Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam
{"title":"The importance of integrated care when dealing with oncological emergencies","authors":"Ernie Marshall, Ollie Minton, Anthony Cunliffe, Radha Selvaratnam","doi":"10.1016/j.intcar.2025.100256","DOIUrl":null,"url":null,"abstract":"<div><div>Cancer incidence in the UK continues to rise particularly in older and multi-morbid populations. In the UK 36% of new cancer diagnoses are made in those over 75 years of age.</div><div>Despite advancements in treatments, many patients are living longer with advanced incurable cancer, often requiring urgent and emergency care. The disconnect between centralized specialist oncology services and local care needs exacerbates this issue, leading to frequent emergency department (ED) visits and hospital admissions. Cancer patients are less well represented in Same Day Emergency Care (SDEC) and have a short hospital stay, hinting at a missed opportunity admission avoidance and early supported discharge.</div><div>Many cancer patients may benefit from an urgent community response as an alternative to ED attendance but this requires collaborative working across traditional health care boundaries and involving the wider multi professional health care team in primary, community, secondary and specialist services.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"30 ","pages":"Article 100256"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinics in Integrated Care","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666869625000119","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Cancer incidence in the UK continues to rise particularly in older and multi-morbid populations. In the UK 36% of new cancer diagnoses are made in those over 75 years of age.
Despite advancements in treatments, many patients are living longer with advanced incurable cancer, often requiring urgent and emergency care. The disconnect between centralized specialist oncology services and local care needs exacerbates this issue, leading to frequent emergency department (ED) visits and hospital admissions. Cancer patients are less well represented in Same Day Emergency Care (SDEC) and have a short hospital stay, hinting at a missed opportunity admission avoidance and early supported discharge.
Many cancer patients may benefit from an urgent community response as an alternative to ED attendance but this requires collaborative working across traditional health care boundaries and involving the wider multi professional health care team in primary, community, secondary and specialist services.
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