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Kirwin E, MacDonald S, Simmonds K. Profiles in Epidemiology: Dr. Larry Svenson. Am J Epidemiol 2022. [PMID: 34850825 DOI: 10.1093/aje/kwab282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wu CHD, Quan ML, Kong S, Xu Y, Cao JQ, Lupichuk S, Barbera L. Acute Care Use by Breast Cancer Patients on Adjuvant Chemotherapy in Alberta: Demonstrating the Importance of Measurement to Improving Quality. Curr Oncol 2021; 28:4420-4431. [PMID: 34898555 PMCID: PMC8628700 DOI: 10.3390/curroncol28060375] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 10/25/2021] [Accepted: 10/28/2021] [Indexed: 11/30/2022] Open
Abstract
Breast cancer patients receiving adjuvant chemotherapy are at increased risk of acute care use. The incidence of emergency department (ED) visits and hospitalizations (H) have been characterized in other provinces but never in Alberta. We conducted a retrospective population-based cohort study using administrative data of women with stage I-III breast cancer receiving adjuvant chemotherapy. Rates of ED and H use in the 180 days following chemotherapy initiation were determined, and logistic regression was performed to identify risk factors. We found that 47% of women receiving adjuvant chemotherapy experienced ED or H, which compared favourably to other provinces. However, Alberta had the highest rate of febrile neutropenia-related ED visits, and among the highest chemotherapy-related ED visits. The incidence of acute care use increased over time, and there were significant institutional differences despite operating under a single provincial healthcare system. Our study demonstrates the need for systematic measurement and the importance of quality improvement programs to address this gap.
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Affiliation(s)
- Che Hsuan David Wu
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
| | - May Lynn Quan
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
- Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada
| | - Shiying Kong
- Department of Analytics, Alberta Health Services, Calgary, AB T3B0M6, Canada;
| | - Yuan Xu
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
- Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada
| | - Jeffrey Q. Cao
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
| | - Sasha Lupichuk
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
| | - Lisa Barbera
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB T2N1N4, Canada; (C.H.D.W.); (M.L.Q.); (Y.X.); (J.Q.C.); (S.L.)
- Tom Baker Cancer Centre, Calgary, AB T2N4N2, Canada
- Correspondence: ; Tel.: +1-403-521-3077; Fax: +1-403-283-1651
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McAlister FA, Bushnik T, Leung AA, Saxinger L. Établir les priorités de la vaccination contre la COVID-19 en fonction de la prévalence des facteurs de risque chez les adultes au Canada. CMAJ 2021; 193:E823-E828. [PMID: 34059503 PMCID: PMC8177930 DOI: 10.1503/cmaj.210529-f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Finlay A McAlister
- Département de médecine (McAlister, Saxinger), Faculté de médecine et de dentisterie, Université de l'Alberta, Edmonton, Alb.; Division de l'analyse de la santé (Bushnik), Statistique Canada, Ottawa, Ont.; Département de médecine (Leung), École de médecine Cumming, Université de Calgary, Calgary, Alb.; Alberta Health Services (Saxinger), Edmonton, Alb.
| | - Tracey Bushnik
- Département de médecine (McAlister, Saxinger), Faculté de médecine et de dentisterie, Université de l'Alberta, Edmonton, Alb.; Division de l'analyse de la santé (Bushnik), Statistique Canada, Ottawa, Ont.; Département de médecine (Leung), École de médecine Cumming, Université de Calgary, Calgary, Alb.; Alberta Health Services (Saxinger), Edmonton, Alb
| | - Alexander A Leung
- Département de médecine (McAlister, Saxinger), Faculté de médecine et de dentisterie, Université de l'Alberta, Edmonton, Alb.; Division de l'analyse de la santé (Bushnik), Statistique Canada, Ottawa, Ont.; Département de médecine (Leung), École de médecine Cumming, Université de Calgary, Calgary, Alb.; Alberta Health Services (Saxinger), Edmonton, Alb
| | - Lynora Saxinger
- Département de médecine (McAlister, Saxinger), Faculté de médecine et de dentisterie, Université de l'Alberta, Edmonton, Alb.; Division de l'analyse de la santé (Bushnik), Statistique Canada, Ottawa, Ont.; Département de médecine (Leung), École de médecine Cumming, Université de Calgary, Calgary, Alb.; Alberta Health Services (Saxinger), Edmonton, Alb
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McAlister FA, Bushnik T, Leung AA, Saxinger L. Informing COVID-19 vaccination priorities based on the prevalence of risk factors among adults in Canada. CMAJ 2021; 193:E617-E621. [PMID: 33837040 PMCID: PMC8101973 DOI: 10.1503/cmaj.210529] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Affiliation(s)
- Finlay A McAlister
- Department of Medicine (McAlister, Saxinger), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Health Analysis Division (Bushnik), Statistics Canada, Ottawa, Ont.; Department of Medicine (Leung), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta Health Services (Saxinger), Edmonton, Alta.
| | - Tracey Bushnik
- Department of Medicine (McAlister, Saxinger), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Health Analysis Division (Bushnik), Statistics Canada, Ottawa, Ont.; Department of Medicine (Leung), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta Health Services (Saxinger), Edmonton, Alta
| | - Alexander A Leung
- Department of Medicine (McAlister, Saxinger), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Health Analysis Division (Bushnik), Statistics Canada, Ottawa, Ont.; Department of Medicine (Leung), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta Health Services (Saxinger), Edmonton, Alta
| | - Lynora Saxinger
- Department of Medicine (McAlister, Saxinger), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Health Analysis Division (Bushnik), Statistics Canada, Ottawa, Ont.; Department of Medicine (Leung), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta Health Services (Saxinger), Edmonton, Alta
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