Evidence map›Paper›PMID 42720942›Full record

ArticleThe oncologist2026

A secret-shopper study evaluating logistic barriers to care among young adults with acute lymphoblastic leukemia.

Samuel Greenwald, Muna Hassan, Lori Muffly, Kate Miller, Jerry Luo, Amy Zhang, Theresa H M Keegan, Helen M Parsons

Abstract read
In one paragraph

Article in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Samuel GreenwaldDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN 55455, United States.
Muna HassanDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN 55455, United States.
Lori MufflyDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA 94305, United States.ORCID 0000-0002-9887-6136
Kate MillerQuantitative Sciences Unit, Stanford University, Palo Alto, CA 94304, United States.ORCID 0000-0002-6582-8031
Jerry LuoDivision of Pediatric Hematology, Oncology, Stem Cell Transplantation and Regenerative Medicine, Stanford University, Palo Alto, CA 94304, United States.
Amy ZhangQuantitative Sciences Unit, Stanford University, Palo Alto, CA 94304, United States.ORCID 0000-0002-9130-0660
Theresa H M KeeganDivision of Hematology/Oncology, University of California Davis, Sacramento, CA 95817, United States.
Helen M ParsonsDivision of Health Policy and Management, University of Minnesota, Minneapolis, MN 55455, United States.ORCID 0000-0003-3822-9858

Funding

SCIENTIFIC, OPERATIONS AND ADMINISTRATIVE RESOURCES (SOAR) TO THE NIH75N95021D00011 · NIDA · GAP SOLUTIONS, INC. · PI RUPPERT, STEVEN · 2025 to 2025
$775k
Blood Cancer UnitedEquity in Access Research GrantNCI NIH HHS HHSN261201800009CNCI NIH HHS HHSN261201800009INCI NIH HHS HHSN261201800015CNCI NIH HHS HHSN261201800015INCI NIH HHS HHSN261201800032CNCI NIH HHS HHSN261201800032INHLBI NIH HHS 75N92021D00011NIH HHS 75N95021D00011
6 · The paper itself

Abstract

Adolescents and young adults (AYAs) with acute lymphoblastic leukemia (ALL) experience inferior survival relative to children. As access barriers may increase outcome disparities, we conducted a secret-shopper study to identify logistical burdens when initiating care for AYAs. We developed scripts describing hypothetical AYAs with ALL seeking initial oncology appointments and, from February 2024 to March 2025, used data from population-based cancer registries to call facilities treating AYAs with ALL. Outcomes included number of attempts (up to 3) and transfers, call time, and required documentation for scheduling. Data were summarized descriptively. Of 424 facilities, 276 could schedule oncology appointments via phone. Of these, 36.2% required ≥2 attempts. Across attempts, 43.5% required ≥2 transfers. Median call time was 8 minutes, but 19.6% of facilities required ≥15 minutes. Only 20.7% would schedule without a referral or medical records. AYAs with ALL face logistical burdens when scheduling appointments, requiring additional efforts to streamline care.

Indexed as

Appointments and SchedulesHealth Services AccessibilityPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultFemaleHumansMaleYoung Adultacute lymphoblastic leukemiaadolescent and young adultsappointment schedulinglogistic barriers

Identifiers

PMID42720942
PMCPMC13625012

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.