Evidence map›Paper›PMID 37732470›Full record

ArticleCancer medicine2023

Barriers, facilitators, and recommendations for sexual orientation and gender identity data collection in community oncology practices.

Megan A Mullins, Lisa Reber, Ariel Washington, Marina Stasenko, Aaron Rankin, Christopher R Friese, Mary E Cooley, Matthew F Hudson, Lauren P Wallner

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
9.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  3. "A sweating moment": impact of disclosure in cancer care on LGBTQI patient satisfaction.Journal of cancer survivorship : research and practice · 2026
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  11. Mapping disparities: identifying cancer care gaps in sexual and gender minority patients.Journal of the National Cancer Institute. Monographs · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Megan A MullinsPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0003-2753-9068
Lisa ReberPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, Texas, USA.
Ariel WashingtonKarmanos Cancer Institute, Department of Oncology, Wayne State University School of Medicine, Detroit, Michigan, USA.
Marina StasenkoDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, NYU Langone Health, New York, New York, USA.
Aaron RankinDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-1268-0109
Christopher R FrieseCenter for Improving Patient and Population Health, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-2281-2056
Mary E CooleyPhyllis F. Cantor Center, Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Matthew F HudsonPrisma Health Cancer Institute Greenville South Carolina, Greenville, South Carolina, USA.
Lauren P WallnerDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-1279-8617
University of Michigan · USSouthwestern Medical Center · USDana-Farber Cancer Institute · USGynecologic Oncology Group · USPrisma Health · USWayne State University · US

Funding

NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
Interdisciplinary Research Training Center in Cancer Care DeliveryT32CA236621 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lauren P Wallner · 2020 to 2026
$2.8M
NCI NIH HHS T32-CA-236621NCI NIH HHS UG1 CA189867NCI NIH HHS UG1CA189867
6 · The paper itself

Abstract

backgroundSexual orientation and gender identity (SOGI) data collection in community oncology practices is critical to identify and address cancer inequities, but less than 20% of NCI Community Oncology Research Program (NCORP)-affiliated practices regularly collect SOGI data despite widespread recommendations. We evaluated multilevel barriers and facilitators for SOGI data collection at NCORP practices.

methodsWe conducted 14 semi-structured interviews at seven purposefully sampled NCORP oncology practices. We interviewed one clinician (oncologist, advanced practice provider) and one clinic staff member per practice. Thematic analysis informed by the Consolidated Framework for Implementation Research (CFIR) was conducted to identify barriers and facilitators.

resultsThematic saturation occurred after interviews at six practices and was confirmed with interviews at an additional practice. Participants highlighted multilevel barriers including low levels of understanding, information technology infrastructure, and perceived low relative priority. Not understanding the role of SOGI data in oncology care contributed to cis-heteronormative culture. At the clinic level, this culture coincided with a lack of processes and policies for collecting SOGI from all patients. At the care team level, perceived irrelevance to oncology care was related to discomfort asking SOGI, fear of patient discomfort, and limited awareness of SOGI in electronic health records. Suggested solutions included: normalizing asking SOGI questions, giving patients privacy to complete SOGI, and clarifying clinical relevance.

conclusionsSOGI data collection barriers stemmed from perceptions that SOGI disclosure does not influence care quality. Oncology teams may benefit from training on culturally sensitive SOGI collection, education on SOGI data relevance to oncology practices, and support for implementing SOGI data collection policies.

Indexed as

Data CollectionGender IdentityMedical OncologySexual BehaviorAttitude of Health PersonnelFemaleHumansMaleNeoplasmsSexual and Gender Minoritiesclinical cancer researchclinical guidelinesepidemiologypsychosocial studies

Identifiers

PMID37732470
PMCPMC10557876
OpenAlexW4386910392

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.