Öz
Aim: Cancer is one of the leading causes of death. Cancer patients have long-term hospitalisations for a wide variety of reasons. This study aims to emphasize the importance of a multidisciplinary approach in cancer treatment by evaluating the hospitalisation and consultation characteristics of patients hospitalised in the Medical Oncology Service of Etlik City Hospital. Material and Methods: The demographic, clinical, biochemical, hospitalisation, discharge status, and consultation characteristics of a total of 376 patients hospitalised in the Medical Oncology Service between May and June 2024 were evaluated. Patients for whom consultation was requested and those for whom consultation was not requested were analysed comparatively. Patient data were retrieved retrospectively from the hospital's archive and automation system. Results: The median length of hospitalisation was five days (range: 1-43), and 17.3% of patients had a hospital stay exceeding 21 days. A total of 15.2% of patients were transferred to the intensive care unit, while 3.7% were referred to the palliative care ward. The data indicates that consultations were requested for 72.6% of patients, most frequently from infectious diseases (38.3%), cardiology (26.3%), and radiology (22.1%) departments. Compared to patients without consultation requests, those for whom consultations were requested exhibited significantly lower albumin/globulin ratios (p < 0.001), more advanced disease stages (p < 0.01), and prolonged hospitalisation durations (p < 0.001)
Conclusions: Challenges in the management of oncology patients require the coordinated efforts of multiple specialities. A multidisciplinary approach is essential to prevent complications, increase treatment efficacy and improve clinical outcomes.
Anahtar Kelimeler
cancer hospitalisation characteristics consultation multidisciplinary approach
Etik Beyan
Approval was obtained from the Etlik City Hospital ‘Scientific Research Evaluation and Ethics Committee’ before the commencement of the study. The ethics committee approval date is 18/12/2024, and the approval number is 2024-1243
Destekleyen Kurum
No funding was used for the study.
Kaynakça
- Akeren Z, Hintistan S. Use of aromatherapy in symptom management of cancer patients. Sakarya Univ Holist Health J 2021; 4: 136-154.
- Gültekin M, Boztaş G. Turkey cancer statistics – 2014. Ankara: Turkish Public Health Institution, Ministry of Health; 2014.
- Can N, Arslan D, Karaca S, Gürbüz B, Topaloğlu U, Taş F. Determination of sociodemographic characteristics and relationships among emergency admissions of cancer patients to our emergency department. Bozok Med J 2013; 3: 6-11.
- Winters DA, Brennan J, Perry A, Fitzgerald C, McMurray A, Marson A. The cancer multidisciplinary team meeting: in need of change? History, challenges and future perspectives. Br J Cancer 2021; 128: 271-9.
- Deniz EB. Cancer epidemiology. Turk Health Lit J 2022; 3: 102-11.
- Williams GR, Mackenzie AR, Magnuson A, Olin R, Chapman A, Mohile SG. Comorbidity in older adults with cancer. J Geriatr Oncol 2016; 7: 249-57.
- Li D, Soto-Perez-de-Celis E, Hurria A. Geriatric assessment and tools for predicting treatment toxicity in older adults with cancer. Cancer J 2017; 23: 206-10.
- Liao Y, Fan X, Wang X. Effects of different metastasis patterns, surgery, and other factors on the prognosis of patients with stage IV non-small cell lung cancer: a SEER database analysis. Oncol Lett 2019; 18: 581-92.
- Güneysu GG, Yılmaz B. Retrospective analysis of demographic and clinical characteristics of inpatients in a medical oncology service: a single-center experience. J Exp Clin Med 2023; 40: 448-53.
- Siegel RL, Giaquinto AN, Jemal A. Cancer statistics, 2024. CA Cancer J Clin 2024; 74: 12-49.
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68: 394-424.
- Delgado-Guay MO, Kim YJ, Shin SH, Chisholm G, Williams J, Allo J, Bruera E. Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care. J Pain Symptom Manage 2015; 49: 497-504.
- Mayer DK, Travers D, Wyss A, Leak A, Waller A. Why do patients with cancer visit emergency departments? Results of a 2008 population study in North Carolina. J Clin Oncol 2011; 29: 2683-8.
- Bozdemir N, Özcan S. Epidemiology and prevention in cancers. Turk Klin Fam Med-Spec Top 2014; 5: 9-14.
- Salazar A, Bardés I, Juan A, Olona N, Sabido M, Corbella X. High mortality rates from medical problems of frequent emergency department users at a university hospital tertiary care centre. Eur J Emerg Med 2005; 12: 2-5.
- Dutkowska AE, Antczak A. Comorbidities in lung cancer. Adv Respir Med 2016; 84: 186-92.
- Sadik M, Ozlem K, Huseyin M, AliAyberk B, Ahmet S, Ozgur O. Attributes of cancer patients admitted to the emergency department in one year. World J Emerg Med 2014; 5: 85-90.
- Koçak S, Kula M, Çelik F. Reasons for emergency department applications by oncology patients. Sak Med J 2012; 2: 16-20.
- Aytekin A, Altınbaş M, Şahin S, Özdemir N. Analysis of intrahospital consultations sent from the medical oncology clinic to other departments: a single-center experience. Middle East Med J 2014; 6: 178-81.
- Berardi R, Morgese F, Rinaldi S, Torniai M, Mentrasti G, Scortichini L, Giampieri R. Benefits and limitations of a multidisciplinary approach in cancer patient management. Cancer Manag Res 2020; 12: 9363-9374.
- Lo Nigro C, Denaro N, Merlano MC. Head and neck cancer: improving outcomes with a multidisciplinary approach. Cancer Manag Res 2017; 9: 363-71.
- Ko C, Chaudhry S. The need for a multidisciplinary approach to cancer care. J Surg Res 2002; 105: 53-7.
Öz
Amaç: Kanser önde gelen ölüm nedenlerinden biridir. Kanser hastalarının çok çeşitli nedenlerle uzun süreli hastane yatışları vardır. Bu çalışma Etlik Şehir Hastanesi Tıbbi Onkoloji Servisinde yatan hastaların yatış ve konsültasyon özelliklerini değerlendirerek kanser tedavisinde multidisipliner yaklaşımın önemini vurgulamayı amaçlamaktadır.
Gereç ve Yöntemler: Mayıs-Haziran 2024 tarihleri arasında Tıbbi Onkoloji Servisinde yatan toplam 376 hastanın demografik, klinik, biyokimyasal, yatış, taburculuk ve konsültasyon özellikleri değerlendirildi. Konsültasyon talep edilen hastalar ile konsültasyon talep edilmeyen hastalar karşılaştırmalı olarak analiz edilmiştir. Hasta verileri hastanenin arşiv ve otomasyon sisteminden retrospektif olarak elde edilmiştir.
Bulgular: Ortanca hastanede yatış süresi beş gündü (1-43) ve hastaların %17,3'ünün hastanede kalış süresi 21 günden uzundu. Hastaların %15,2'si yoğun bakım ünitesine, %3,7'si de palyatif servisine nakledilmiştir. En sık konsültasyon istenen 3 klinik enfeksiyon hastalıkları (%72,6), kardiyoloji (%38,3) ve radyoloji (%22,1) idi. Konsültasyon istenen hastalarda, albümin/globulin oranı anlamlı düzeyde daha düşük (p < 0,001), hastalık evresi daha ileri (p < 0,01) ve hastanede yatış süresi daha uzun (p < 0,001) bulundu.
Sonuçlar: Onkoloji hastalarının tedavisinde karşılaşılan zorluklar, birden fazla uzmanlık alanının koordineli çabalarını gerektirmektedir. Komplikasyonları önlemek, tedavi etkinliğini artırmak ve klinik sonuçları iyileştirmek için multidisipliner bir yaklaşım şarttır.
Anahtar Kelimeler
kanser hastaneye yatış özellikleri konsültasyon multidsipliner yaklaşım
Kaynakça
- Akeren Z, Hintistan S. Use of aromatherapy in symptom management of cancer patients. Sakarya Univ Holist Health J 2021; 4: 136-154.
- Gültekin M, Boztaş G. Turkey cancer statistics – 2014. Ankara: Turkish Public Health Institution, Ministry of Health; 2014.
- Can N, Arslan D, Karaca S, Gürbüz B, Topaloğlu U, Taş F. Determination of sociodemographic characteristics and relationships among emergency admissions of cancer patients to our emergency department. Bozok Med J 2013; 3: 6-11.
- Winters DA, Brennan J, Perry A, Fitzgerald C, McMurray A, Marson A. The cancer multidisciplinary team meeting: in need of change? History, challenges and future perspectives. Br J Cancer 2021; 128: 271-9.
- Deniz EB. Cancer epidemiology. Turk Health Lit J 2022; 3: 102-11.
- Williams GR, Mackenzie AR, Magnuson A, Olin R, Chapman A, Mohile SG. Comorbidity in older adults with cancer. J Geriatr Oncol 2016; 7: 249-57.
- Li D, Soto-Perez-de-Celis E, Hurria A. Geriatric assessment and tools for predicting treatment toxicity in older adults with cancer. Cancer J 2017; 23: 206-10.
- Liao Y, Fan X, Wang X. Effects of different metastasis patterns, surgery, and other factors on the prognosis of patients with stage IV non-small cell lung cancer: a SEER database analysis. Oncol Lett 2019; 18: 581-92.
- Güneysu GG, Yılmaz B. Retrospective analysis of demographic and clinical characteristics of inpatients in a medical oncology service: a single-center experience. J Exp Clin Med 2023; 40: 448-53.
- Siegel RL, Giaquinto AN, Jemal A. Cancer statistics, 2024. CA Cancer J Clin 2024; 74: 12-49.
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018; 68: 394-424.
- Delgado-Guay MO, Kim YJ, Shin SH, Chisholm G, Williams J, Allo J, Bruera E. Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care. J Pain Symptom Manage 2015; 49: 497-504.
- Mayer DK, Travers D, Wyss A, Leak A, Waller A. Why do patients with cancer visit emergency departments? Results of a 2008 population study in North Carolina. J Clin Oncol 2011; 29: 2683-8.
- Bozdemir N, Özcan S. Epidemiology and prevention in cancers. Turk Klin Fam Med-Spec Top 2014; 5: 9-14.
- Salazar A, Bardés I, Juan A, Olona N, Sabido M, Corbella X. High mortality rates from medical problems of frequent emergency department users at a university hospital tertiary care centre. Eur J Emerg Med 2005; 12: 2-5.
- Dutkowska AE, Antczak A. Comorbidities in lung cancer. Adv Respir Med 2016; 84: 186-92.
- Sadik M, Ozlem K, Huseyin M, AliAyberk B, Ahmet S, Ozgur O. Attributes of cancer patients admitted to the emergency department in one year. World J Emerg Med 2014; 5: 85-90.
- Koçak S, Kula M, Çelik F. Reasons for emergency department applications by oncology patients. Sak Med J 2012; 2: 16-20.
- Aytekin A, Altınbaş M, Şahin S, Özdemir N. Analysis of intrahospital consultations sent from the medical oncology clinic to other departments: a single-center experience. Middle East Med J 2014; 6: 178-81.
- Berardi R, Morgese F, Rinaldi S, Torniai M, Mentrasti G, Scortichini L, Giampieri R. Benefits and limitations of a multidisciplinary approach in cancer patient management. Cancer Manag Res 2020; 12: 9363-9374.
- Lo Nigro C, Denaro N, Merlano MC. Head and neck cancer: improving outcomes with a multidisciplinary approach. Cancer Manag Res 2017; 9: 363-71.
- Ko C, Chaudhry S. The need for a multidisciplinary approach to cancer care. J Surg Res 2002; 105: 53-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Onkoloji |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Haziran 2025 |
| Gönderilme Tarihi | 23 Mart 2025 |
| Kabul Tarihi | 16 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 16 Sayı: 2 |
Kaynak Göster
e-ISSN: 2149-8296
The content of this site is intended for health care professionals. All the published articles are distributed under the terms of
Creative Commons Attribution Licence,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.