{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:31:54Z","timestamp":1790947914876,"version":"4.1.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients with cancer who report social needs have worse quality of life, lower health-care access, and suboptimal health outcomes. However, screening for social needs does not happen systematically, and successful screening tools, strategies, and workflows have seldom been described. The downstream effects of screening including resource navigation have also not been well characterized. The objective of this narrative review was to fill these gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two investigators searched PubMed and Embase for studies that implemented a patient-facing social screening tool among patients with cancer between 2008 and 2023 using search terms including social screening, social \u00a0needs, and cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 19 articles that met study inclusion criteria. The most common tool used was the validated Health Leads Social Toolkit. Most often, screening tools were administered electronically, sent directly to patients, and captured needs at a single time point during a patient\u2019s diagnosis. Screening response rates ranged between 10% and 60%. Less than half of the studies described downstream resource navigation for patients who screened positive for social needs. Only 1 study evaluated the impact of screening on clinical outcomes and quality of life. Screening for patients who do not speak English or who belong to historically racial, ethnic, and gender minority groups was limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Screening for social needs has been shown to be feasible across delivery systems with numerous validated tools available. However, gaps remain in generalizability to diverse patient populations. Future work must identify how screening workflows can be successfully incorporated into routine clinical workflows.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jncics\/pkaf012","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T23:18:43Z","timestamp":1737847123000},"source":"Crossref","is-referenced-by-count":7,"title":["Screening for comprehensive social needs in patients with cancer: a narrative review"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9916-5449","authenticated-orcid":false,"given":"Isabel","family":"Arana","sequence":"first","affiliation":[{"name":"Kaiser Permanente Bernard J. Tyson School of Medicine , Pasadena, CA 91101,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4667-9632","authenticated-orcid":false,"given":"Raymond","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hematology\/Oncology, Kaiser Permanente, San Francisco Medical Center , San Francisco, CA 94143,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9136-1175","authenticated-orcid":false,"given":"Lawrence","family":"Kushi","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California , Pleasanton, CA 94566,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8419-2331","authenticated-orcid":false,"given":"Erin","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Research and Evaluation, Kaiser Permanente Southern California , Pasadena, CA 91101,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8991-0259","authenticated-orcid":false,"given":"Meera","family":"Ragavan","sequence":"additional","affiliation":[{"name":"Department of Hematology\/Oncology, Kaiser Permanente, San Francisco Medical Center , San Francisco, CA 94143,","place":["United States"]},{"name":"Division of Research, Kaiser Permanente Northern California , Pleasanton, CA 94566,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"2025031815531374400_pkaf012-B1","doi-asserted-by":"crossref","first-page":"e2355301","DOI":"10.1001\/jamanetworkopen.2023.55301","article-title":"Unmet social needs and breast cancer screening utilization and stage at presentation","volume":"7","author":"Goel","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"2025031815531374400_pkaf012-B2","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1093\/jnci\/djad269","article-title":"Interventions addressing health-related social needs among patients with cancer","volume":"116","author":"Graboyes","year":"2024","journal-title":"J Natl Cancer Inst"},{"key":"2025031815531374400_pkaf012-B3","author":"National Comprehensive Cancer Network"},{"key":"2025031815531374400_pkaf012-B4","doi-asserted-by":"crossref","first-page":"1584","DOI":"10.1093\/jnci\/djac136","article-title":"Housing insecurity among patients with cancer","volume":"114","author":"Fan","year":"2022","journal-title":"J Natl Cancer Inst"},{"key":"2025031815531374400_pkaf012-B5","doi-asserted-by":"crossref","first-page":"100320","DOI":"10.1016\/j.jcpo.2021.100320","article-title":"Housing