{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:17:13Z","timestamp":1780485433606,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"22","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The management of severe complications arising from newly diagnosed or existing cancer, as well as acute therapy\u2010related side effects, is traditionally provided by General Emergen\u2010cy Departments (GED). To address the specific needs of oncologic and hematologic patients, the University Hospital of Modena established a dedicated Oncology\u2010Hematology Emergency Room (OHER) in 2001 as an integral part of the Oncology and Hematology Department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim and Methods<\/jats:title>\n                    <jats:p>This study aims to analyze the clinical characteristics and outcomes of cancer patients admitted to OHER between 2009 and 2019, including hospitalization rates, and compare them with those of cancer patients admitted to GED over the same period. A dedicated electronic tool was developed to process medical records. The OHER staff includes oncologists and hematol\u2010ogists trained in internal medicine, supported by a specialized nurse who is available during daytime workdays.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>A total of 28.680 OHER admissions were recorded, involving 11.239 patients. Among them, 5.326 (47%) had a single visit, while 165 (0.6%) died during their monitoring in OHER. Admis\u2010sions peaked in January (10%; 2,900 visits) and were lowest in December (6.8%; 1,952 visits). The busiest day was Monday (6,926 visits), at least in terms of hospitalization and mortality rates. At our Center, OHER serves as the primary point of reference for oncology and hematological patients who present with unexpected clinical deterioration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our analysis aims to provide clinical data from a dedicated oncology and hematology emergency room, comparing them with those observed in the general emergency room. In our ex\u2010perience, the OHER enhances the delivery of patient\u2010centered oncology care and the quality of comprehensive oncology and hematology care through its innovative integration of various clinical and organizational aspects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71377","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T01:33:15Z","timestamp":1763775195000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Decade of Specialized Acute Care: Clinical Impact of an Oncology\u2010Hematology Emergency Room Compared to General Emergency Services"],"prefix":"10.1002","volume":"14","author":[{"given":"Norma","family":"Malavasi","sequence":"first","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3716-7010","authenticated-orcid":false,"given":"Lorenza","family":"Di Marco","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Oncology Unit, University Hospital of Modena and Reggio Emilia University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Saviola","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaella","family":"Postiglione","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Cantile","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Acquaviva","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Galassi","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Bergonzini","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Fiorani","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Scarabelli","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Dominici","sequence":"additional","affiliation":[{"name":"Department of Oncology and Hematology, Oncology Unit, University Hospital of Modena and Reggio Emilia University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0373-1154","authenticated-orcid":false,"given":"Mario","family":"Luppi","sequence":"additional","affiliation":[{"name":"Hematology Unit, Azienda Ospedaliero\u2010Universitaria, Department of Medical and Surgical Sciences, Section of Hematology University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Longo","sequence":"additional","affiliation":[{"name":"Oncological Medicine Unit and Medical Oncology Unit, Department of Oncology and Haematology, University Hospital of Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_2_13_2_1","article-title":"Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability\u2010Adjusted Life\u2010Years for 29 Cancer Groups, 1990 to 2017","author":"Global Burden of Disease Cancer Collaboration","year":"2018","journal-title":"JAMA 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National Cancer Institute accessed July 28 2017 http:\/\/www.cancer.gov\/cancertopics\/coping\/paincontrol."},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000050454.01978.3B"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc2893"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1701380"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-8819(25)01440-0"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:35:12Z","timestamp":1765877712000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":16,"journal-issue":{"issue":"22","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/cam4.71377"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71377","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71377"}}