Evidence map›Paper›PMID 39677005›Full record

ArticleHealth affairs scholar2024

Standardizing social determinants of health data: a proposal for a comprehensive screening tool to address health equity a systematic review.

Sarju Ganatra, Sumanth Khadke, Ashish Kumar, Sadiya Khan, Zulqarnain Javed, Khurram Nasir, Sanjay Rajagopalan, Rishi K Wadhera, Sourbha S Dani, Sadeer Al-Kindi

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Impact of social determinants of health on post hospital care following orthopaedic polytrauma.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  4. Health-harming legal needs in a perinatal medical-legal partnership.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  15. Observational
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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

10 authors.

Sarju GanatraDivision of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA 01805, United States.ORCID https://orcid.org/0000-0003-0296-6864
Sumanth KhadkeDivision of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA 01805, United States.ORCID https://orcid.org/0000-0002-7262-6905
Ashish KumarDepartment of Medicine, Cleveland Clinic, Akron General, Akron, OH 44307, United States.ORCID https://orcid.org/0000-0003-4249-0055
Sadiya KhanDivision of Cardiology, Department of Medicine and Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.ORCID https://orcid.org/0000-0003-0643-1859
Zulqarnain JavedDivision of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0003-4321-4394
Khurram NasirDivision of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX 77030, United States.
Sanjay RajagopalanHarrington Heart and Vascular Institute, University Hospitals and Case Western Reserve School of Medicine, Cleveland, OH 44106, United States.ORCID https://orcid.org/0000-0001-6669-8163
Rishi K WadheraRichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA 02215, United States.
Sourbha S DaniDivision of Cardiovascular Medicine, Department of Medicine, Lahey Hospital and Medical Center, Burlington, MA 01805, United States.ORCID https://orcid.org/0000-0002-3434-6136
Sadeer Al-KindiDivision of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0002-1122-7695

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Social determinants of health (SDoH) significantly impacts health outcomes and disparities. While the Centers for Medicare and Medicaid Services has mandated hospitals to collect standardized SDoH data, existing tools lack key elements. This systematic review identified 78 studies and 20 screening tools addressing various SDoH domains. However, most tools were missing several key domains and lacked standardization. We propose a comprehensive tool meeting essential criteria: validated questions, brevity, actionability, cultural appropriateness, workflow integration, and community linkage. Our tool addresses gaps in available tools and incorporates standardized and validated questions to enable patient-centered screening for diverse social and environmental determinants of health. It uniquely includes detailed race/ethnicity data collection, housing characteristics, physical activity assessment, access to healthy food measures, and environmental exposure evaluation. The tool aims to provide actionable data for immediate interventions while informing broader population health strategies and policy initiatives. By offering a holistic assessment of SDoH across multiple domains, our tool enables standardized data collection, risk stratification, and focused initiatives to address health inequities at both individual and population levels. Further research is needed to develop evidence-based pathways for integrating SDoH data into real-world patient care workflows, improve risk prediction algorithms, address health-related social needs, and reduce disparities.

Indexed as

community resourcesdata standardizationhealth equityscreening toolssocial determinants of health

Identifiers

PMID39677005
PMCPMC11642620

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.