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Milkie Vu, Northwestern University, 680 N. Lakeshore Drive, Suite 1400, Chicago, IL 60611. Phone: 312-503-6592; E-mail: milkie.vu@northwestern.edu

M. Vu: Conceptualization, data curation, formal analysis, methodology, writing-original draft, writing-review and editing. K. Boyd: Data curation, writing-review and editing. E.H. De Marchis: Conceptualization, writing-review and editing. B.G. Garnache: Data curation, writing-review and editing. L.M. Gottlieb: Conceptualization, writing-review and editing. C.P. Gross: Conceptualization, resources, funding acquisition, writing-review and editing. N.K. Lee: Data curation, writing-review and editing. S.T. Lindau: Conceptualization, resources, data curation, funding acquisition, writing-review and editing. S. Mun: Resources, data curation, writing-review and editing. V.A. Winslow: Formal analysis, validation, methodology, writing-review and editing. J.A. Makelarski: Conceptualization, resources, formal analysis, methodology, writing-review and editing.

This work was supported by pilot funding from the University of Chicago Comprehensive Cancer Center (P30CA014599) and grants R01MD012630, R01AG064949, and R21CA226726. This content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The funding for open access publication is supported by the Northwestern University Libraries.

S.T. Lindau is founder and co-owner of NowPow LLC, a company acquired in September 2021 by Unite Us LLC, where S.T. Lindau is a paid advisor and a stockholder. S.T. Lindau is president of MAPSCorps, a 501c3 nonprofit organization, and serves on other nonprofit boards. Neither the University of Chicago nor the University of Chicago Medicine endorses or promotes any NowPow, Unite Us or MAPSCorps product or service. S.T. Lindau holds debt in Glenbervie Health LLC and health care–related investments managed by third parties. S.T. Lindau is a contributor to UpToDate Inc. The University of Chicago receives royalties from UpToDate Inc. C.P. Gross has received research funding from the NCCN Foundation (AstraZeneca; paid through Yale), from Johnson and Johnson to help devise and implement new approaches to sharing clinical trial data (paid through Yale) as well as research funding from Genentech (paid to C.P. Gross). N.K. Lee received funding from the National Ovarian Cancer Coalition (honorarium for consultation on educational content). C.P. Gross reports grants from Johnson and Johnson and NCCN (AstraZeneca), and personal fees from Genentech outside the submitted work. S.T. Lindau reports grants from NIH and other from Unite Us, LLC, UpToDate, INC, and Glenbervie Health, LLC during the conduct of the study. No disclosures were reported by the other authors.

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Keywords:

  • cancer treatment

Perceived Appropriateness of Assessing for Health-related Socioeconomic Risks Among Adult Patients with Cancer

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Journal Title:

Cancer Research Communications

Volume:

Volume 3, Number 4

Publisher:

, Pages 521-531

Type of Work:

Article | Final Publisher PDF

Abstract:

Cancer treatment can trigger or exacerbate health-related socioeconomic risks (HRSR; food/housing insecurity, transportation/utilities difficulties, and interpersonal violence). The American Cancer Society and National Cancer Institute recommend HRSR screening and referral, but little research has examined the perceptions of patients with cancer on the appropriateness of HRSR screening in healthcare settings. We examined whether HRSR status, desire for assistance with HRSRs, and sociodemographic and health care–related factors were associated with perceived appropriateness of HRSR screening in health care settings and comfort with HRSR documentation in electronic health records (EHR). A convenience sample of adult patients with cancer at two outpatient clinics completed self-administered surveys. We used χ2 and Fisher exact tests to test for significant associations. The sample included 154 patients (72% female, 90% ages 45 years or older). Thirty-six percent reported ≥1 HRSRs and 27% desired assistance with HRSRs. Overall, 80% thought it was appropriate to assess for HRSRs in health care settings. The distributions of HRSR status and sociodemographic characteristics were similar among people who perceived screening to be appropriate and those who did not. Participants who perceived screening as appropriate were three times as likely to report prior experience with HRSR screening (31% vs. 10%, P = 0.01). Moreover, 60% felt comfortable having HRSRs documented in the EHR. Comfort with EHR documentation of HRSRs was significantly higher among patients desiring assistance with HRSRs (78%) compared with those who did not (53%, P < 0.01). While initiatives for HRSR screening are likely to be seen by patients with cancer as appropriate, concerns may remain over electronic documentation of HRSRs.

Copyright information:

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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