Emergency department presentations in early stage breast cancer patients receiving adjuvant and neoadjuvant chemotherapy.

Abstract:

:(Neo)adjuvant chemotherapy for early stage breast cancer is associated with side-effects, resulting in increased emergency department (ED) presentations. Treatment-related toxicity can affect quality of life, compromise chemotherapy delivery and treatment outcomes, and increase healthcare use. We performed a retrospective study of ED presentations in patients receiving curative chemotherapy for early breast cancer to identify factors contributing to ED presentations. Of 102 patients, 39 (38%) presented to ED within 30 days of chemotherapy, resulting in 63 ED presentations in total. Most common reasons were non-neutropenic fever (17 presentations/27%), neutropenic fever (15/24%), pain (9/14%), drug reaction (6/10%) and infection (4/6%). Factors significantly associated with ED presentation were adjuvant chemotherapy timing compared to neoadjuvant timing (P = 0.031), prophylactic antibiotics (P = 0.045) and docetaxel-containing regimen (P = 0.018).

journal_name

Intern Med J

authors

Tang M,Horsley P,Lewis CR

doi

10.1111/imj.13785

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

583-587

issue

5

eissn

1444-0903

issn

1445-5994

journal_volume

48

pub_type

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