Article Dans Une Revue International Journal of Cancer Année : 2025

Emergency cancer diagnosis in Paris: A cross‐sectional study using AP‐HP data

Matthew E Barclay
Ariel Cohen
Sonia Priou
Marie Verdoux
  • Fonction : Auteur
Rémi Flicoteaux
  • Fonction : Auteur
Alexis Laurent
  • Fonction : Auteur
Gilles Chatellier
  • Fonction : Auteur
Christophe Tournigand
  • Fonction : Auteur
Georgios Lyratzopoulos
  • Fonction : Auteur
Emmanuelle Kempf

Résumé

Many cancer patients are diagnosed following an emergency hospital admission in the 30 days preceding their diagnosis ('emergency presentation') and these patients have worse outcomes. Despite multiple international studies, there is only sparse evidence on emergency diagnosis of cancer in France. We examined the frequency of emergency presentation and its association with survival in patients with breast, lung, colon, rectal and pancreatic cancer, using data from the Paris Region University Hospitals (Assistance Publique Hôpitaux de Paris, AP-HP). Between January 2019 and June 2022, 25,845 patients were newly referred with a relevant cancer, of whom 3960 (15.3%) were emergency presentations (23% for pancreatic, 20% for colon, 19% for lung, 9% for rectal and 6% for breast cancer). Emergency presenters were more likely to have metastatic cancer, less likely to have surgical treatment (except for colon cancer patients), and more likely to die within a year from diagnosis. The risk Abbreviations: AP-HP, Assistance Publique Hôpitaux de Paris; CI, confidence interval; CT, computed tomography; EP, 'emergency presentation', defined in this study as diagnosis within 30 days of an emergency hospital admission; HR, hazard ratio; MDT, multi-disciplinary team; NLP, natural language processing; OR, odds ratio.

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hal-05220927 , version 1 (24-08-2025)

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Matthew E Barclay, Ariel Cohen, Sonia Priou, Marie Verdoux, Rémi Flicoteaux, et al.. Emergency cancer diagnosis in Paris: A cross‐sectional study using AP‐HP data. International Journal of Cancer, 2025, ⟨10.1002/ijc.70056⟩. ⟨hal-05220927⟩
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