@article {Fujimoto1098, author = {Daichi Fujimoto and Ryoko Shimizu and Takeshi Morimoto and Ryoji Kato and Yuki Sato and Mariko Kogo and Jiro Ito and Shunsuke Teraoka and Takehiro Otoshi and Kazuma Nagata and Atsushi Nakagawa and Kojiro Otsuka and Nobuyuki Katakami and Keisuke Tomii}, title = {Analysis of advanced lung cancer patients diagnosed following emergency admission}, volume = {45}, number = {4}, pages = {1098--1107}, year = {2015}, doi = {10.1183/09031936.00068114}, publisher = {European Respiratory Society}, abstract = {Data on prognosis and predictors of overall survival in advanced lung cancer patients diagnosed following emergency admission (DFEA) are currently lacking.We retrospectively analysed data from 771 patients with advanced nonsmall cell lung cancer between April 2004 and April 2012.Of the 771 patients, 103 (13\%) were DFEA. DFEA was not an independent predictor of overall survival by multivariate Cox proportional hazard models, whereas good performance status (PS), epidermal growth factor receptor gene mutation, stage IIIB, adenocarcinoma and chemotherapy were independent predictors of overall survival (hazard ratio (95\% CI) 0.36 (0.29{\textendash}0.44), p\<0.001; 0.49 (0.38{\textendash}0.63), p\<0.001; 0.64 (0.51{\textendash}0.80), p\<0.001; 0.81 (0.67{\textendash}0.99), p=0.044; and 0.40 (0.31{\textendash}0.52), p\<0.001, respectively). Good PS just prior to opting for chemotherapy, but not at emergency admission, was a good independent predictor of overall survival in DFEA patients (hazard ratio (95\% CI) 0.26 (0.12{\textendash}0.55); p\<0.001).DFEA is relatively common. DFEA and PS at emergency admission were not independent predictors of overall survival, but good PS just prior to opting for chemotherapy was an independent predictor of longer overall survival. Efforts to improve patient PS after admission should be considered vital in such circumstances.Efforts to improve performance status after admission are vital in patients diagnosed following emergency admission http://ow.ly/C3BDQ}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/45/4/1098}, eprint = {https://erj.ersjournals.com/content/45/4/1098.full.pdf}, journal = {European Respiratory Journal} }