insecurity among cancer survivors: results from the 2017 behavioral risk factor surveillance system survey","volume":"31","author":"Coughlin","year":"2022","journal-title":"J. Cancer Policy"},{"key":"2025031815531374400_pkaf012-B6","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1093\/jnci\/djad050","article-title":"Transportation barriers, emergency room use, and mortality risk among US adults by cancer history","volume":"115","author":"Jiang","year":"2023","journal-title":"J Natl Cancer Inst"},{"key":"2025031815531374400_pkaf012-B7","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1007\/s00520-024-08514-2","article-title":"Addressing transportation barriers in oncology: existing programs and new solutions","volume":"32","author":"Pringle","year":"2024","journal-title":"Support. Care Cancer"},{"key":"2025031815531374400_pkaf012-B8","doi-asserted-by":"crossref","first-page":"2946","DOI":"10.1002\/cncr.34934","article-title":"Social isolation and social connectedness among young adult cancer survivors: a systematic review","volume":"129","author":"Fox","year":"2023","journal-title":"Cancer"},{"key":"2025031815531374400_pkaf012-B9","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3322\/caac.21443","article-title":"The financial burden and distress of patients with cancer: understanding and stepping-up action on the financial toxicity of cancer treatment","volume":"68","author":"Carrera","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"2025031815531374400_pkaf012-B10","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1001\/jamaoncol.2016.4865","article-title":"Out-of-pocket spending and financial burden among Medicare beneficiaries with cancer","volume":"3","author":"Narang","year":"2017","journal-title":"JAMA Oncol"},{"key":"2025031815531374400_pkaf012-B11","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1353\/hpu.2014.0145","article-title":"Do our patients have enough to eat? Food insecurity among urban low-income cancer patients","volume":"25","author":"Gany","year":"2014","journal-title":"J. Health Care Poor Underserved"},{"key":"2025031815531374400_pkaf012-B12","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1093\/jnci\/djac135","article-title":"Food insecurity among people with cancer: nutritional needs as an essential component of care","volume":"114","author":"Raber","year":"2022","journal-title":"J Natl Cancer Inst"},{"key":"2025031815531374400_pkaf012-B13","doi-asserted-by":"crossref","first-page":"e130","DOI":"10.1200\/OP.20.00692","article-title":"Out-of-pocket costs for tyrosine kinase inhibitors and patient outcomes in EGFR- and ALK-positive advanced non\u2013small-cell lung cancer","volume":"17","author":"Goulart","year":"2021","journal-title":"J Clin Oncol Oncol Pract"},{"key":"2025031815531374400_pkaf012-B14","doi-asserted-by":"crossref","first-page":"e246872","DOI":"10.1001\/jamanetworkopen.2024.6872","article-title":"Unmet needs, quality of life, and financial toxicity among survivors of lung cancer","volume":"7","author":"Hsu","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"2025031815531374400_pkaf012-B15","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1002\/cncr.33286","article-title":"Social needs and health-related quality of life among African American cancer survivors: results from the Detroit Research on Cancer Survivors study","volume":"127","author":"Hastert","year":"2021","journal-title":"Cancer"},{"key":"2025031815531374400_pkaf012-B16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.6004\/jnccn.2021.7033","article-title":"Association of social support with overall survival and healthcare utilization in patients with aggressive hematologic malignancies","volume":"1","author":"Johnson","year":"2021","journal-title":"J Natl Compr Canc Netw"},{"key":"2025031815531374400_pkaf012-B17","author":"Health Leads","year":"2022"},{"key":"2025031815531374400_pkaf012-B18","author":"The PRAPARE screening tool | PRAPARE"},{"key":"2025031815531374400_pkaf012-B19","article-title":"Standardized screening for health-related social needs in clinical settings: the accountable health communities screening tool","author":"Billioux","year":"2017:","journal-title":"Expert Voices Health Health Care Natl Acad Med"},{"key":"2025031815531374400_pkaf012-B20","doi-asserted-by":"crossref","first-page":"pkae032","DOI":"10.1093\/jncics\/pkae032","article-title":"Addressing social needs in oncology care: another research-to-practice gap","volume":"8","author":"Haines","year":"2024","journal-title":"JNCI Cancer Spectr"},{"key":"2025031815531374400_pkaf012-B21","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1002\/cncr.32147","article-title":"The efficacy and cost-effectiveness of patient navigation programs