Evidence map›Paper›PMID 41097780›Full record

ReviewCancers2025

The Impact of Social Determinants of Health on Supportive and Palliative Care in Pancreatic Cancer Management: A Narrative Review.

Sterre van Herwijnen, Vishnu Jayaprakash, Camila Hidalgo Salinas, Joseph R Habib, Daniel Brock Hewitt, Greg D Sacks, Christopher L Wolfgang, Katherine A Morgan, Brian J Kaplan, Michael D Kluger and 2 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

Sterre van HerwijnenDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Vishnu JayaprakashDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.ORCID 0000-0002-1735-3115
Camila Hidalgo SalinasDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Joseph R HabibDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Daniel Brock HewittDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Greg D SacksDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.ORCID 0000-0003-1205-6477
Christopher L WolfgangDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Katherine A MorganDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Brian J KaplanDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Michael D KlugerDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.ORCID 0000-0003-4311-078X
Alok AggarwalDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.
Ammar A JavedDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, NYU Langone School of Medicine, New York, NY 10016, USA.ORCID 0000-0002-5463-5250

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer is a challenging malignancy with an aggressive biology and limited treatment options, contributing to low survival rates. Supportive and palliative care play a key role in improving the quality of life and psychological distress for patients and their families. However, appropriate delivery and effectiveness of these interventions may be influenced by social determinants of health (SDOH). These factors create significant barriers for patients, influencing their access to care and ability to make informed decisions. This review explores the role of SDOH in supportive and palliative care of pancreatic cancer patients and identifies areas for improvement to enhance this type of care for vulnerable populations.

methodsA thorough narrative review was carried out to evaluate the influence of social determinants of health on supportive and palliative care in the management of pancreatic cancer, focusing on symptom management, psychosocial support, nutritional support, advance care planning, rehabilitation, functional support, and care coordination.

resultsThis review demonstrates that disparities exist. Black and Asian patients receive less pain medications; those with lower level of education struggle to access psychological support; Hispanic and Black patients often do not receive needed nutritional care; and end-of-life planning is less common among non-White and less-educated patients.

conclusionsSDOH significantly affects the experience and delivery of supportive and palliative care in pancreatic cancer patients, exacerbating inequities across multiple domains of care. Addressing these disparities requires coordinated efforts at clinical, organizational, and policy levels to ensure equitable access to care for all patients in their final phase of life. Integrating attention to SODH into care delivery models can improve outcomes and enhance quality of life for these patients.

Indexed as

end-of-life carepalliative carepancreatic cancerpancreatic neoplasmssocial determinantssupportive care

Identifiers

PMID41097780
PMCPMC12524305

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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.