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Revista Española de Salud Pública
versão On-line ISSN 2173-9110versão impressa ISSN 1135-5727
Resumo
BOLANOS NARANJO, Matilde; AVINO TARAZONA, Victoria; JIMENEZ RUIZ, Francisco Javier e BAYO CALERO, Juan. Analysis of non-scheduled consultations in patients with digestive neoplasms. Rev. Esp. Salud Publica [online]. 2019, vol.93, e201907049. Epub 07-Set-2020. ISSN 2173-9110.
Background:
Non-scheduled consultation is very frequent among patients with cancer, creating alterations and delays in programmed visits. We describe the incidence of non-scheduled consultations in patients with digestive cancer in our hospital.
Methods:
Descriptive, prospective, non-interventional study. In a six-month period (May-December 2017), non-scheduled visits were chronologically recorded in the medical oncology consultation of digestive tumours of Hospital Juan Ramón Jiménez de Huelva. We performed a descriptive analysis of the variables collected through the statistical program G-STAT v.2.0.
Results:
Patients with colon or rectal cancer generated most consultations (68.63%). followed by pancreatic (9.15%) and gastric (5.23%). Most patients had metastatic or advanced stage cancer (59.87%) and were under palliative or symptomatic treatment (58.82%). The most frequent reason for consultation was clinical symptoms (47.05%). followed by information demand (18.30 %).
Conclusions:
Non-scheduled consultations in cancer patients are frequent; they cause interference in scheduled consultations and not always resolved satisfactorily. We propose several measures to reduce the number of non-scheduled consultation in oncology.
Palavras-chave : Digestive neoplasm; Non-scheduled consultation; Advanced cancer patient; Tumoral symptom; Oncological emergency.