cover image: The emergency department is no place to be told you have cancer

The emergency department is no place to be told you have cancer

2 May 2024

Despite overall declines may have cancer.” One important reason is that emergency in cancer incidence and mortality, population growth and aging departments are now routinely overcrowded, with patients will drive an increase in the absolute number of people receiving receiving care in spaces like waiting rooms, hallways, and util- a diagnosis of cancer this year. [...] In a qualitative study of patients who found out they sidering that many people with worrisome signs or symptoms of had gastro intestinal cancer during an emergency department cancer already face circuitous and frustrating paths to obtain a visit, patients overwhelmingly reported the lack of privacy as diagnosis and start treatment. [...] Receiving a diagnosis of cancer in distressing and inappropriate.7 Patients also leave the emer- an emergency department is becoming routine in Canada, gency department with uncertainty about follow-up and treat- which highlights the failure of health care systems to support ment plans, let alone prognosis. [...] are made using a single point of entry and a coordinated Between 2012 and 2017, 26.1% of patients with cancer in approach to triage, the time from referral to consultation Ontario received their diagnosis as part of an emergent presenta- decreases, and patient and provider satisfaction is higher than tion requiring urgent hospital admission as a consequence of an before implementation of the singl. [...] Effects of a single-entry intake sys- successes in prevention, screening, and treatment of cancer lead tem on access to outpatient visits to specialist physicians and allied health to a decline in the incidence of cancer and associated mortality.
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2
Published in
Canada