across the cancer continuum: a systematic review","volume":"125","author":"Bernardo","year":"2019","journal-title":"Cancer"},{"key":"2025031815531374400_pkaf012-B22","doi-asserted-by":"crossref","first-page":"e379","DOI":"10.1016\/j.cllc.2020.05.028","article-title":"Association of extended dosing intervals or delays in pembrolizumab-based regimens with survival outcomes in advanced non\u2013small-cell lung cancer","volume":"22","author":"Sehgal","year":"2021","journal-title":"Clin. Lung Cancer"},{"key":"2025031815531374400_pkaf012-B23","doi-asserted-by":"crossref","first-page":"3603","DOI":"10.1200\/JCO.21.02400","article-title":"Food to overcome outcomes disparities: a randomized controlled trial of food insecurity interventions to improve cancer outcomes","volume":"40","author":"Gany","year":"2022","journal-title":"J Clin Oncol"},{"key":"2025031815531374400_pkaf012-B24","doi-asserted-by":"crossref","first-page":"735.e1","DOI":"10.1016\/j.ajog.2020.05.028","article-title":"Basic social resource needs screening in the gynecologic oncology clinic: a quality improvement initiative","volume":"223","author":"Beavis","year":"2020","journal-title":"Am J Obstet Gynecol"},{"key":"2025031815531374400_pkaf012-B25","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.3390\/healthcare12161660","article-title":"Impact of social needs and identity experiences on the burden of illness in patients with multiple myeloma: a mixed-methods study","volume":"12","author":"Neparidze","year":"2024","journal-title":"Healthcare"},{"key":"2025031815531374400_pkaf012-B26","doi-asserted-by":"crossref","first-page":"e1753","DOI":"10.1200\/OP.21.00100","article-title":"Association of a lay health worker-led intervention on goals of care, quality of life, and clinical trial participation among low-income and minority adults with cancer","volume":"17","author":"Patel","year":"2021","journal-title":"J Clin Oncol Oncol. Pract"},{"key":"2025031815531374400_pkaf012-B27","doi-asserted-by":"crossref","first-page":"e22515","DOI":"10.1200\/JCO.2018.36.15_suppl.e22515","article-title":"\u201cGetting to know you and your child\u201d screening questionnaire: Results from a Chicago pediatric collaborative","volume":"36","author":"Suh","year":"2018","journal-title":"J Clin Oncol"},{"key":"2025031815531374400_pkaf012-B28","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1016\/j.jacr.2024.07.001","article-title":"Screening for health-related social needs and financial toxicity among patients with cancer treated with radiation therapy: findings from a quality improvement project","volume":"21","author":"Thom","year":"2024","journal-title":"J Am Coll Radiol JACR"},{"key":"2025031815531374400_pkaf012-B29","doi-asserted-by":"crossref","first-page":"12125","DOI":"10.1200\/JCO.2021.39.15_suppl.12125","article-title":"Screened social risk factors & screening acceptability among oncology patients in Philadelphia","volume":"39","author":"Davis","year":"2021","journal-title":"J Clin Oncol"},{"key":"2025031815531374400_pkaf012-B30","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.jpainsymman.2021.12.007","article-title":"Disparities in supportive care needs over time between racial and ethnic minority and non-minority patients with advanced lung cancer","volume":"63","author":"Mazor","year":"2022","journal-title":"J. Pain Symptom Manage"},{"key":"2025031815531374400_pkaf012-B31","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.2105\/AJPH.2006.102525","article-title":"Approaching health disparities from a population perspective: the national institutes of health centers for population health and health disparities","volume":"98","author":"Warnecke","year":"2008","journal-title":"Am J Public Health"},{"key":"2025031815531374400_pkaf012-B32","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1016\/j.cgh.2021.12.027","article-title":"Racial and ethnic disparities in barriers to care in patients with hepatocellular carcinoma","volume":"21","author":"Schoenberger","year":"2023","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025031815531374400_pkaf012-B33","doi-asserted-by":"crossref","first-page":"e48737","DOI":"10.2196\/48737","article-title":"Development and testing of a mobile app to collect social determinants of health data in cancer settings: interview study","volume":"7","author":"Oyedele","year":"2023","journal-title":"JMIR Form Res"},{"key":"2025031815531374400_pkaf012-B34","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1200\/OP.23.00485","article-title":"Integrating social needs screening and resource referral into standard ambulatory oncology care: a quality improvement project","volume":"20","author":"Wethington","year":"2024","journal-title":"J Clin Oncol