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Epidemiology and Genomics Research Program

Cancer and Emergency Medicine: Setting the Research Agenda Workshop

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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Have questions about this topic or need additional assistance?

Contact Us

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

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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

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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

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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

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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

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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

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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

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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

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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?

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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

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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

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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:

  1. Access network goals and objectives
  2. Evaluate the current network structure
  3. 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 agendaExternal Web Site Policy. 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.