Profile of oncology patient care at a regional emergency hospital reference unit in the interior of Rio Grande do Sul, Brazil
DOI: 10.15343/0104-7809.202044193206
Keywords:
Oncology. Emergencies. Health Profile. Health. Cancer.Abstract
In the context of oncological disease, the patient’s hospitalization needs to be optimized, aiming to alleviate the suffering of
patients and family members. It is necessary to know the profile of the patients who access the service, mainly by emergency
services. The aim of the study was to identify the profile of patients undergoing cancer treatment and the emergencies that
affect them. This was a quantitative, retrospective, longitudinal, observational cohort study, analyzing data from medical
records and hospital cancer records in 2017. 1635 patients were included, predominantly aged between 60 to 69 (27.3%) years,
852 (52.1 %) were male, 1542 (94.1%) of were white, 463 (28.3%) had a family history of cancer, and there was a median of 29
days to start post-diagnosis treatment. The typology with the highest incidence was other malignant neoplasms of the skin
(n=538; 32.9%), and the location of the first metastasis in the liver (n=47; 2.8%). The patients admitted via emergency services
were separated, resulting in 450 (27.5%) patients, with a mean age of 60.5 years, 240 (53.3%) were males and 239 (53.1%)
were smokers and ex-smokers. 446 (99.11%) patients were admitted and four (0.88%) were referred to the outpatient clinic. Of
the hospitalized patients, 337 (74.90%) were discharged from the hospital and 113 (25.10%) died. Abdominal pain appeared
in 111 (24.6%) and tumor lysis syndrome was the main oncological emergency in 182 (40.4%) cases. Knowing the profile of
cancer patients and their emergencies contribute to the understanding of the risks of the clinical manifestation, helping health
professionals and improving the care provided.
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References
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31. Ferlay J, Colombet M, Soerjomataram I, Mathers C, Parkin DM, Pineros M, et al. Estimating the global cancer incidence and mortality in
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32. Mariño, R., Cervera, S., Moreno, L., & Sánchez, O. Motivos de consulta al servicio de urgencias de los pacientes adultos con enfermedades
hemato-oncológicas en un hospital de cuarto nivel de atención. Rev Colomb Cancerol. 2015;19(4), 204-209.
33. Halfdanarson TR, Hogan WJ, Madsen BE. Emergencies in Hematology and Oncology. Mayo Clin Proc. 2017;92(4):609-41.
34. Namendys-Silva SA, Arredondo-Armenta JM, Plata-Menchaca EP, Guevara-Garcia H, Garcia-Guillen FJ, Rivero-Sigarroa E, et al. Tumor
lysis syndrome in the emergency department: challenges and solutions. Open Access Emerg Med. 2015; 7:39-44.
INCA; [cited 2019 Jan 9]. Estimativa 2018: Incidência de Câncer no Brasil; 2018. Available from: http/inca.gov.br.
2. Boaventura AP, Vedovato CA, dos Santos FF. Perfil dos pacientes oncológicos atendidos em uma unidade de emergência. Cienc Enferm.
2015; 21(2):51-62.
3. World Health Organization. International Agency for Research on Cancer (IARC) [homepage on the Internet]. Lyon: IARC; c2018 [cited
2019 Mar 1]. GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide; 2013. Available from: http://globocan.
iarc.fr.
4. Knust RE, Portela MC, Pereira CCA, Fortes GB. Estimated costs of advanced lung cancer care in a public reference hospital. Rev Saude
Publ. 2017;51:53.
5. Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RGS, Barzi A, et al. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017;67(3):177-
93.
6. Brasil. Ministério da Saúde. DATASUS. Departamento de informática do SUS. Banco de dados do Sistema Único de Saúde, 2018 (acesso
em 20 fev. 2019). Disponível em: http://datasus.gov.br.
7. Miranda B, Vidal SA, Mello MO, Rêgo JC, Pantaleão MC et al. Cancer patients, emergencies service and provision of palliative care. Rev
Assoc Med Bras. 2016; 62(3): 207-11.
8. Camerro A, Alves EC, Camerro N, Nogueira LD. Perfil do atendimento de serviços de urgência e emergência. Rev Fafibe On. Bebedouro
SP. 2015;8(1):515-524.
9. Oliveira LS, Costa DN, Oliveira DML, Almeida HOC, Mendonça IO. Indicadores de qualidade nos serviços de urgência hospitalar. Cienc
Biol Saude Unit. 2018;4(3):173-88.
10. Zhou Y, Abel GA, Hamilton W, Pritchard-Jones K, Gross CP, Walter FM, et al. Diagnosis of cancer as an emergency: a critical review of
current evidence. Nat Rev Clin Oncol. 2017;14(1):45-56.
11. Meert AP, Sculier JP, Berghmans T. Lung cancer diagnosis in the emergency department. Eur Respir J. 2015;45(4):867-8.
12. Pi J, Kang Y, Smith M, Earl M, Norigian Z, McBride A. A review in the treatment of oncologic emergencies. J Oncol Pharm Pract.
2016;22(4):625-38.
13. Gorospe-Sarasua L, Arrieta P, Munoz-Molina GM, Almeida-Arostegui NA. Oncologic thoracic emergencies of patients with lung cancer.
Rev Clin Esp. 2019;219(1):44-50.
