Presentation patterns and outcomes in patients with colorectal cancer seeking the emergency department for consultation
J. coloproctol. (Rio J., Impr.)
;
42(4): 340-344, Oct.-Dec. 2022. tab
Article
in English
| LILACS
| ID: biblio-1430678
ABSTRACT
Background:
Patients with colorectal cancer may seek the emergency department for symptoms related to chemotherapy and radiotherapy side effects as well as those from the disease itself and from surgery complications.Objectives:
To establish the epidemiological and clinical profile of colorectal cancer patients that look for consultations in the emergency department.Methods:
Retrospective study of emergency room charts from colorectal cancer patients that consulted in a single oncological hospital for the period of 1 year.Results:
Four hundred and forty-six consultations were identified (49.5% males and 50.5% females) with a mean age of 63 years and with advanced disease (most with tumor, node, metastases [TNM] stages III and IV). The most common complaint was abdominal pain (27.5%), followed by nausea (4.7%; more commonly seen in females with p =0.03) and bladder symptoms (4.7%; more commonly seen in males, with p =0.003). Infections (10.3%) and acute abdominal pain (9.1%) were the most frequent diagnoses. About 18% of them were admitted to the hospital and 80% were discharged home.Conclusion:
The profile of patients with colorectal cancer seeking the emergency department comprises patients with advanced disease and a similar proportion of males and females. Symptom-driven complaints were the most frequent reason for consultations. (AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Colorectal Neoplasms
/
Treatment Outcome
/
Drug-Related Side Effects and Adverse Reactions
Type of study:
Observational study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterology
/
Cirurgia
Year:
2022
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Erasto Gaertner/BR
/
Mackenzie Evangelical School of Medicine/BR
/
Universidade Positivo/BR
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