Oncol. Pract"},{"key":"2025031815531374400_pkaf012-B35","doi-asserted-by":"crossref","first-page":"e7197","DOI":"10.1002\/cam4.7197","article-title":"Toward identification and intervention to address financial toxicity and unmet health-related social needs among adolescents and emerging adults with cancer and their caregivers: a cross-cultural perspective","volume":"13","author":"Beauchemin","year":"2024","journal-title":"Cancer Med"},{"key":"2025031815531374400_pkaf012-B36","doi-asserted-by":"crossref","first-page":"3809","DOI":"10.1002\/cncr.33761","article-title":"Universal social needs assessment in gynecologic oncology: an important step toward more informed and targeted care in the public safety net","volume":"127","author":"Nyakudarika","year":"2021","journal-title":"Cancer"},{"key":"2025031815531374400_pkaf012-B37","author":"Leukemia and lymphoma society"},{"key":"2025031815531374400_pkaf012-B38","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1200\/JOP.2015.008946","article-title":"Patient navigation as a model to increase participation of African Americans in cancer clinical trials","volume":"12","author":"Fouad","year":"2016","journal-title":"J Oncol Pract"},{"key":"2025031815531374400_pkaf012-B39","doi-asserted-by":"crossref","first-page":"e54732","DOI":"10.2196\/54732","article-title":"Development of a social risk score in the electronic health record to identify social needs among underserved populations: retrospective study","volume":"8","author":"Hatef","year":"2024","journal-title":"JMIR Form Res"},{"key":"2025031815531374400_pkaf012-B40","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1001\/jamaoncol.2021.0540","article-title":"Disparities in electronic health record patient portal enrollment among oncology patients","volume":"7","author":"Sinha","year":"2021","journal-title":"JAMA Oncol"},{"key":"2025031815531374400_pkaf012-B41","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s13012-023-01286-z","article-title":"Ten years of implementation outcomes research: a scoping review","volume":"18","author":"Proctor","year":"2023","journal-title":"Implement Sci"},{"key":"2025031815531374400_pkaf012-B42","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.ijrobp.2022.04.003","article-title":"Identifying psychosocial needs of patients with cancer undergoing curative radiation therapy in an inner-city academic center to address racial disparities","volume":"114","author":"Kronfli","year":"2022","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"2025031815531374400_pkaf012-B43","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1188\/17.ONF.350-357","article-title":"Experiences and concerns of lesbian, gay, or bisexual survivors of colorectal cancer","volume":"44","author":"Baughman","year":"2017","journal-title":"Oncol Nurs Forum"},{"key":"2025031815531374400_pkaf012-B44","doi-asserted-by":"crossref","first-page":"8919","DOI":"10.1007\/s00520-022-07281-2","article-title":"Social needs and health-related quality of life among hematologic cancer survivors","volume":"30","author":"Coughlin","year":"2022","journal-title":"Support Care Cancer"},{"key":"2025031815531374400_pkaf012-B45","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.ygyno.2023.11.001","article-title":"Integrating social care into gynecologic oncology: Identifying and addressing patient\u2019s social needs","volume":"179","author":"Cotangco","year":"2023","journal-title":"Gynecol Oncol"},{"key":"2025031815531374400_pkaf012-B46"},{"key":"2025031815531374400_pkaf012-B47","author":"Reynolds","year":"2022"},{"key":"2025031815531374400_pkaf012-B48","doi-asserted-by":"publisher","first-page":"e2100160","DOI":"10.1200\/CCI.21.00160","article-title":"Future of teleoncology: trends and disparities in telehealth and secure message utilization in the COVID-19 Era","volume":"6","author":"Neeman","year":"2022","journal-title":"J Clin Oncol Clin Cancer Inform"}],"container-title":["JNCI Cancer Spectrum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jncics\/advance-article-pdf\/doi\/10.1093\/jncics\/pkaf012\/61663105\/pkaf012.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jncics\/article-pdf\/9\/2\/pkaf012\/61663105\/pkaf012.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jncics\/article-pdf\/9\/2\/pkaf012\/61663105\/pkaf012.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T11:53:43Z","timestamp":1742298823000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jncics\/article\/doi\/10.1093\/jncics\/pkaf012\/7985581"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,28]]},"references-count":48,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jncics\/pkaf012","relation":{},"ISSN":["2515-5091"],"issn-type":[{"value":"2515-5091","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,4]]},"published":{"date-parts":[[2025,1,28]]},"article-number":"pkaf012"}}