Comprehensive Oncologic Emergencies Research Network (CONCERN)

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More information about NCI’s interest in cancer and emergency medicine is available, including relevant funding opportunities.

Overview

The Comprehensive Oncologic Emergencies Research Network (CONCERN) was established in March 2015 with the goal to accelerate knowledge generation, synthesis, and translation of oncologic emergency medicine research through multi-center collaborations. CONCERN is an open scientific forum for researchers working across oncology and emergency medicine interested in collaborative approaches to improve outcomes during unscheduled cancer-related medical care. Research is needed to better inform appropriate utilization, prevention, management, and coordination of unscheduled cancer-related care, implement cancer prevention services, and develop evidence-based management strategies within urgent and emergency care settings.

Objectives

  1. To identify knowledge gaps impacting the prevention, management, and coordination of cancer-related urgent and emergent care issues.
  2. Accelerate knowledge generation and translation through multi-centre research collaborations across oncology and emergency medicine.
  3. Identify and test oncologic emergency prevention measures in oncology care settings.
  4. Identify and test care management strategies for oncologic emergencies presenting to urgent and emergency medicine settings.
  5. Translate research findings into national guidelines and implement in academic and community emergency care settings.
  6. Support collaborative educational efforts in the area of cancer and emergency medicine.
  7. Mentor new and established investigators working in the area of cancer and emergency medicine.

Organizational Structure

CONCERN's lead coordinators are:

  • David Adler, M.D., M.P.H , University of Rochester Medical Center
  • Elizabeth Chiao, M.D., MD Anderson Cancer Center

Membership

CONCERN membership includes more than 20 medical centers and is open to new members interested in collaborative research in cancer and emergency medicine. There are no membership requirements.

Sign Up for CONCERN Membership

Publications

Klotz AD, Caterino JM, Durham D, Rico JF, Pallin DJ, Grudzen CR, McNaughton C, Marcelin I, Abar B, Adler D, Bastani A, Bernstein SL, Bischof JJ, Coyne CJ , Henning DJ, Hudson MF, Lyman GH, Madsen TE, Reyes-Gibby CC, Ryan RJ, Shapiro NI, Swor R, Thomas CR Jr, Venkat A, Wilson J, Yeung SJ, Yilmaz S, Stutman R, Baugh CW. Observation unit use among patients with cancer following emergency department visits: Results of a multicenter prospective cohort from CONCERN. Acad Emerg Med. 2021 Nov 22. [Epub ahead of print].

Hudson MF, Strassels SA, Durham DD, Siddique S, Adler D, Yeung SJ, Bernstein SL, Baugh CW, Coyne CJ, Grudzen CR, Henning DJ, Klotz A, Madsen TE, Pallin DJ, Rico JF, Ryan RJ, Shapiro NI, Swor R, Venkat A, Wilson J, Thomas CR, Bischof JJ, Lyman GH, Caterino JM. Examining pain among non-Hispanic Black and non-Hispanic White patients with cancer visiting emergency departments: CONCERN (Comprehensive Oncologic Emergencies Research Network). Acad Emerg Med. 2021 Oct 4.

Coyne CJ, Reyes-Gibby CC, Durham DD, Abar B, Adler D, Bastani A, Bernstein SL, Baugh CW, Bischof JJ, Grudzen CR, Henning DJ, Hudson MF, Klotz A, Lyman GH, Madsen TE, Pallin DJ, Rico JF, Ryan RJ, Shapiro NI, Swor R, Thomas CR Jr, Venkat A, Wilson J, Yeung SJ, Caterino JM. Cancer pain management in the emergency department: a multicenter prospective observational trial of the Comprehensive Oncologic Emergencies Research Network (CONCERN). Support Care Cancer. 2021 Aug;29(8):4543-4553.

Adler D, Abar B, Durham DD, Bastani A, Bernstein SL, Baugh CW, Bischof JJ, Coyne CJ, Grudzen CR, Henning DJ, Hudson MF, Klotz A, Lyman GH, Madsen TE, Pallin DJ, Reyes-Gibby CC, Rico JF, Ryan RJ, Shapiro NI, Swor R, Thomas CR Jr, Venkat A, Wilson J, Yeung SJ, Caterino JM. Validation of the Emergency Severity Index (Version 4) for the Triage of Adult Emergency Department Patients With Active CancerJ Emerg Med. 2019 Sep: 57(3):354-361.

Caterino JM, Adler D, Durham DD, Yeung SJ, Hudson MF, Bastani A, Bernstein SL, Baugh CW, Coyne CJ, Grudzen CR, Henning DJ, Klotz A, Madsen TE, Pallin DJ, Reyes-Gibby CC, Rico JF, Ryan RJ, Shapiro NI, Swor R, Venkat A, Wilson J, Thomas CR Jr, Bischof JJ, Lyman GH. Analysis of Diagnoses, Symptoms, Medications, and Admissions Among Patients With Cancer Presenting to Emergency DepartmentsJAMA Netw Open. 2019 Mar 1;2(3):e190979

Brown J, Grudzen C, Kyriacou J, Obermeyer Z, Quest T, Rivera D, Stone S, Wright J, Shelburne N. The Emergency Care of Patients With Cancer: Setting the Research AgendaAnn Emerg Med. 2016 Dec;68(6):706-711.

Meetings

Contacts

NIH Contacts

Nonniekaye Shelburne, C.R.N.P., M.S., A.O.C.N.
Clinical and Translational Epidemiology Branch
Epidemiology and Genomics Research Program
Division of Cancer Control and Population Sciences
National Cancer Institute
nonniekaye.shelburne@nih.gov

Jeremy Brown, M.D.
Office of Emergency Care Research
National Institute of General Medical Sciences
Jeremy.brown@nih.gov

Network Executive Committee

David Adler, M.D., M.P.H
CONCERN co-chair, emergency medicine
University of Rochester Medical Center
david_adler@urmc.rochester.edu

Elizabeth Chiao, M.D.
CONCERN co-chair, oncology
MD Anderson Cancer Center
eychiao@mdanderson.org

Jeff Caterino, M.D.
The Ohio State University
Jeffrey.Caterino@osumc.edu

Christopher Coyne, M.D., M.P.H.
University of California, San Diego
cjcoyne@health.ucsd.edu

Matthew Hudson, Ph.D., M.P.H
Prisma Health
Matt.Hudson@prismahealth.org

Caroline Thompson Ph.D., M.P.H.
University of North Carolina
Caroline.thompson@unc.edu