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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(04): 340-344
DOI: 10.1055/s-0042-1757772
Feature Article

Presentation Patterns and Outcomes in Patients with Colorectal Cancer Seeking the Emergency Department for Consultation

Autoren

  • Caroline D. Simanke 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil

  • Eduardo DaCás 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil

  • Danilo S. Bussyguin 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil

  • Ana Clara Belizário 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil

  • Eduardo D. de Alencar 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil

  • Flavio D. S. Tomasich 

    2   Department of Surgery, Abdominal Surgery Unit, Hospital Erasto Gaertner, Curitiba, PR, Brazil

  • Thelma Skare 

    3   Department of Medicine, Mackenzie Evangelical School of Medicine, Curitiba, PR, Brazil

  • Renato Nisihara 

    1   Department of Medicine, Universidade Positivo, Curitiba, PR, Brazil
    3   Department of Medicine, Mackenzie Evangelical School of Medicine, Curitiba, PR, Brazil

Funding Source None.
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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.

Keywords

colorectal cancer - emergency department - infections - acute abdomen

Author Contributions

All authors contributed to the study conception and design. Material preparation and data collection were performed by C. D. S., E. D. C., D. S. B., A. C. B., E. D. A., F. D. S. T. The data analysis was performed by T. S. and R. N., and the first draft of the manuscript was done by all authors, who commented on previous versions of the manuscript. All authors read and approved the final manuscript.




Publikationsverlauf

Eingereicht: 30. Mai 2022

Angenommen: 15. September 2022

Artikel online veröffentlicht:
22. Dezember 2022

© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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