Cancer and Emergency Medicine: Setting the Research Agenda Workshop

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Overview
Background
Agenda & Recording Links
Workshop Summary
Workshop Planning Committee
Questions

Overview

The Cancer-related Emergency and Urgent Care: Prevention, Management, and Care Coordination meeting was held online from December 1-3, 2021.

The goal of this workshop was to bring together researchers, clinicians, patients, and advocates representing a broad range of expertise and experiences to:

Define the current state of the science in the identification, prevention, and management of oncologic emergencies;
Identify research gaps and opportunities in the areas of care delivery models, risk prediction and stratification, diagnostics, management, and care coordination for patients with cancer at risk of or utilizing urgent care and the emergency department (ED); and
Establish new research collaborations at the intersection of oncology and emergency medicine to improve outcomes of patients with or at risk of cancer.

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Background

NCI and the NIH Office of Emergency Care Research held the first Cancer and Emergency Medicine Workshop in 2015, and subsequently published a research agenda and established the Comprehensive Oncologic Emergency Medicine Research Network (CONCERN) to accelerate knowledge generation, synthesis and translation of oncologic emergency medicine research through multi-center collaborations.

Since 2015, multiple retrospective and prospective studies have more clearly characterized the population of cancer survivors* utilizing emergency medicine services and identified new evidence gaps. A key to moving this field forward is collaborations cross oncology and emergency medicine experts and looking across the cancer care continuum to prevent, manage, and coordinate care needs.

*Cancer Survivor is defined as any individual with cancer from the time of diagnosis until the end of life.

Agenda & Recording Links

Day 1: December 1, 2021 - 11:00 AM – 4:00 PM ET

Time	Topic
11:00 a.m. - 11:15 a.m.	Agenda, Meeting Goals, and Logistics Watch this session Opening Remarks Emily Tonorezos, NCI, Office of Cancer Survivorship NIH Emergency Medicine Research Jeremy Brown, NINDS, Office of Emergency Care Research NCI/OECR Cancer and Emergency Medicine Initiative Nonniekaye Shelburne, NCI, Division of Cancer Control and Population Sciences
11:15 a.m. - 12:00 p.m.	Session 1: Patient Experiences Managing Oncologic Emergencies Watch this session Panel Moderator Shelley Fuld Nasso, CEO National Coalition of Cancer Survivorship Panelists Carol Kerrigan Moore Christine Buttigieg Kimberly Richardson Veronika Panagiotou
12:00 p.m. - 1:10 p.m.	Session 2: Landscape of Oncologic Emergency Care Today Watch this session Utilization of Oncologic Emergency Services Rebecca Lash, Indiana University Predicting Cancer-Related Emergency and Urgent Care Utilization Arthur Hong, UT Southwestern Medical Center Panel Moderator Jeffrey Caterino, Ohio State University Panelists Becky Kaelin, Bryan Health, Crete Area Medical Center Arthur Hong, University of Texas Southwestern Rebecca Lash, Indiana University Carlotta Lindvall, Harvard University Caitlyn McNaughton, University of Pennsylvania Emily Mueller, Indiana University Caroline Thompson, University of North Carolina
1:10 p.m. - 1:30 p.m.	Break & Crowdsourcing
1:30 p.m. - 2:30 p.m.	Session 3: Oncology and Emergency Department Care Delivery Models - Impact on Oncologic Emergency Incidence and Outcomes Watch this session Oncology Care Models: Reducing Emergency Department Utilization Raquel Reinbolt, Ohio State University Emergency Department Care Models to Improve Oncology Outcomes Chris Baugh, Brigham and Women's Hospital Panel Moderator Adam Klotz, Memorial Sloan Kettering Cancer Center Panelists Maura Abbott, Columbia University Chris Baugh, Brigham and Women's Hospital Carol Cincotta, MSKCC Patient and Family Advisory Council for Quality Kathi Mooney, Huntsman Cancer Institute Raquel Reinbolt, Ohio State University Kristin Rising, Thomas Jefferson University
2:30 p.m. - 2:40 p.m.	Break & Crowdsourcing
2:40 p.m. - 3:50 p.m.	Session 4: Cancer Screening and Prevention Efforts in the Emergency Department Watch this session Cancer Prevention in the Emergency Department Steven Bernstein, Dartmouth-Hitchcock Health Cancer Screening in the Emergency Department David Adler, University of Rochester Emergency Department Visits as a Predictor of Cancer Diagnosis Nick Pettit, Indiana University Panel Moderator Steven Bernstein, Dartmouth-Hitchcock Health Panelists Beau Abar, University of Rochester David Adler, University of Rochester Gail D'Onofrio, Yale University Ted Miller, Pacific Institute for Research and Evaluation Electra Paskett, Ohio State University Nick Pettit, Indiana University
3:50 p.m. - 4:00 p.m.	Day 1 Wrap Up and Crowdsourcing Watch this session Cielito Reyes-Gibby, MD Anderson Cancer Center
4:00 p.m.	Adjourn

