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Provision of acute oncology services in the UK: data from the society for acute medicine benchmarking audit 2022 (SAMBA22)
Kulkarni, S. Knight, T. Cooksley, Tim Marshall, E. Patel, N. Selvaratnam, R. Atkin, C.
Kulkarni, S.
Knight, T.
Cooksley, Tim
Marshall, E.
Patel, N.
Selvaratnam, R.
Atkin, C.
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Abstract
Acute oncology services (AOS) manage acute cancer-related presentations alongside acute medical teams. This study assessed AOS provision against national peer review measures and the burden of acute cancer-related admissions. The 2022 Society for Acute Medicine Benchmarking Audit surveyed UK hospitals, collecting hospital-level and patient-level data for all medical admissions over a 24-h period. Logistic regression models were constructed to identify differences in patient outcomes for cancer-related admissions. Most hospitals (n=120 or 91.6%) reported having an AOS. There was heterogeneity in AOS provision, with many failing to meet peer-review measures. Of the 7,116 patients, 542 (7.6%) were cancer-related admissions. Cancer-related admissions had greater clinical acuity (p<0.05), length of stay (p<0.001) and 14-day mortality (adjusted odds ratio (OR)=3.54, 95% confidence interval (CI): 2.41-5.22, p<0.001) compared with other medical admissions. Increasing availability of AOS with integration of ambulatory pathways are vital next steps to improving care for acute cancer-related admissions.
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Date
2023
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Kulkarni S, Knight T, Cooksley T, Marshall E, Patel N, Selvaratnam R, et al. Provision of acute oncology services in the UK: data from the Society for Acute Medicine Benchmarking Audit 2022 (SAMBA22). Clinical medicine (London, England). 2023 Nov;23(6):571-81. PubMed PMID: 38065597. Epub 2023/12/09. eng.