Table 1.
Comparison of individuals who visited the Urgent Cancer Care Clinic (UCC) or an emergency department (ED) by follow-up period, 2013–2016, Winnipeg, Manitoba (N = 13,252 visits).
| Variables | UCC Visits, No. (%) | ED Visits, No. (%) | ||||||
|---|---|---|---|---|---|---|---|---|
| Follow-Up Period | Follow-Up Period | |||||||
| 1 to 6 (N = 1358) | 7 to 12 (N = 959) | 13 to 18 (N = 531) | 19 to 24 (N = 304) | 1 to 6 (N = 4203) | 7 to 12 (N = 2491) | 13 to 18 (N = 1943) | 19 to 24 (N = 1463) | |
| Chemotherapy status at time of visit | ||||||||
| Active | 921 (68) | 485 (51) | 178 (34) | 109 (36) | 1147 (27) | 669 (27) | 282 (15) | 176 (12) |
| Inactive | 93 (7) | 330 (34) | 250 (47) | 136 (45) | 180 (4) | 590 (24) | 711 (37) | 575 (39) |
| None | 344 (25) | 144 (15) | 103 (19) | 59 (19) | 2876 (68) | 1232 (49) | 950 (49) | 712 (49) |
| Radiation therapy status at time of visit | ||||||||
| Active | 305 (22) | 163 (17) | 43 (8) | 13 (4) | 423 (10) | 137 (6) | 63 (3) | 43 (3) |
| Inactive | 105 (8) | 273 (28) | 212 (40) | 142 (47) | 280 (7) | 730 (29) | 674 (35) | 554 (38) |
| None | 948 (70) | 523 (55) | 276 (52) | 149 (49) | 3500 (83) | 1624 (65) | 1206 (62) | 866 (59) |
| Hormone therapy status at time of visit | ||||||||
| Active | 35 (2) | 80 (8) | 37 (7) | 16 (5) | 115 (3) | 142 (6) | 142 (7) | 116 (8) |
| Inactive | 12 (1) | 42 (4) | 25 (5) | 23 (8) | 70 (2) | 184 (7) | 181 (9) | 199 (14) |
| None | 1314 (97) | 837 (87) | 469 (88) | 265 (87) | 4018 (96) | 2165 (87) | 1620 (83) | 1148 (78) |
| Immunotherapy status at time of visit | ||||||||
| Active | 175 (13) | 115 (12) | 66 (12) | 29 (10) | 191 (5) | 111 (4) | 97 (5) | 52 (4) |
| Inactive | 18 (1) | 50 (5) | 70 (13) | 60 (20) | 21 (1) | 89 (4) | 118 (6) | 121 (8) |
| None | 1165 (86) | 794 (83) | 395 (74) | 215 (71) | 3991 (95) | 2291 (92) | 1728 (89) | 1290 (88) |
| Site | ||||||||
| Hematologic | 299 (22) | 177 (18) | 123 (23) | 76 (25) | 535 (13) | 295 (12) | 245 (13) | 176 (12) |
| Genitourinary | 148 (11) | 110 (11) | 96 (18) | 78 (26) | 677 (16) | 518 (21) | 411 (21) | 364 (25) |
| Lung and bronchus | 215 (16) | 173 (18) | 84 (16) | 34 (11) | 807 (19) | 333 (13) | 239 (12) | 156 (11) |
| Breast | 280 (20) | 239 (25) | 56 (11) | 34 (11) | 487 (11) | 339 (14) | 260 (13) | 218 (15) |
| Digestive | 279 (21) | 171 (18) | 86 (16) | 49 (16) | 1170 (28) | 666 (27) | 493 (25) | 337 (23) |
| Other | 137 (10) | 89 (9) | 86 (16) | 33 (11) | 527 (13) | 340 (14) | 295 (15) | 212 (14) |
| Stage | ||||||||
| I | 124 (9) | 107 (11) | 46 (9) | 25 (8) | 585 (14) | 426 (17) | 376 (19) | 324 (22) |
| II | 256 (19) | 229 (24) | 85 (16) | 82 (27) | 728 (17) | 557 (22) | 471 (24) | 378 (26) |
| III | 345 (25) | 240 (25) | 122 (23) | 70 (23) | 818 (19) | 562 (23) | 397 (20) | 326 (22) |
| IV | 433 (32) | 259 (27) | 168 (32) | 63 (21) | 1437 (34) | 620 (25) | 394 (20) | 242 (17) |
| Unknown | 200 (15) | 124 (13) | 110 (21) | 64 (21) | 635 (15) | 326 (13) | 305 (16) | 193 (13) |
| Age at diagnosis (mean (SD)) | 61 (12) | 62 (12) | 62 (12) | 60 (13) | 67 (14) | 66 (14) | 66 (14) | 67 (14) |
| Sex | ||||||||
| Male | 550 (41) | 345 (36) | 286 (54) | 140 (46) | 2036 (48) | 1272 (51) | 1003 (52) | 677 (46) |
