association joint committee on diabetes and cancer, Second report.

Cancer Sci 2016 Mar;107(3):369-71

National Cancer Center Research Institute, Tokyo, Japan.

The Japan Diabetes Society/Japanese Cancer Association Joint Committee on Diabetes and Cancer published its first report in July 2013 on the epidemiological assessment of the associations of diabetes with cancer risk/prognosis, the common risk factors for diabetes and cancer, and cancer risk associated with diabetes treatment. The Joint Committee continued its work to assess the role of glycemic control in the development of cancer in patients with diabetes. This review shows that high-quality evidence examining the association between glycemic control and cancer risk is lacking. Read More

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http://dx.doi.org/10.1111/cas.12889DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814249PMC
March 2016
9 Reads