A novel approach to improving ambulatory outpatient management of low risk febrile neutropenia: an Enhanced Supportive Care (ESC) clinic.

Purpose: Outpatient management of low risk febrile neutropenia patients (LRFN) identified by the MASCC score is a safe and effective strategy. Early supportive care has been shown to improve outcomes in patients with care. We developed an innovative ambulatory outpatient "enhanced supportive care" (ESC) clinic combining emergency oncology and supportive care through which we incorporated the management of patients with LRFN.

Acute medical and specialty support at a tertiary cancer centre: a collaboration to achieve high-quality care for acutely unwell patients with cancer.

There is increasing recognition of the need for collaboration between oncologists, acute physicians and specialists to improve the quality of care and outcomes of acutely unwell patients with cancer. At The Christie, a tertiary oncology hospital, a model has been developed to deliver acute medical and specialty support services. This delivers, among many things, a consultant-led acute medical ward round on weekdays.

Risk assessment in acute non-variceal upper GI bleeding: the AIMS65 score in comparison with the Glasgow-Blatchford score in a Scottish population.

Introduction: The early use of risk stratification scores is recommended for patients presenting with acute non-variceal upper gastrointestinal (GI) bleeds (ANVGIB). AIMS65 is a novel, recently derived scoring system, which has been proposed as an alternative to the more established Glasgow-Blatchford score (GBS).

Objective: To validate the AIMS65 scoring system in a predominantly Caucasian population from Scotland and compare it with the GBS.