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Purpose <p>Social determinants of health (SDOH) and health-related social needs (HRSN) impact cancer outcomes, yet few programs systematically address these needs. We examined the feasibility of routine assessment of SDOH/HRSN within a clinical metastatic breast cancer (MBC) program and subsequent linkage to support services.</p> Methods <p>We approached patients with MBC seen at an NCI-designated center from January-October 2023 who were ≤ 6&#xa0;months from MBC consultation or diagnosis. Enrolled participants were administered a baseline survey of SDOH/HRSN, referred to appropriate services, and surveyed again at 3–6&#xa0;months. Outcomes included feasibility of SDOH/HRSN documentation (defined as ≥ 80% of participants completing baseline surveys); prevalence of needs; and use of and satisfaction with support services.</p> Results <p>Among the 112 patients approached, 98 (87.5%) enrolled and 73 (74.5%) completed the baseline survey. Median age was 58&#xa0;years (range 29–84), with 82.2%, 8.2%, and 1.4% identifying as White, Black, or Hispanic, respectively. Overall, 71.2% reported 1 + need; 28.8% had 3 + needs. Reported concerns included transportation costs (32.9%), medical costs (20.8%), medication payments (15.5%), and utility bills (19.2%); 13.7% and 6.9% reported food or housing insecurity, respectively. Although all participants needing resources were referred, 27.3% accessed referred services, and 59.1% of reported needs were partially or fully met on follow-up assessment. Patients and clinicians expressed positive feelings about the intervention.</p> Conclusions <p>Our findings highlight the challenges and importance of systematically assessing SDOH/HRSN in a clinical setting, with a high degree of unmet needs reported among MBC patients. Future work will address utilization barriers and resource customization.</p>

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The LIFT UP study: feasibility of systematically identifying and addressing resource needs in those with metastatic breast cancer

  • 期刊论文

  • 发表日期：

    2026年4月7日

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  • Temidayo A. Fadelu,
  • Ashley Odai-Afotey,
  • Alyssa Martin,
  • Molly Skeffington,
  • Melissa Hughes,
  • Renee Fullem,
  • Anna Revette,
  • Brett Nava-Coulter,
  • Adriana Perilla-Glen,
  • Sandra Brown RN,
  • Ross Kusmick,
  • Abigail Moore,
  • Simone Buck,
  • Kerry Sendrick,
  • Sarah Sammons,
  • Sara M. Tolaney,
  • Nancy U. Lin,
  • Rachel A. Freedman

摘要

Purpose

Social determinants of health (SDOH) and health-related social needs (HRSN) impact cancer outcomes, yet few programs systematically address these needs. We examined the feasibility of routine assessment of SDOH/HRSN within a clinical metastatic breast cancer (MBC) program and subsequent linkage to support services.

Methods

We approached patients with MBC seen at an NCI-designated center from January-October 2023 who were ≤ 6 months from MBC consultation or diagnosis. Enrolled participants were administered a baseline survey of SDOH/HRSN, referred to appropriate services, and surveyed again at 3–6 months. Outcomes included feasibility of SDOH/HRSN documentation (defined as ≥ 80% of participants completing baseline surveys); prevalence of needs; and use of and satisfaction with support services.

Results

Among the 112 patients approached, 98 (87.5%) enrolled and 73 (74.5%) completed the baseline survey. Median age was 58 years (range 29–84), with 82.2%, 8.2%, and 1.4% identifying as White, Black, or Hispanic, respectively. Overall, 71.2% reported 1 + need; 28.8% had 3 + needs. Reported concerns included transportation costs (32.9%), medical costs (20.8%), medication payments (15.5%), and utility bills (19.2%); 13.7% and 6.9% reported food or housing insecurity, respectively. Although all participants needing resources were referred, 27.3% accessed referred services, and 59.1% of reported needs were partially or fully met on follow-up assessment. Patients and clinicians expressed positive feelings about the intervention.

Conclusions

Our findings highlight the challenges and importance of systematically assessing SDOH/HRSN in a clinical setting, with a high degree of unmet needs reported among MBC patients. Future work will address utilization barriers and resource customization.