{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T05:54:37Z","timestamp":1773899677032,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000896","name":"Coleman Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000896","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014367","name":"National Palliative Care Research Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014367","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We evaluated whether patients' initial screening symptoms were related to subsequent utilization of supportive care services and hospitalizations, and whether patient\u2010level demographics, symptoms, hospitalizations, and supportive care service utilization were associated with mortality in primarily low\u2010income, older, Black Veterans with cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This quality improvement project created collaborative clinics to conduct cancer distress screenings and refer to supportive care services at an urban, VA medical center. All patients completed a distress screen with follow\u2010up screening every 3\u2009months. Supportive care utilization, hospitalization rates, and mortality were abstracted through medical records. Poisson regression models and cox proportional hazard models were utilized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred and eighty five screened patients were older (<jats:italic>m<\/jats:italic>\u00a0=\u00a072), mostly Black 70% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0412), and had advanced cancer 54%. Fifty\u2010eight percent\u00a0(<jats:italic>n<\/jats:italic>\u00a0=\u00a0340) were screened only once with 81% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0470) receiving \u22651 supportive care service and 51.5% (<jats:italic>n<\/jats:italic>\u00a0=\u00a0297) being hospitalized \u22651 time 18\u2009months following initial screen. Symptom severity was significantly related to number of hospitalizations. Low mood was significantly related to higher supportive services (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but not hospitalizations (<jats:italic>p<\/jats:italic>\u2009\u2265\u20090.52). Pain, fatigue, physical function, nutrition, and physical symptoms were significantly associated with more supportive services and hospitalizations (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Twenty percent (<jats:italic>n<\/jats:italic>\u00a0=\u00a0168) died; Veterans who were Black, had lower stage cancers, better physical health, and utilized less supportive care services had lower odds of mortality (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Individuals with elevated distress needs and those reporting lower physical function utilized more supportive care services and had higher hospitalization rates. Lower physical function, greater supportive care use, higher stage cancer, and being non\u2010Black were associated with higher odds of death.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.5560","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T10:29:46Z","timestamp":1672136986000},"page":"8629-8638","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Oncology distress screening within predominately Black Veterans: Outcomes on supportive care utilization, hospitalizations, and mortality"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6993-1776","authenticated-orcid":false,"given":"Desiree R.","family":"Azizoddin","sequence":"first","affiliation":[{"name":"Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences Center  Oklahoma City Oklahoma USA"},{"name":"Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7399-0194","authenticated-orcid":false,"given":"Matthew","family":"Allsop","sequence":"additional","affiliation":[{"name":"Academic Unit of Palliative Care Leeds Institute of Health Sciences, University of Leeds  Leeds UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subrina","family":"Farah","sequence":"additional","affiliation":[{"name":"Center for Clinical Investigation Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah","family":"Salim","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Hauser","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9320-6929","authenticated-orcid":false,"given":"Ashton R.","family":"Baltazar","sequence":"additional","affiliation":[{"name":"Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences Center  Oklahoma City Oklahoma USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Molokie","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"},{"name":"University of Illinois Hospital and Health Sciences System  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3918-0048","authenticated-orcid":false,"given":"Christine","family":"Weldon","sequence":"additional","affiliation":[{"name":"Center for Business Models in Healthcare  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Feldman","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"},{"name":"University of Illinois Hospital and Health Sciences System  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna L.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Medicine Jesse Brown VA Medical Center  Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,27]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2018.1521490"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.10.010"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4910"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.49.4302"},{"key":"e_1_2_10_6_1","volume-title":"Veterans' Diseases Associated with Agent Orange","author":"Affairs UDoV","year":"2010"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12508"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0521-4"},{"key":"e_1_2_10_9_1","first-page":"2861","article-title":"What happens after distress screening? 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