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.
Nonniekaye Shelburne, CRNP, MS, AOCN
Program Director, Clinical and Translational Epidemiology Branch
nshelburne@mail.nih.gov
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 Opening Remarks NIH Emergency Medicine Research NCI/OECR Cancer and Emergency Medicine Initiative |
11:15 a.m. - 12:00 p.m. |
Session 1: Patient Experiences Managing Oncologic Emergencies Panel Moderator Panelists
|
12:00 p.m. - 1:10 p.m. |
Session 2: Landscape of Oncologic Emergency Care Today Utilization of Oncologic Emergency Services Predicting Cancer-Related Emergency and Urgent Care Utilization Panel Moderator Panelists
|
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 Oncology Care Models: Reducing Emergency Department Utilization Emergency Department Care Models to Improve Oncology Outcomes Panel Moderator Panelists
|
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 Cancer Prevention in the Emergency Department Cancer Screening in the Emergency Department Emergency Department Visits as a Predictor of Cancer Diagnosis Panel Moderator Panelists
|
3:50 p.m. - 4:00 p.m. |
Day 1 Wrap Up and Crowdsourcing 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 Risk Stratification Tools in the Emergency Department Diagnostic Biomarkers Tools in the Emergency Department COVID Rule-out Criteria (CORC): Developing and Implement Prediction Rules in the Emergency Department Panel Moderator Panelists
|
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 Palliative Models of Care for Emergency Patients with Cancer Oncology Goals of Care Discussion in Emergency Department End of Life Management in the Emergency Care Setting Panel Moderator Panelists
|
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? Opportunities and Barriers within Cancer Centers Opportunities and Barriers within the NCI Community Oncology Research Program Opportunities and Barriers within Academic Emergency Medicine Panel Moderator Panelists
|
3:50 p.m. - 4:00 p.m. |
Day 2 Wrap Up and Crowdsourcing 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 Jeffrey Caterino, Ohio State University |
11:30 a.m. - 1:00 p.m. |
Strategic Planning David Alder, University of Rochester, CONCERN co-chair Utilizing open discussion and a virtual voting platform, attendees will:
|
1:00 p.m. - 1:15 p.m. |
Recap and Next Steps David Alder, University of Rochester, 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.