{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:58:14Z","timestamp":1790773094329,"version":"4.1.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Equity in Access Research Grant"},{"name":"Blood Cancer United","id":[{"id":"https:\/\/ror.org\/0055acf80","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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 \u22652 attempts. Across attempts, 43.5% required \u22652 transfers. Median call time was 8\u2009minutes, but 19.6% of facilities required \u226515\u2009minutes. 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.<\/jats:p>","DOI":"10.1093\/oncolo\/oyag363","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:49:10Z","timestamp":1789040950000},"source":"Crossref","is-referenced-by-count":0,"title":["A secret-shopper study evaluating logistic barriers to care among young adults with acute lymphoblastic leukemia"],"prefix":"10.1093","volume":"31","author":[{"given":"Samuel","family":"Greenwald","sequence":"first","affiliation":[{"name":"Division of Health Policy and Management, University of Minnesota , Minneapolis, MN 55455,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muna","family":"Hassan","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management, University of Minnesota , Minneapolis, MN 55455,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9887-6136","authenticated-orcid":false,"given":"Lori","family":"Muffly","sequence":"additional","affiliation":[{"name":"Division of Blood and Marrow Transplantation and Cellular Therapy, Stanford University , Stanford, CA 94305,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6582-8031","authenticated-orcid":false,"given":"Kate","family":"Miller","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit, Stanford University , Palo Alto, CA 94304,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Luo","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology, Oncology, Stem Cell Transplantation and Regenerative Medicine, Stanford University , Palo Alto, CA 94304,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9130-0660","authenticated-orcid":false,"given":"Amy","family":"Zhang","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit, Stanford University , Palo Alto, CA 94304,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa H M","family":"Keegan","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology, University of California Davis , Sacramento, CA 95817,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3822-9858","authenticated-orcid":false,"given":"Helen M","family":"Parsons","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management, University of Minnesota , Minneapolis, MN 55455,","place":["United 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leukemia: a population-based study","volume":"2","author":"Muffly","year":"2018","journal-title":"Blood Adv"},{"key":"2026093008075414900_oyag363-B4","doi-asserted-by":"publisher","first-page":"SY15-02","DOI":"10.1158\/1538-7445.am2024-sy15-02","article-title":"Abstract SY15-02: Health insurance and outcome disparities in adolescents and young adults with cancer","volume":"84","author":"Keegan","year":"2024","journal-title":"Cancer Res"},{"key":"2026093008075414900_oyag363-B5","doi-asserted-by":"publisher","first-page":"pkae046","DOI":"10.1093\/jncics\/pkae046","article-title":"Travel-time barriers to specialized cancer care for adolescents and young adults with Acute lymphoblastic leukemia","volume":"8","author":"Parsons","year":"2024","journal-title":"JNCI Cancer Spectr"},{"key":"2026093008075414900_oyag363-B6","doi-asserted-by":"publisher","first-page":"103914","DOI":"10.1016\/j.critrevonc.2023.103914","article-title":"Financial toxicity among adolescent and young adult cancer survivors: a systematic review of educational attainment, employment, and income","volume":"183","author":"Di Giuseppe","year":"2023","journal-title":"Crit Rev Oncol Hematol"},{"key":"2026093008075414900_oyag363-B7","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1200\/OP.21.00178","article-title":"Caught in the in-between: challenges in treating adolescents and young adults with cancer","volume":"17","author":"Janardan","year":"2021","journal-title":"JCO Oncol Pract"},{"key":"2026093008075414900_oyag363-B8","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1093\/jnci\/djae252","article-title":"The intersecting time, administrative, and financial burdens of a cancer diagnosis","volume":"117","author":"Parsons","year":"2025","journal-title":"J Natl Cancer Inst"},{"key":"2026093008075414900_oyag363-B9","doi-asserted-by":"publisher","first-page":"e2549957","DOI":"10.1001\/jamanetworkopen.2025.49957","article-title":"Time burden in patients with metastatic breast and 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