{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T20:23:56Z","timestamp":1789849436107,"version":"4.0.1"},"reference-count":14,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T00:00:00Z","timestamp":1509408000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns4:p>\n                    <ns4:bold>Background:<\/ns4:bold>\n                    With the increase in prevalence of cancer in our society, we aim to clarify through primary data use what drives emergency department (ED) utilization among patients with cancer.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Methods:<\/ns4:bold>\n                    This is a cross-sectional study. A direct survey was applied to cancer patients over 277 visits in 2015. Variables including chief complaint for current and last visit, frequency of visits, primary tumor site, and demographics were collected.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Results:<\/ns4:bold>\n                    Pain was the most common complaint, responsible for 40% of visits, followed by constitutional symptoms (17%), and gastrointestinal complaints (11%). Abdominal pain was the single most noted pain type, with 18.4%, and had the highest rate of recurrence. It was followed by back pain, dyspnea, asthenia and fever, accounting for 8.5%, 8.5%, 8.1% and 7%, respectively. Cervical cancer represented 14.8% of patients, followed by breast (11.6%) and lung (7.6%) cancers. The majority of patients visited the emergency department less than once a month.\n                  <\/ns4:p>\n                  <ns4:p>\n                    <ns4:bold>Conclusion:<\/ns4:bold>\n                    The drivers of emergency department utilization among patients with cancer found through primary use data mostly confirm findings from larger studies with secondary use data. Our research underscores the burden of pain to patients with cancer, as it is the most common complaint leading to ED visits, and generally requires multiple visits. Abdominal pain was more likely to recur than other complaints. Patients could benefit from focused outpatient pain management, and from more research and education targeting cancer-related pain.\n                  <\/ns4:p>","DOI":"10.12688\/f1000research.12632.1","type":"journal-article","created":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T08:40:06Z","timestamp":1509439206000},"page":"1919","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["Cancer complaints: The profile of patients from the emergency department of a Brazilian oncology teaching hospital"],"prefix":"10.12688","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3354-308X","authenticated-orcid":false,"given":"Felipe","family":"Batalini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Millena","family":"Gomes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio","family":"I","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fl\u00e1vio","family":"Kuwae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giselle","family":"Macanhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio L.B.","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2017,10,31]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"E359-86","DOI":"10.1002\/ijc.29210","article-title":"Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012.","volume":"136","author":"J Ferlay","year":"2015","journal-title":"Int J Cancer."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"252-71","DOI":"10.3322\/caac.21235","article-title":"Cancer treatment and survivorship statistics, 2014.","volume":"64","author":"C DeSantis","year":"2014","journal-title":"CA Cancer J Clin."},{"key":"ref-3","doi-asserted-by":"publisher","first-page":"2092-9","DOI":"10.1200\/JCO.2014.60.0379","article-title":"Toxicities of Immunotherapy for the Practitioner.","volume":"33","author":"J Weber","year":"2015","journal-title":"J Clin Oncol."},{"key":"ref-4","doi-asserted-by":"publisher","first-page":"1133-8","DOI":"10.1200\/JCO.2003.03.059","article-title":"Identifying Potential Indicators of the Quality of End-of-Life Cancer Care From Administrative Data.","volume":"21","author":"C Earle","year":"2003","journal-title":"J Clin Oncol."},{"key":"ref-5","doi-asserted-by":"crossref","first-page":"85-90","DOI":"10.5847\/wjem.j.issn.1920-8642.2014.02.001","article-title":"Attributes of cancer patients admitted to the emergency department in one year.","volume":"5","author":"M Sadik","year":"2014","journal-title":"World J Emerg Med."},{"key":"ref-6","article-title":"Perfil dos pacientes oncol\u00f3gicos que procuraram o departamento de emerg\u00eancia de um hospital de blumenau no per\u00edodo de 01 abril de 2011 a 31 de outubro.","author":"G Borges","year":"2013","journal-title":"Revista Brasileira De."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"2683-8","DOI":"10.1200\/JCO.2010.34.2816","article-title":"Why Do Patients With Cancer Visit Emergency Departments? Results of a 2008 Population Study in North Carolina.","volume":"29","author":"D Mayer","year":"2011","journal-title":"J Clin Oncol."},{"key":"ref-8","doi-asserted-by":"publisher","first-page":"235-240","DOI":"10.3906\/sag-0801-3","article-title":"Demographics, Clinical Presentations and Outcomes of Cancer Patients Admitted to the Emergency Department.","volume":"39","author":"N Bozdemir","year":"2009","journal-title":"Turk J Med Sci."},{"key":"ref-9","doi-asserted-by":"publisher","first-page":"563-8","DOI":"10.1503\/cmaj.091187","article-title":"Why do patients with cancer visit the emergency department near the end of life?","volume":"182","author":"L Barbera","year":"2010","journal-title":"CMAJ."},{"key":"ref-10","doi-asserted-by":"publisher","first-page":"31-43","DOI":"10.1007\/BF02225581","article-title":"Quality considerations in medical records abstracting systems.","volume":"2","author":"R Gardiner","year":"1978","journal-title":"J Med Syst."},{"key":"ref-11","doi-asserted-by":"publisher","first-page":"687-90","DOI":"10.7314\/APJCP.2014.15.2.687","article-title":"Single center experience on causes of cancer patients visiting the emergency department in southwest Turkey.","volume":"15","author":"O Tanriverdi","year":"2014","journal-title":"Asian Pac J Cancer Prev."},{"key":"ref-12","doi-asserted-by":"publisher","first-page":"178-82","DOI":"10.1177\/1049909112445306","article-title":"Why do cancer patients die in the emergency department?: an analysis of 283 deaths in NC EDs.","volume":"30","author":"A Leak","year":"2013","journal-title":"Am J Hosp Palliat Care."},{"key":"ref-13","doi-asserted-by":"publisher","first-page":"1997-2001","DOI":"10.1002\/ijc.30901","article-title":"Cervical cancer in Africa, Latin America and the Caribbean and Asia: Regional inequalities and changing trends.","volume":"141","author":"S Vaccarella","year":"2017","journal-title":"Int J Cancer."},{"key":"ref-14","doi-asserted-by":"publisher","DOI":"10.5256\/f1000research.12632.d182277","article-title":"Dataset 1 in: Cancer complaints: The profile of patients from the emergency department of a Brazilian oncology teaching hospital.","author":"F Batalini","year":"2017","journal-title":"F1000Research."}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,6]],"date-time":"2018-12-06T07:46:56Z","timestamp":1544082416000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,31]]},"references-count":14,"URL":"https:\/\/doi.org\/10.12688\/f1000research.12632.1","relation":{"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.13677.r36629","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.13677.r37018","asserted-by":"subject"},{"id-type":"doi","id":"10.5256\/f1000research.13677.r37018","asserted-by":"object"},{"id-type":"doi","id":"10.5256\/f1000research.13677.r36629","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,31]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.13677.r36629, Evandro Dantas Bezerra, Department of Medicine, University of Washington, Seattle, WA, USA, 02 Aug 2018, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1#referee-response-36629","order":0,"name":"referee-response-36629","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.13677.r37018, Hugo Akabane, UCSF Fresno, Fresno, CA, USA, 19 Oct 2018, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/6-1919\/v1#referee-response-37018","order":1,"name":"referee-response-37018","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Data associated with the article are available under the terms of the Creative Commons Zero \"No rights reserved\" data waiver (CC0 1.0 Public domain dedication).","order":0,"name":"copyright-info","label":"Copyright"}]}}