Feasibility of oncology clinical trial-embedded evaluation of social determinants of health

被引:13
作者
Aziz-Bose, Rahela [1 ,2 ,3 ]
Zheng, Daniel J. [4 ,5 ]
Umaretiya, Puja J. [1 ,2 ,3 ,6 ]
Ilcisin, Lenka [1 ,2 ,7 ,8 ]
Stevenson, Kristen [1 ]
Koch, Victoria [1 ]
Valenzuela, Ariana [1 ]
Cole, Peter D. [9 ]
Gennarini, Lisa M. [10 ]
Kahn, Justine M. [11 ]
Kelly, Kara M. [12 ]
Thai-Hoa Tran [13 ]
Michon, Bruno [14 ]
Welch, Jennifer J. G. [15 ]
Silverman, Lewis B. [1 ,2 ,3 ]
Wolfe, Joanne [2 ,3 ,6 ]
Bona, Kira [1 ,2 ,3 ,16 ]
机构
[1] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA 02115 USA
[2] Boston Childrens Hosp, Div Pediat Hematol Oncol, Boston, MA USA
[3] Harvard Med Sch, Boston, MA 02115 USA
[4] Childrens Hosp Philadelphia, Div Hematol, Philadelphia, PA 19104 USA
[5] Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
[6] Dana Farber Canc Inst, Dept Psychosocial Oncol & Palliat Care, Boston, MA 02115 USA
[7] Boston Childrens Hosp, Dept Pediat Surg, Boston, MA USA
[8] Brigham & Womens Hosp, Dept Surg, 75 Francis St, Boston, MA 02115 USA
[9] Rutgers Canc Inst New Jersey, Div Pediat Hematol Oncol, New Brunswick, NJ USA
[10] Montefiore Med Ctr, Div Pediat Hematol Oncol & Blood & Marrow Cell Tr, 111 E 210th St, Bronx, NY 10467 USA
[11] Columbia Univ, Irving Med Ctr, Div Pediat Hematol Oncol & Stem Cell Transplantat, New York, NY USA
[12] Roswell Pk Comprehens Canc Ctr, Dept Pediat, Buffalo, NY USA
[13] Univ Montreal, Charles Bruneau Canc Ctr, Div Pediat Hematol Oncol, CHU Ste Justine, Montreal, PQ, Canada
[14] Ctr Hosp Univ Quebec, Dept Pediat, Ste Foy, PQ, Canada
[15] Brown Univ, Hasbro Childrens Hosp, Div Pediat Hematol Oncol, Providence, RI 02912 USA
[16] Dana Farber Canc Inst, Div Populat Sci, Boston, MA 02115 USA
基金
美国国家卫生研究院;
关键词
health equity; research methods; social determinants of health;
D O I
10.1002/pbc.29933
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Social determinants of health (SDoH) are associated with stark disparities in cancer outcomes, but systematic SDoH data collection is virtually absent from oncology clinical trials. Trial-based SDoH data are essential to ensure representation of marginalized populations, contextualize outcome disparities, and identify health-equity intervention opportunities. We report the feasibility of a pediatric oncology multicenter therapeutic trial-embedded SDoH investigation. Among 448 trial participants, 392 (87.5%) opted-in to the embedded SDoH study; 375 (95.7%) completed baseline surveys, with high longitudinal response rates (88.9-93.1%) over 24 months. Trial-embedded SDoH data collection is feasible and acceptable and must be consistently included within future oncology trials.
引用
收藏
页数:5
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