Mismanagement of malignant hypercalcaemia.

摘要

Background The National Chemotherapy Advisory Group 2009 report emphasised the need for expert oncological assessment of cancer patients presenting to hospital as emergencies within 24 hours; hence the establishment of the Acute Oncology Service (AOS) team in all NHS trusts that assess and admit cancer patients, where formerly such provision was not always available. However, in the majority of district general hospitals, out-of-hours management of oncological emergencies remains the responsibility of the admitting medical team. Our recently undertaken audit on hypercalcaemia of malignancy reveals that in our centre this oncological emergency was mismanaged by medical teams in a significant proportion of cases.