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

  • Rahela Aziz-Bose
  • , Daniel J. Zheng
  • , Puja J. Umaretiya
  • , Lenka Ilcisin
  • , Kristen Stevenson
  • , Victoria Koch
  • , Ariana Valenzuela
  • , Peter D. Cole
  • , Lisa M. Gennarini
  • , Justine M. Kahn
  • , Kara M. Kelly
  • , Thai Hoa Tran
  • , Bruno Michon
  • , Jennifer J.G. Welch
  • , Lewis B. Silverman
  • , Joanne Wolfe
  • , Kira Bona
  • Dana-Farber Cancer Institute
  • Boston Children's Hospital
  • Harvard University
  • Children's Hospital of Philadelphia
  • Brigham and Women’s Hospital
  • Rutgers - The State University of New Jersey, New Brunswick
  • Albert Einstein College of Medicine
  • Columbia University
  • Sainte-Justine Hospital University Center
  • Centre de Recherche du Centre Hospitalier de l'Université Laval (CRCHUL)
  • Brown University

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish
Article numbere29933
JournalPediatric Blood and Cancer
Volume69
Issue number11
DOIs
StatePublished - Nov 2022

Keywords

  • health equity
  • research methods
  • social determinants of health

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