Multilevel Determinants of Socioeconomic Disparities in Geographic Late-Stage Hepatocellular Carcinoma Hotspots
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 730
- 试验地点
- 1
- 主要终点
- Social determinants of health
研究概览
简要总结
This study evaluates barriers to early detection of liver cancer.
详细描述
PRIMARY OBJECTIVES:
I. To identify individual-level social and clinical determinants of socioeconomic disparities in late stage Hepatocellular Carcinoma (HCC) burden with a prospective survey of patients with incident HCC. II. To qualitatively explore the multilevel barriers to completion of the early detection pathway for HCC in low socioeconomic status (SES) populations.
OUTLINE: This is an observational study.
Participants complete surveys, have their medical records reviewed, and may complete an interview on study.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •* Adults (18+)
- •New diagnosis of HCC
- •Able to provide informed consent
- •Additional criteria:
- •Must complete survey
- •Residential address in a late stage hotspot
- •Medicaid insurance or uninsured
- •English, Spanish and Chinese speakers
排除标准
- •* Residence outside of Los Angeles County
- •Non-HCC liver tumors
- •Incarcerated patients
- •Pregnant women
研究组 & 干预措施
Observational
Participants complete surveys, have their medical records reviewed, and may complete an interview on study.
干预措施: Non-Interventional Study (Other)
结局指标
主要结局
Social determinants of health
时间窗: Up to 4 years
Patient social determinants of health-related needs will be measured through a health questionnaire created for the study. The patient can respond yes or no to having a lack of transportation to and from appointments. The patient is given a scale of never true, sometimes true and often true for questions regarding food insecurity. The patient can indicate that they do or do not have housing today (or choose not to answer), and they can indicate how many times they moved in the last year as 0, 1, or 2+. For the remaining questions regarding housing, paying for utilities, paying for medications, unemployment, education and child or family care, the patient can respond yes, no or choose not to answer. Responses of yes indicate the patient has a need, and no indicates that they do not have a need.
Barriers to completion of the early detection pathway for liver cancer
时间窗: Up to 4 years
For assessment we will conduct semi-structured interviews with key stakeholders, including low-income patients with liver cancer, providers in an interconnected safety net system, and community leaders of hotspot neighborhoods.
次要结局
未报告次要终点