Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019

Abstract It is inevitable for cancer patients to visit the emergency department (ED) for symptoms of cancer itself and various treatment-related complications. As the prevalence of cancer increases along with cancer survival rates, the number of ED visits of cancer patients may increase. This study...

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Autores principales:	Sun Young Lee, Young Sun Ro, Sang Do Shin, Sungwoo Moon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/226dd077341c4224849ae9f83e19440a
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spelling	oai:doaj.org-article:226dd077341c4224849ae9f83e19440a2021-11-14T12:22:02ZEpidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 201910.1038/s41598-021-01571-12045-2322https://doaj.org/article/226dd077341c4224849ae9f83e19440a2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01571-1https://doaj.org/toc/2045-2322Abstract It is inevitable for cancer patients to visit the emergency department (ED) for symptoms of cancer itself and various treatment-related complications. As the prevalence of cancer increases along with cancer survival rates, the number of ED visits of cancer patients may increase. This study aimed to investigate the epidemiologic trends and characteristics of cancer-related ED visits. A cross-sectional study was conducted for all ED visits nationwide between 2015 and 2019. The characteristics of cancer- and non-cancer-related ED visits were compared, and the cancer type and primary reason for ED visits were investigated for cancer-related ED visits. The age- and sex-standardized incidence rate per 100,000 population was calculated. Among 44,983,523 ED visits for 5 years, 1,372,119 (3.1%) were cancer-related. Among cancer-related ED visits, 54.8% led to hospitalization including 5.1% in ICU, and 9.5% died in the hospital. The age- and sex-standardized incidence rates of cancer-related ED visits per 100,000 population increased from 521.8 in 2015 to 642.2 in 2019 (p-for-trends, < 0.01), and rates of cancer-related hospital admission via ED were 309.0 in 2015 and 336.6 in 2019 (p-for-trends, 0.75). The most common cancer types were lung cancer (14.7%), liver cancer (13.1%), and colorectal cancer (11.5%). The most common primary reasons of cancer-related ED visits were pneumonia (3.6%), gastroenteritis (2.7%), fever (2.6%), abdominal pain (2.4%), and ileus (2.1%). Cancer-related ED visits accounted for 3.1% of all ED visits, with 1.37 million cases over five years. The incidence rate of cancer-related ED visits has increased year by year, with high hospitalization and mortality rates, and the burden of cancer-related ED visits will continue to increase as the prevalence increases.Sun Young LeeYoung Sun RoSang Do ShinSungwoo MoonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sun Young Lee Young Sun Ro Sang Do Shin Sungwoo Moon Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
description	Abstract It is inevitable for cancer patients to visit the emergency department (ED) for symptoms of cancer itself and various treatment-related complications. As the prevalence of cancer increases along with cancer survival rates, the number of ED visits of cancer patients may increase. This study aimed to investigate the epidemiologic trends and characteristics of cancer-related ED visits. A cross-sectional study was conducted for all ED visits nationwide between 2015 and 2019. The characteristics of cancer- and non-cancer-related ED visits were compared, and the cancer type and primary reason for ED visits were investigated for cancer-related ED visits. The age- and sex-standardized incidence rate per 100,000 population was calculated. Among 44,983,523 ED visits for 5 years, 1,372,119 (3.1%) were cancer-related. Among cancer-related ED visits, 54.8% led to hospitalization including 5.1% in ICU, and 9.5% died in the hospital. The age- and sex-standardized incidence rates of cancer-related ED visits per 100,000 population increased from 521.8 in 2015 to 642.2 in 2019 (p-for-trends, < 0.01), and rates of cancer-related hospital admission via ED were 309.0 in 2015 and 336.6 in 2019 (p-for-trends, 0.75). The most common cancer types were lung cancer (14.7%), liver cancer (13.1%), and colorectal cancer (11.5%). The most common primary reasons of cancer-related ED visits were pneumonia (3.6%), gastroenteritis (2.7%), fever (2.6%), abdominal pain (2.4%), and ileus (2.1%). Cancer-related ED visits accounted for 3.1% of all ED visits, with 1.37 million cases over five years. The incidence rate of cancer-related ED visits has increased year by year, with high hospitalization and mortality rates, and the burden of cancer-related ED visits will continue to increase as the prevalence increases.
format	article
author	Sun Young Lee Young Sun Ro Sang Do Shin Sungwoo Moon
author_facet	Sun Young Lee Young Sun Ro Sang Do Shin Sungwoo Moon
author_sort	Sun Young Lee
title	Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
title_short	Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
title_full	Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
title_fullStr	Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
title_full_unstemmed	Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019
title_sort	epidemiologic trends in cancer-related emergency department utilization in korea from 2015 to 2019
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/226dd077341c4224849ae9f83e19440a
work_keys_str_mv	AT sunyounglee epidemiologictrendsincancerrelatedemergencydepartmentutilizationinkoreafrom2015to2019 AT youngsunro epidemiologictrendsincancerrelatedemergencydepartmentutilizationinkoreafrom2015to2019 AT sangdoshin epidemiologictrendsincancerrelatedemergencydepartmentutilizationinkoreafrom2015to2019 AT sungwoomoon epidemiologictrendsincancerrelatedemergencydepartmentutilizationinkoreafrom2015to2019
_version_	1718429215806717952

Epidemiologic trends in cancer-related emergency department utilization in Korea from 2015 to 2019

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