Background: The risk factors for acute care utilization in gynecologic oncology patients are poorly understood. This study aimed to evaluate risk factors for the utilization of our centre’s acute care radiation nursing clinic (RNC) by gynecologic oncology patients receiving radiotherapy (RT). Methods: This was a retrospective cohort study of gynecological cancer patients treated with RT at an academic cancer centre between 1 August 2021 and 31 January 2022. Data on socio-demographics, clinical and treatment characteristics, and RNC visits were collected and summarized by descriptive statistics. The Wilcoxon rank sum test and chi-squared test/Fisher’s exact test were used for comparisons of continuous and categorical variables, respectively. Results: RT was delivered to 180 patients, of whom 42 (23%) received concurrent chemoradiation (CCR). Compared to those receiving RT alone, patients receiving CCR had higher rates of RNC utilization (55% vs. 19%, p < 0.001). Within the CCR cohort, patients who presented to the RNC were more likely to be unpartnered (43% vs. 11%, p = 0.04), receive a referral to Psychosocial Oncology (39% vs. 5.3%, p = 0.01), and experience treatment interruptions (52% vs. 16%, p = 0.02). There were no associations between RNC visits and age, disease site, or distance from the cancer centre. Conclusions: The receipt of CCR and specific psychosocial risk factors were associated with increased RNC utilization. Targeted strategies and early intervention to better meet the supportive care and psychosocial needs of this vulnerable population are needed.

中文翻译：

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放射护理诊所的利用和影响来满足妇科癌症患者的紧急护理需求

背景：对妇科肿瘤患者进行紧急护理的危险因素知之甚少。本研究旨在评估接受放射治疗 (RT) 的妇科肿瘤患者使用我们中心的急症护理放射护理诊所 (RNC) 的危险因素。方法：这是一项对 2021 年 8 月 1 日至 2022 年 1 月 31 日期间在学术癌症中心接受放疗的妇科癌症患者进行的回顾性队列研究。收集了有关社会人口统计学、临床和治疗特征以及 RNC 就诊的数据，并通过描述性统计进行总结。 Wilcoxon 秩和检验和卡方检验/Fisher 精确检验分别用于比较连续变量和分类变量。结果：180 名患者接受了放疗，其中 42 名患者 (23%) 接受了同步放化疗 (CCR)。与仅接受 RT 的患者相比，接受 CCR 的患者的 RNC 使用率更高（55% vs. 19%，p < 0.001）。在 CCR 队列中，到 RNC 就诊的患者更有可能没有伴侣（43% vs. 11%，p = 0.04），被转诊至心理社会肿瘤科（39% vs. 5.3%，p = 0.01），并且经历治疗中断（52% vs. 16%，p = 0.02）。 RNC 就诊与年龄、疾病部位或距癌症中心的距离之间没有关联。结论：接受 CCR 和特定的社会心理危险因素与 RNC 使用率的增加相关。需要有针对性的策略和早期干预，以更好地满足这一弱势群体的支持性护理和心理社会需求。