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Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study

Noninfectious diseases may be diagnosed during infectious disease (ID) consultations. Among non-IDs, cancer diagnosis is important; however, epidemiological data describing the relationship between ID consultations and newly diagnosed cancer patients are scarce. This study described the frequency an...

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Autores principales: Hadano, Yoshiro, Watari, Takashi, Yasunaga, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310885/
https://www.ncbi.nlm.nih.gov/pubmed/32569236
http://dx.doi.org/10.1097/MD.0000000000020876
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author Hadano, Yoshiro
Watari, Takashi
Yasunaga, Hiroshi
author_facet Hadano, Yoshiro
Watari, Takashi
Yasunaga, Hiroshi
author_sort Hadano, Yoshiro
collection PubMed
description Noninfectious diseases may be diagnosed during infectious disease (ID) consultations. Among non-IDs, cancer diagnosis is important; however, epidemiological data describing the relationship between ID consultations and newly diagnosed cancer patients are scarce. This study described the frequency and tendency of new cancer diagnoses in patients after ID consultation. This retrospective study included adult inpatients who underwent ID consultations between October 2016 and March 2018. The demographic data and clinical manifestations of each case are described. Among the 380 inpatients who underwent ID consultations, 6 (1.6%) received a new cancer diagnosis after ID consultation. Among the initial most likely diagnoses, 3 patients were diagnosed with IDs and 3 were diagnosed with non-IDs. The initial most likely ID diagnosis was important for new cancer diagnoses (P = .004, odds ratio: 11.1, 95% confidence interval: 2.11–57.2); diagnostic errors, as judged by the physicians, occurred in 2 of the 6 cases. While the frequency of establishing new diagnoses during ID consultations is low, coexisting infection and cancer is possible. ID specialists should identify any patterns related to new cancer diagnosis in patients to prevent diagnostic error and improve the quality of diagnosis.
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spelling pubmed-73108852020-07-08 Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study Hadano, Yoshiro Watari, Takashi Yasunaga, Hiroshi Medicine (Baltimore) 4900 Noninfectious diseases may be diagnosed during infectious disease (ID) consultations. Among non-IDs, cancer diagnosis is important; however, epidemiological data describing the relationship between ID consultations and newly diagnosed cancer patients are scarce. This study described the frequency and tendency of new cancer diagnoses in patients after ID consultation. This retrospective study included adult inpatients who underwent ID consultations between October 2016 and March 2018. The demographic data and clinical manifestations of each case are described. Among the 380 inpatients who underwent ID consultations, 6 (1.6%) received a new cancer diagnosis after ID consultation. Among the initial most likely diagnoses, 3 patients were diagnosed with IDs and 3 were diagnosed with non-IDs. The initial most likely ID diagnosis was important for new cancer diagnoses (P = .004, odds ratio: 11.1, 95% confidence interval: 2.11–57.2); diagnostic errors, as judged by the physicians, occurred in 2 of the 6 cases. While the frequency of establishing new diagnoses during ID consultations is low, coexisting infection and cancer is possible. ID specialists should identify any patterns related to new cancer diagnosis in patients to prevent diagnostic error and improve the quality of diagnosis. Wolters Kluwer Health 2020-06-19 /pmc/articles/PMC7310885/ /pubmed/32569236 http://dx.doi.org/10.1097/MD.0000000000020876 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 4900
Hadano, Yoshiro
Watari, Takashi
Yasunaga, Hiroshi
Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title_full Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title_fullStr Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title_full_unstemmed Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title_short Infectious disease consultations and newly diagnosed cancer patients: A single-center retrospective observational study
title_sort infectious disease consultations and newly diagnosed cancer patients: a single-center retrospective observational study
topic 4900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310885/
https://www.ncbi.nlm.nih.gov/pubmed/32569236
http://dx.doi.org/10.1097/MD.0000000000020876
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