14. Da Silva MM, Orineu Esteves L, Chagas Moreira M, Da Silva JA, Da Costa Machado S, Faria Campos J. Perfil de diagnósticos de enfermería
en un hospital brasileño especializado en cuidados paliativos oncológicos. Cienc Enferm. 2013;19(1):49-59.
15. Gonçalves MM, Guedes NdAB, de Matos SS, Tiensoli SD, Simino GPR, dos Reis Corrêa A. Perfil dos atendimentos a pacientes oncológicos
em uma unidade de pronto atendimento. Rev Enferm Cent-Oeste Min. 2018;8.
16. Martins PF, Perroca MG. Care necessities: the view of the patient and nursing team. Rev Bras Enferm. 2017;70(5):1026-32.
17. Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) [homepage on the Internet]. Rio de Janeiro:
INCA; [cited 2018 Oct 1]. Estatísticas do Câncer: Mortalidade. 2018 Available from: http://inca.gov.br/vigilancia/mortalidade.asp.
18. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and
mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.
19. Da Silva MJS, Bergmann A, Siqueira AdSE, Casado L, Zamboni MM. Influência das Iniquidades Sociais e dos Cuidados de Saúde na
Incidência e Mortalidade por Câncer. Rev Bras Cancerol. 2018;64(4):459-60.
20. Minayo MCS, Firmo JOA. Longevity: bonus or onus? Cienc Saude Colet. 2019;24(1):4.
21. Melo-Silva AM, Mambrini JVM, Souza Junior PRB, Andrade FB, Lima-Costa MF. Hospitalizations among older adults: results from ELSIBrazil.
Rev Saude Publ. 2018;52Suppl 2(Suppl 2):3s.
22. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística (IBGE) [homepage on the Internet]. Rio
de Janeiro: IBGE [cited 2019 Oct 2]. Pesquisa Nacional por Amostra de Domicílios 2008. Available from: http://www.ibge.gov.br.
23. Hickey KT, Katapodi MC, Coleman B, Reuter-Rice K, Starkweather AR. Improving Utilization of the Family History in the Electronic Health
Record. J Nurs Scholarsh. 2017;49(1):80-6.
24. Abrao FC, Abreu I, Rocha RO, Munhoz FD, Rodrigues JHG, Younes RN. Impact of the delay to start treatment in patients with lung cancer
treated in a densely populated area of Brazil. Clinics (Sao Paulo). 2017;72(11):675-80.
25. Brasil, Brasil. Lei nº 12.732, de 22 de novembro de 2012. Dispõe sobre o primeiro tratamento de paciente com neoplasia maligna
comprovada e estabelece prazo para seu início. Diário Oficial da União. 2012.
26. Wild CP. Cancer control: a reminder of the need for a balanced approach between prevention and treatment. East Mediterr Health J.
2014;20(6):360-2.
27. Jemal A, Ward EM, Johnson CJ, Cronin KA, Ma J, Ryerson B, et al. Annual Report to the Nation on the Status of Cancer, 1975-2014,
Featuring Survival. J Natl Cancer Inst. 2017;109(9).
28. Ouldamer L, Bendifallah S, Body G, Touboul C, Graesslin O, Raimond E, et al. Incidence, patterns and prognosis of first distant recurrence
after surgically treated early stage endometrial cancer: Results from the multicentre FRANCOGYN study group. Eur J Surg Oncol.
2019;45(4):672-8.
29. Kristina SA, Permitasari N, Krisnadewi KI, Santoso KA, Puspawati PR, Masrida WO, et al. Cancer Attributable to Tobacco Smoking in
Member Countries of Association of Southeast Asian Nations (ASEAN) in Year 2018. Asian Pac J Cancer Prev. 2019;20(10):2909-15.
30. Crane M, Scott N, O’Hara BJ, Aranda S, Lafontaine M, Stacey I, et al. Knowledge of the signs and symptoms and risk factors of lung cancer
in Australia: mixed methods study. BMC Public Health. 2016; 16:508.
31. Ferlay J, Colombet M, Soerjomataram I, Mathers C, Parkin DM, Pineros M, et al. Estimating the global cancer incidence and mortality in
2018: GLOBOCAN sources and methods. Int J Cancer. 2019;144(8):1941-53.
32. Mariño, R., Cervera, S., Moreno, L., & Sánchez, O. Motivos de consulta al servicio de urgencias de los pacientes adultos con enfermedades
hemato-oncológicas en un hospital de cuarto nivel de atención. Rev Colomb Cancerol. 2015;19(4), 204-209.
33. Halfdanarson TR, Hogan WJ, Madsen BE. Emergencies in Hematology and Oncology. Mayo Clin Proc. 2017;92(4):609-41.
34. Namendys-Silva SA, Arredondo-Armenta JM, Plata-Menchaca EP, Guevara-Garcia H, Garcia-Guillen FJ, Rivero-Sigarroa E, et al. Tumor
lysis syndrome in the emergency department: challenges and solutions. Open Access Emerg Med. 2015; 7:39-44.
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Published
2020-04-01
How to Cite
Santos Vieira, W., Basegio Carretta Diniz, M. ., & Carlos Comel, J. . (2020). Profile of oncology patient care at a regional emergency hospital reference unit in the interior of Rio Grande do Sul, Brazil: DOI: 10.15343/0104-7809.202044193206. O Mundo Da Saúde, 44, 193–206. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/962
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