Provision of acute oncology services in the UK: data from the society for acute medicine benchmarking audit 2022 (SAMBA22)
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The Christie NHS Foundation Trust, Manchester, UK.Issue Date
2023
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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.Citation
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.Journal
Clinical Medicine (Lond)DOI
10.7861/clinmed.2023-0251PubMed ID
38065597Additional Links
https://dx.doi.org/10.7861/clinmed.2023-0251Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.7861/clinmed.2023-0251
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