Evidence map›Paper›PMID 42894053›Full record

ArticleBreast cancer research and treatment2026

Patterns of social determinants of health screening and health-related social needs among patients with newly diagnosed breast cancer in a safety-net system.

Malcolm Su, Hannah Klatzkow, Ronald Bass, Samar Bhat, Teresita Oaks, Marieshia Person, Shifa Kanjwal, Samira Syed, Arthur S Hong, Deborah G Freeland and 1 more

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Malcolm SuDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Hannah KlatzkowDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Ronald BassDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Samar BhatDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Teresita OaksParkland Health, Dallas, TX, USA.
Marieshia PersonParkland Health, Dallas, TX, USA.
Shifa KanjwalDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Samira SyedDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Arthur S HongDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Deborah G FreelandDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA.
Navid SadeghiDepartment of Internal Medicine, University of Texas Southwestern, Dallas, TX, USA. Navid.Sadeghi@UTSouthwestern.edu.ORCID http://orcid.org/0000-0002-7786-8786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVarious social determinants of health (SDOH) have been shown to negatively impact breast cancer outcomes. Though there are recommendations for comprehensive SDOH assessment, little is known about the optimal frequency of reassessments and change in health-related social needs (HRSN) over time for specific patient populations. We sought to characterize SDOH screening and HRSN patterns among patients with breast cancer in a safety-net system.

methodsA retrospective study was conducted to evaluate SDOH survey responses in the electronic medical records and screening frequency from patients diagnosed with breast cancer between January 2021 to January 2024 at Parkland Health.

resultsThere were 566 patients diagnosed with breast cancer with a mean age at diagnosis of 55.0 (standard deviation, SD: 11.4) years. There were 54 (9.5%) with Stage IV breast cancer. Patients were initially at risk for 1.36 (SD: 1.39) out of the 11 HRSN domains. Patients completed an average 17.3 (SD: 8.9) out of 28 questions on initial survey. The most common risk domains identified were Alcohol Use and Food Insecurity. No patients were screened for Interpersonal Violence. The median time from initial survey to first change in risk level for any domain was 8.7 months. Patients with Stage IV disease underwent fewer SDOH re-screenings compared to patients with Stage I, II, and III disease (p < 0.001).

conclusionWithin our system, greater attention should be placed towards fully assessing patients' HRSN and screening for interpersonal violence. SDOH screening at 6-month intervals may help to capture changes in HSRNs and assess the impact of resource interventions.

Indexed as

Breast NeoplasmsEarly Detection of CancerSafety-net ProvidersSocial Determinants of HealthAdultAgedFemaleHumansMass ScreeningMiddle AgedRetrospective StudiesSurveys and QuestionnairesBreast cancerHealth related social needsScreeningSocial determinants of health

Identifiers

PMID42894053
PMCPMC13677626

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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.