Day 2: December 2, 2021 - 11:00 AM – 4:00 PM ET

Time	Topic
11:00 a.m. - 11:10 a.m.	Welcome Back Roxanne Jensen, NCI, Division of Cancer Control and Population Sciences
11:10 a.m. - 1:00 p.m.	Session 5: Managing Cancer-related Presentations in Urgent Care and the Emergency Department Watch this session Risk Stratification Tools in the Emergency Department Jason Bishof, Ohio State University Diagnostic Biomarkers Tools in the Emergency Department Sai-ching (Jim) Yeung, MD Anderson Cancer Center COVID Rule-out Criteria (CORC): Developing and Implement Prediction Rules in the Emergency Department Jeff Kline, Wayne State University Panel Moderator Charles Thomas, Oregon Health and Sciences University Panelists Jason Bishof, Ohio State University Sherry-Ann Brown, Mayo Clinic Chris Coyne, University of California, San Diego Chris Flowers, MD Anderson Cancer Center Jeff Kline, Wayne State University Jim Kyriacou, Northwestern University John Sweetenham, University of Texas Southwestern Jim Yeung, MD Anderson Cancer Center
1:00 p.m. - 1:20 p.m.	Break & Crowdsourcing
1:20 p.m. - 2:30 p.m.	Session 6: Cancer-related Goals of Care in the Emergency Department Watch this session Palliative Models of Care for Emergency Patients with Cancer Corita Grudzen, New York University Langone Health Oncology Goals of Care Discussion in Emergency Department Kei Ouchi, Brigham and Women's Hospital End of Life Management in the Emergency Care Setting Audrey Tan, New York University Langone Health Panel Moderator Tammie Quest, Emory University Panelists Ab Brody, NYU Rory Meyers College of Nursing Paul DeSandre, Emory University Andrea Enzinger, Harvard University Corita Grudzen, New York University Langone Health Tom LeBlanc, Duke University Kei Ouchi, Brigham and Women's Hospital Andrey Tan, New York University Langone Health
2:30 p.m. - 2:40 p.m.	Break & Crowdsourcing
2:40 p.m. - 3:50 p.m.	Session 7: Designing Oncologic Emergency Research Studies - How to Close the Gap? Watch this session Opportunities and Barriers within Cancer Centers Tim Mullett, University of Kentucky Opportunities and Barriers within the NCI Community Oncology Research Program Matthew Hudson, Prisma Health Opportunities and Barriers within Academic Emergency Medicine Deborah Diersck, UT Southwestern Medical Center Panel Moderator Gary Lyman, Fred Hutchinson Cancer Research Center Panelists Jeremy Brown, NIH Office of Emergency Care Research Jeff Caterino, Ohio State University Deborah Diercsk, UT Southwestern Medical Center Steven Edge, Roswell Park Comprehensive Cancer Center Matthew Hudson, Prisma Health Tim Mullett, University of Kentucky Nick Pettit, Indiana University Nonniekaye Shelburne, National Cancer Institute Knox Todd, Emergency Cancer Care Journal
3:50 p.m. - 4:00 p.m.	Day 2 Wrap Up and Crowdsourcing Watch this session Nonniekaye Shelburne, NCI, Division of Cancer Control and Population Sciences
4:00 p.m.	Adjourn

Day 3: December 3, 2021 - 11:00 AM – 1:15 PM ET

Time	Topic
11:00 a.m.	Welcome Back Nonniekaye Shelburne, NCI, Division of Cancer Control and Population Sciences
11:00 a.m. - 11:30 a.m.	Comprehensive Oncologic Emergency Research Network (CONCERN): Progress to Date Watch this session Jeffrey Caterino, Ohio State University
11:30 a.m. - 1:00 p.m.	Strategic Planning https://epi.grants.cancer.gov/concern/ David Alder, University of Rochester, CONCERN co-chair Elizabeth Chiao, MD Anderson Cancer Center, CONCERN co-chair Utilizing open discussion and a virtual voting platform, attendees will: Access network goals and objectives Evaluate the current network structure Identify network activities to address workshop research and collaboration recommendations
1:00 p.m. - 1:15 p.m.	Recap and Next Steps David Alder, University of Rochester, CONCERN co-chair Elizabeth Chiao, MD Anderson Cancer Center, CONCERN co-chair
1:15 p.m.	Adjourn

Workshop Summary

Shelburne N, Ishibe Simonds N, Jensen RE, Brown J. Cancer-related emergency and urgent care: expanding the research agenda . Emerg Cancer Care. 2022; 1(4).

Workshop Planning Committee

Jeremy Brown – NINDS, Office of Emergency Care Research
Jeff Caterino – The Ohio State University Comprehensive Cancer Center
Roxanne Jensen - NCI, Division of Cancer Control and Population Sciences
Jim Kyriacou – Northwestern University Feinberg School of Medicine
Gary Lyman – Fred Hutchinson Cancer Research Center
Tammie Quest – Emory University School of Medicine
Cielito Reyes-Gibby – MD Anderson Cancer Center
Nonniekaye Shelburne – NCI, Division of Cancer Control and Population Sciences
Charles Thomas – Oregon Health & Science University, Knight Cancer Institute

Questions

Questions about the workshop may be submitted via e-mail to NCIEpiCommunications@mail.nih.gov.

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Last Updated: 26 May, 2023