The Library
The need for ambulatory emergency oncology : exemplified by the management of immune checkpoint inhibitor toxicity
Tools
Cooksley, Tim, Klotz, Adam, Marshall, Ernie, Weaver, Jamie, Font, Carme and Lasserson, Daniel (2023) The need for ambulatory emergency oncology : exemplified by the management of immune checkpoint inhibitor toxicity. Supportive Care In Cancer, 31 (12). 653 . doi:10.1007/s00520-023-08132-4 ISSN 0941-4355.
PDF
WRAP-need-ambulatory-emergency-oncology-exemplified-management-immune-checkpoint-inhibitor-toxicity-23.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only until 25 October 2024. Contact author directly, specifying your specific needs. - Requires a PDF viewer. Download (317Kb) |
Official URL: http://doi.org/10.1007/s00520-023-08132-4
Abstract
Cancer patients seeking emergency care can be vulnerable in increasingly overcrowded Emergency Departments and timely delivery of care is often aspirational rather than reality in many acute care systems. Ambulatory emergency care and its various international models are recognized as contributing to the safety and sustainability of emergency care services. This schema can logically be extended to the emergency oncology setting. The recent proliferation of immune checkpoint inhibitors (ICIs) has led to another opportunity for the management of oncologic complications in the ambulatory emergency care setting. More nuanced risk stratification of currently perceived high-risk toxicities may also afford the opportunity to personalize acute management. Virtual wards, which predominantly provide virtual monitoring only, and hospital at home services, which provide more comprehensive in-person assessment and interventions, may be well suited to supporting care for ICI toxicity alongside hospital-based assessment. Emergency management guidelines for immune-mediated toxicities will increasingly need to be both pragmatic and deliverable, especially as larger numbers of patients will present outside cancer centers. Identifying and modelling those suitable for emergency ambulatory care is integral to achieving this.
Item Type: | Journal Article | ||||||
---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) |
||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Cancer -- Immunological aspects, Ambulatory medical care, Cancer -- Treatment, Medical emergencies, Cancer -- Complications, Oncology, Clinical toxicology, Cancer -- Chemotherapy -- Complications, Immunotherapy | ||||||
Journal or Publication Title: | Supportive Care In Cancer | ||||||
Publisher: | Springer | ||||||
ISSN: | 0941-4355 | ||||||
Official Date: | 25 October 2023 | ||||||
Dates: |
|
||||||
Volume: | 31 | ||||||
Number: | 12 | ||||||
Article Number: | 653 | ||||||
DOI: | 10.1007/s00520-023-08132-4 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Reuse Statement (publisher, data, author rights): | "This version of the article has been accepted for publication, after peer review (when applicable) but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://doi.org/10.1007/s00520-023-08132-4. Use of this Accepted Version is subject to the publisher’s Accepted Manuscript terms of use https://www.springernature.com/gp/open-research/policies/acceptedmanuscript-terms”." | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Date of first compliant deposit: | 30 October 2023 |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |