Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this single center prospective cross-sectional study is to identify the facilitators and barriers in the course of the disease that starts when symptoms first arise until patients with solid and hematologic malignancies arrive in the emergency department (ED). The main question it aims to answer are: Is there a potential relation between the lag-time and the ED length of stay (LOS) and the chance of admission. Participants will be asked to participate in a one-time interview, that focusses on the pre-admission process.
The goal of this single center prospective cross-sectional study is to identify the facilitators and barriers in the course of the disease that starts when symptoms first arise until patients with solid and hematologic malignancies arrive in the emergency department (ED). The main question it aims to answer are: Is there a potential relation between the lag-time and the emergency department length of stay and the chance of admission. Participants will be asked to participate in a one-time interview, that focusses on the pre-admission process. The interview focuses on several parts of the (pre-)admission process: The first part is regarding the timeline that led to an ED visit. The investigators will establish, when and which symptoms were first detected. The second part are regarding the number and type of health care workers that were contacted before visiting the ED. The third part will be about the actions that were taken before the ED visit.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cancer patients | All adult patients with solid or hematological malignancies and receiving systemic therapy or having received systemic therapy within the last 3 months admitted to the emergency department of the Erasmus Medical Center for the oncology, hematology, lung- and neuro-oncology medical unit are eligible for inclusion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Emergency department cancer patients interview | Behavioral | The interview focuses on several parts of the (pre-)admission process: The first part is regarding the barriers and facilitators encountered during the (pre-)admission process. The second part will focus on the timeline that led to an emergency department (ED) visit. It will be established when and which symptoms were first detected. The third part is regarding the number and type of health care workers that were contacted before visiting the ED. The fourth part will be about the actions and considerations taken before the ED visit. |
| Measure | Description | Time Frame |
|---|---|---|
| Clusters of facilitators experienced by cancer patients. | Different (sub)clusters of facilitators experienced by cancer patients visiting the emergency department (ED) | Through study completion, an average of 6 months |
| clusters of barriers experienced by cancer patients. | Different (sub)clusters of barriers experienced by cancer patients visiting the ED | Through study completion, an average of 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Time-to-speak | The time between the first notice of symptoms and the first time these complaints were spoken out to the primary giver | Through study completion, an average of 6 months |
| Time-to-contact |
Not provided
Inclusion criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
In the emergency department (ED) of Erasmus medical center (MC) yearly around 1600 patients with cancer are presented to the ED. Based on the study design we will conduct interviews with 75 to 100 patients with solid and hematologic malignancies, who are receiving systemic therapy or have received systemic therapy within the last 3 months and are admitted to the ED department of the Erasmus MC for the oncology, hematology, lung- and neuro-oncology medical unit. If present, the interview will also be held with the family caregiver.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Jason den Duijn | Erasmus Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erasmus MC | Rotterdam | South Holland | 3015GD | Netherlands |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided
|
The time between the first time complaints are spoken out and contact is made with a healthcare professional
| Through study completion, an average of 6 months |
| Time-to-present | The time between the first contact with a healthcare professional and the presentation at the ED | Through study completion, an average of 6 months |
| Difference in group average lag-time between day, evening and night | Difference in group average lag-time between day, evening and night | Through study completion, an average of 6 months |
| Difference in group average lag-time between weekdays (Monday 08:00 till Friday 23:59) and weekend (Saturday 00:00 and Monday 7:59) | Difference in group average lag-time between weekdays (Monday 08:00 till Friday 23:59) and weekend (Saturday 00:00 and Monday 7:59) | Through study completion, an average of 6 months |
| Correlation between number of contacted healthcare providers before presentation at the ED and the lag- time. | Correlation between number of contacted healthcare providers before presentation at the ED and the lag- time. | Through study completion, an average of 6 months |
| Willingness to participate | the percentage of people that participated in this study in comparison to the people approached for this study. | Through study completion, an average of 6 months |
| Lag-time | The time between the first onset of symptoms and a visit to the ED. | Through study completion, an average of 6 months |
| ED length of stay (LOS) | The time a patient spends in the ED | Through study completion, an average of 6 months |
| Disposition | The outcome of a visit to the ED, being either admission or home | Through study completion, an average of 6 months |
| Patient characteristics | Age, sex, type of cancer, type of complaint, triage category, number of prior visits | Through study completion, an average of 6 months |
| Correlation between lag-time and ED-LOS | Correlation between lag-time and ED-LOS | Through study completion, an average of 6 months |
| Correlation between lag-time and disposition | Correlation between lag-time and disposition | Through study completion, an average of 6 months |
| Correlation between lag-time and patient characteristics | Correlation between lag-time and patient characteristics | Through study completion, an average of 6 months |
| ED crowding | Measure of business of the ED, composed of the number of patients in the ED and the color coding used for crowding | Through study completion, an average of 6 months |