Evidence map›Paper›PMID 41070843›Full record

Trial reportJCO oncology practice2025

Colorectal Cancer Legal and Administrative Burden Support (COLLABS): A Pilot Clinical Trial.

Quan Phung, Kendall Lin, Rick J Jansen, Lindy Yokanovich, Rachel Kourelis, Erin Hartung, Naveen Premnath, Anne H Blaes, Rachel I Vogel, Helen M Parsons and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in JCO oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

11 authors.

Quan PhungUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0001-5681-8723
Kendall LinUniversity of Minnesota, Minneapolis, MN.
Rick J JansenUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0001-5683-2584
Lindy YokanovichCancer Legal Care, Oakdale, MN.ORCID 0009-0005-4786-0416
Rachel KourelisCancer Legal Care, Oakdale, MN.
Erin HartungCancer Legal Care, Oakdale, MN.
Naveen PremnathUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0001-5183-2657
Anne H BlaesUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0002-5433-4810
Rachel I VogelUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0003-0149-8464
Helen M ParsonsUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0003-3822-9858
Arjun GuptaUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0003-0875-4731

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Timothy C. Hallstrom · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UM1TR004405 · NCATS · UNIVERSITY OF MINNESOTA · PI Bruce R Blazar, Damien A Fair · 2023 to 2026
$30.8M
NCATS NIH HHS UL1 TR002494NCATS NIH HHS UM1 TR004405NCI NIH HHS P30 CA077598
6 · The paper itself

Abstract

purposeEngagement with legal teams after a cancer diagnosis-medical-legal partnerships (MLPs)-can identify, prevent, and resolve health-harming legal needs (HHLNs). Cancer Legal Care (CLC) is a nonprofit providing free legal services to persons affected by cancer in Minnesota. We sought to conduct a pilot study of delivering proactive and free legal support through CLC.

methodsWe conducted a single-arm, mixed-methods pilot study to assess the feasibility and acceptability of delivering legal support, and preliminary efficacy in addressing HHLNs to 20 adults with advanced-stage colorectal cancer. CLC staff conducted an initial screening visit, crafted an individualized plan, and provided structured as well as personalized legal support over the 6-month study period. We collected patient-reported outcomes (assessing comfort with health-related tasks, financial toxicity, stress, coping, and self-esteem) at baseline, 3 months, and 6 months, and conducted end-of-study interviews to explore participant experiences.

resultsThe study met predefined feasibility (90% of participants completed initial screening visit, 90% remained engaged, 80% completed the study) and acceptability (81% of participants recommended the intervention to others) benchmarks. The initial legal checkup visit lasted a median of 45 minutes, 61% self-identified HHLNs, and CLC attorneys identified additional HHLNs for 72%, with median 3 HHLNs per participant. On the basis of participant preference, 100% of visits were virtual, with attorneys spending a median 3.5 hours per participant, often also supporting individuals with administrative burdens and providing emotional support. After the 6-month study period, participants expressed greater comfort with tasks such as addressing unexplained bills, guardianship planning, and ensuring insurance coverage compared with baseline. Participants noted very high satisfaction with the interpersonal relationships with CLC staff, felt empowered and supported, and suggested including informal care partners in future work.

conclusionProactive legal care to address HHLNs through a MLP was feasible, acceptable, and valued by patients. Despite no requirement for baseline legal need, HHLNs were prevalent and addressable. This work underscores the importance of further study on how interdisciplinary teams can best deliver sociolegal care to persons with cancer.

Indexed as

Colorectal NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedPilot Projects

Identifiers

PMID41070843
PMCPMC12614318

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.