| Female | 808 (60) | 614 (64) | 245 (46) | 164 (54) | 2167 (52) | 1219 (49) | 940 (48) | 786 (54) |
| Income quintile (Q) | ||||||||
| Q1 (lowest) | 282 (21) | 180 (19) | 87 (16) | 53 (17) | 1147 (25) | 663 (27) | 482 (25) | 339 (23) |
| Q2 | 264 (19) | 198 (21) | 88 (17) | 62 (20) | 803 (19) | 509 (20) | 383 (20) | 332 (23) |
| Q3 | 294 (22) | 185 (19) | 128 (24) | 82 (27) | 850 (20) | 460 (18) | 364 (19) | 292 (20) |
| Q4 | 286 (21) | 218 (23) | 128 (24) | 44 (14) | 777 (18) | 457 (18) | 407 (21) | 282 (19) |
| Q5 (highest) | 232 (17) | 178 (19) | 100 (19) | 63 (21) | 726 (17) | 402 (16) | 307 (16) | 218 (15) |
| Residential mobility a | ||||||||
| Low | 1268 (93) | 903 (94) | 497 (94) | 264 (87) | 3819 (91) | 2283 (92) | 1780 (92) | 1338 (91) |
| High | 90 (7) | 56 (6) | 34 (6) | 40 (13) | 384 (9) | 208 (8) | 163 (8) | 125 (9) |
| Continuity of care b | ||||||||
| Yes (≥50%) | 936 (69) | 648 (68) | 364 (69) | 221 (73) | 2993 (71) | 1761 (71) | 1336 (69) | 1024 (70) |
| No (<50%) | 312 (23) | 230 (24) | 119 (22) | 54 (18) | 854 (20) | 553 (22) | 445 (23) | 314 (21) |
| <3 visits | 110 (8) | 81 (8) | 48 (9) | 29 (10) | 356 (8) | 177 (7) | 162 (8) | 125 (9) |
| Emergency department visits in 3 months prior to diagnosis | ||||||||
| 0 | 847 (62) | 634 (66) | 361 (68) | 204 (67) | 2243 (53) | 1507 (61) | 1172 (60) | 963 (66) |
| 1 | 288 (21) | 212 (22) | 106 (20) | 68 (22) | 1100 (26) | 571 (23) | 472 (24) | 281 (19) |
| 2 or more | 223 (16) | 113 (12) | 64 (12) | 32 (11) | 860 (20) | 413 (17) | 299 (15) | 219 (15) |
| Primary care clinician visits | ||||||||
| Median (IQR) | 6 (3–10) | 6 (3–10) | 6 (3–10) | 6 (3–10) | 7 (3–12) | 7 (4–12) | 7 (4–13) | 8 (4–14) |
| Comorbidity (resource use band) | ||||||||
| 0, 1, 2 | 288 (21) | 208 (22) | 101 (19) | 55 (18) | 740 (18) | 395 (16) | 321 (17) | 235 (16) |
| 3 | 810 (60) | 585 (61) | 318 (60) | 186 (61) | 2377 (57) | 1406 (56) | 1096 (56) | 788 (54) |
| 4, 5 | 260 (19) | 166 (17) | 112 (21) | 63 (21) | 1086 (26) | 690 (28) | 526 (27) | 440 (30) |
| Canadian Triage Acuity Score (CTAS) | ||||||||
| 1, 2 | 338 (25) | 197 (21) | 94 (18) | 54 (18) | 1081 (26) | 674 (27) | 495 (25) | 361 (25) |
| 3, 4, 5 | 914 (67) | 706 (74) | 403 (76) | 229 (75) | 3115 (74) | 1814 (73) | 1441 (74) | 1098 (75) |
| Unknown | 106 (8) | 56 (6) | 34 (6) | 21 (7) | 7 (0) | 3 (0) | 7 (0) | 4 (0) |
| Days between diagnosis and ED/UCC visit | ||||||||
| Median (IQR) | 105 (67–140) | 249 (211–295) | 428 (394–483) | 615 (576–670) | 70 (27–121) | 263 (219–307) | 443 (400–493) | 624 (580–674) |
| Days between diagnosis and start of eligibility | ||||||||
| Median (IQR) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0 (0–0) |
| Hours between triage and discharge | ||||||||
| Median (IQR) | 2 (1–3) | 2 (1–3) | 2 (1–3) | 2 (1–3) | 9 (5–20) | 9 (5–19) | 9 (5–19) | 8 (5–18) |
| Hours between triage and exam room | ||||||||
| Median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) | NA | NA | NA | NA |
Abbreviations: UCC, urgent cancer care; ED, emergency department; IQR, interquartile range; NA, not available. a Residential mobility included postal code changes in the 5 years prior to diagnosis. b Continuity of care included primary care clinician visits in the 6 to 30 months prior to diagnosis.