Evidence map›Paper›PMID 39789273›Full record

ArticleJournal of general internal medicine2025

The Experience of Undocumented Individuals Denied Stem Cell Transplant for Hematologic Malignancies.

Apoorva Ram, Haley M Simpson, Manisha Dubey, Katya Feldman, Lilia Cervantes

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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  3. Review
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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

5 authors.

Apoorva Ram *Department of Medicine, University of Colorado, Aurora, CO, USA. Apoorva.Ram@cuanschutz.edu.ORCID 0000-0002-5117-046X
Haley M Simpson *Department of Hematology, School of Medicine, University of Colorado, Aurora, CO, USA.
Manisha DubeySchool of Medicine, University of Colorado, Aurora, CO, USA.
Katya FeldmanSchool of Medicine, University of Colorado, Aurora, CO, USA.
Lilia CervantesDepartment of Medicine, University of Colorado, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUndocumented individuals with hematologic malignancies in the United States face barriers to receiving often-curative stem cell transplant (SCT), instead receiving inferior treatment with higher mortality. Federal and state policies' impact on undocumented individuals' lived experiences goes unnoticed.

objectiveTo understand the experiences of this rare population of undocumented individuals with hematologic malignancies who cannot receive medically indicated SCT. DESIGN, PARTICIPANTS, AND APPROACH: This qualitative study used semi-structured interviews with undocumented individuals diagnosed with SCT-eligible hematologic malignancies between June 2021 and June 2022 at an academic and a safety-net hospital in Colorado. Interviews were recorded, transcribed, and analyzed using principles of grounded theory and thematic analysis. KEY

resultsSeven individuals (2 (29%) female, 5 (71%) male, mean age [SD] 44 [15.8]) were interviewed. Themes were divided into those unique to the undocumented immigrant experience and those unifying with the cancer illness experience. Themes unique to the immigrant experience Theme 1: Cancer and immigration status Debilitating cancer symptoms disrupt legal immigration process Feeling dehumanized when health insurance determines ability to live Fatalism and resignation to inadequate care Theme 2: Appreciation and Gratitude for Advocacy Awareness of physician advocacy Theme 3: Pride and purpose in the United States Desire to make a positive impact on society Pride in immigrants' contribution to US workforce Unifying themes related to cancer experience were Theme 4: Adversity related to cancer care and treatment Feeling dismissed and delayed diagnosis Financial hardships intensify emotional and physical burden Burdening family Social isolation Theme 5: Support and coping mechanisms Embracing positivity Religion as a source of comfort Critical support from family and friends Gratitude for compassionate care Appreciation for care that is unavailable in home country

conclusionsThis unique population faces intersectional challenges due to immigration status, insurance access, and cancer. The experiences of undocumented individuals highlight the need for state policymakers to expand coverage for comprehensive cancer care.

Indexed as

Health Services AccessibilityHematologic NeoplasmsHematopoietic Stem Cell TransplantationUndocumented ImmigrantsAdultColoradoFemaleHumansMaleMiddle AgedQualitative ResearchUnited StatesAccess to careCancerDisparitiesHealth policyUndocumented immigrants

Identifiers

PMID39789273
PMCPMC12343372

What OpenQuestion holds

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Registered trials

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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.