A recent study reveals that nearly 30% of Australian patients diagnosed with malignant skin cancers, including melanoma, visit emergency departments (EDs) within a year of diagnosis. Conducted at Royal Melbourne and Western Health hospitals, the research highlights key demographic and socioeconomic factors tied to higher ED use, such as older age, male gender, and non-English primary language. These findings underscore the need for targeted care strategies to reduce preventable ED visits in high-risk groups. The study was published in Oncology Advances.
The study analyzed 3,873 patients diagnosed with skin malignancies between 2010 and 2018, of whom 631 had melanoma. Results showed that 29% of patients presented to the ED, accounting for 2,119 care episodes. Key risk factors included:
- Age 75+: 78% higher odds and 52% more frequent visits compared to younger groups.
- Male gender: 17% higher odds and 23% more frequent visits than females.
- Socioeconomic status (SES): Both the lowest (0-30%) and highest (71-100%) SES groups had elevated risks, with 59% and 30% higher odds, respectively.
- Non-English primary language: 47% higher odds and 49% more frequent visits.
- Cancer treatments: Patients undergoing systemic therapy or radiotherapy faced 3.77 times higher odds of ED visits.
Younger patients (<65 years) had a protective effect, with 28% lower odds of ED presentations. Similar trends were observed in the melanoma subgroup.
Lead researchers noted, “These findings highlight disparities in post-diagnosis care access, particularly for older, male, and linguistically diverse patients. Addressing these gaps could improve outcomes and reduce ED burdens.”
The study provides the first comprehensive data on ED visits after skin cancer diagnosis, emphasizing the need for tailored interventions for high-risk populations. Future research could explore targeted support programs to mitigate avoidable ED use and enhance patient care.
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