Document Detail

Epidemiologic findings of cancer detected in a pediatric emergency department.
MedLine Citation:
PMID:  18832531     Owner:  NLM     Status:  MEDLINE    
This study describes epidemiologic findings of pediatric cancer diagnosed in the emergency department (ED) setting. Medical records are retrospectively reviewed on all patients in the hospital's cancer database between 2000 and 2004 who were diagnosed as having cancer or whose oncologic diagnosis was missed during their ED presentation. Of 427 patients identified in the cancer database, 18% (77 of 427) are analyzed. Oncologic diagnosis was missed in 5% (4 of 77) of the eligible patients initially presenting to the ED. The incidence of cancer in the ED is 22.8 cases per 100,000 ED visits. The most prevalent cancer is related to the hematologic system (37.7%), followed by the central nervous system (31.2%) and the abdomen (22.1%). Hematologic, central nervous system, and abdominal cancers constitute approximately 90% of all childhood cancers. Cancer is diagnosed frequently in our ED patient population. Based on the prevalence of certain tumors, the diagnostic approach to children with hematologic, neurologic, or abdominal complaints should include evaluation for any underlying cancer.
Manu Kundra; Curt Stankovic; Nimisha Gupta; Ronald Thomas; Merlin Hamre; Prashant Mahajan
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-02
Journal Detail:
Title:  Clinical pediatrics     Volume:  48     ISSN:  0009-9228     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-16     Completed Date:  2009-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  404-9     Citation Subset:  AIM; IM    
Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI 48201, USA.
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MeSH Terms
Abdominal Neoplasms / diagnosis,  epidemiology*
Central Nervous System Neoplasms / diagnosis,  epidemiology*
Child, Preschool
Diagnostic Errors
Emergency Service, Hospital / statistics & numerical data*
Head and Neck Neoplasms / diagnosis,  epidemiology*
Hematologic Neoplasms / diagnosis,  epidemiology*
Pediatrics / statistics & numerical data*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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