{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T03:03:36Z","timestamp":1793070216265,"version":"4.5.0"},"reference-count":15,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"5","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>Cancer is the leading cause of death in US prisons, where incarcerated patients have substantially worse survival than nonincarcerated patients. Yet, cancer care delivery in US prisons has not been well described. This study describes cancer care delivery across the cancer continuum for individuals incarcerated in US prisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Semistructured interviews were conducted with 32 prison medical directors, primary care clinicians (PCPs), and oncologists caring for patients with cancer incarcerated in 16 US state and federal prison systems between September 2023 and April 2024. A member-checking focus group of 22 prison medical directors and clinicians was held in February 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Interview participants included nine prison medical directors, six PCPs, one gynecologist, 15 oncologists, and one palliative care clinician. Themes identified distinct logistics related to screening, diagnosis, treatment, symptom management, survivorship, and end-of-life care, and several cross-cutting topics including communication, scheduling, community transitions, and payment models. Participants reported that screening is widely available for some but not all cancers in prison. Prison clinicians and staff manage most screening and diagnostic evaluations, which require lengthy, sequential approval processes. Radiographic imaging, procedures, surgery, and treatment usually occur outside of prisons. Prison primary care teams manage many tasks usually overseen by oncology teams, including scheduling, care coordination, and management of symptoms from cancer and treatment. Policies limit clinician communication and family involvement, with important care ramifications. Security requirements and staff shortages complicate care coordination and scheduling. The focus group reinforced these themes and did not identify new themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The unique and complicated logistics of cancer care for patients incarcerated in US prisons differ from care provided to nonincarcerated patients and may negatively affect their cancer outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op-25-00361","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T19:59:09Z","timestamp":1752609549000},"page":"813-820","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":4,"title":["Cancer Screening, Diagnosis, and Treatment for Vulnerable Patients Incarcerated in US Prisons"],"prefix":"10.1200","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0928-3492","authenticated-orcid":true,"given":"Christopher R.","family":"Manz","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6341-5137","authenticated-orcid":true,"given":"Brett","family":"Nava-Coulter","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3544-757X","authenticated-orcid":true,"given":"Emma","family":"Voligny","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2543-9231","authenticated-orcid":true,"given":"Daniel A.","family":"Gundersen","sequence":"additional","affiliation":[{"name":"Rutgers Institute for Nicotine and Tobacco Studies, New Brunswick, NJ"},{"name":"Department of General Internal Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9776-7114","authenticated-orcid":true,"given":"Alexi A.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA"},{"name":"Harvard Medical School, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"e_1_3_7_2_2","volume-title":"Mass Incarceration: The Whole Pie 2024","author":"Wendy Sawyer PW","year":"2024","unstructured":"Wendy Sawyer PW: Mass Incarceration: The Whole Pie 2024. Prison Policy Initiative, 2024. https:\/\/www.prisonpolicy.org\/reports\/pie2024.html"},{"key":"e_1_3_7_3_2","volume-title":"Cancer Disparities: A Chartbook","author":"American Cancer Society","year":"2018","unstructured":"American Cancer Society: Cancer Disparities: A Chartbook. Washington, DC, American Cancer Society, 2018"},{"key":"e_1_3_7_4_2","volume-title":"Beyond the Count: A Deep Dive into State Prison Populations","author":"Leah Wang WS","year":"2022","unstructured":"Leah Wang WS, Herring T, Widra E: Beyond the Count: A Deep Dive into State Prison Populations. Prison Policy Initiative, Northhampton, MA, 2022"},{"key":"e_1_3_7_5_2","volume-title":"Mortality in State and Federal Prisons, 2001-2016\u2014Statistical Tables","author":"Carson EA","year":"2020","unstructured":"Carson EA, Cowhig MP: Mortality in State and Federal Prisons, 2001-2016\u2014Statistical Tables. Bureau of Justice Statistics, Washington, DC, 2020"},{"key":"e_1_3_7_6_2","volume-title":"Aging Prison Populations Drive up Costs","author":"Pew Charitable Trusts","year":"2018","unstructured":"Pew Charitable Trusts: Aging Prison Populations Drive up Costs. 2018"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274703"},{"key":"e_1_3_7_8_2","unstructured":"The Pew Charitible Trust: Prison health care costs and quality: How and why states strive for high-performing systems. 2017"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jchc.21.11.0128"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.3754"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djad087"},{"key":"e_1_3_7_12_2","volume-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","author":"Creswell JW","year":"2007","unstructured":"Creswell JW: Qualitative Inquiry and Research Design: Choosing Among Five Approaches (ed 2). Thousand Oaks, CA, Sage, 2007","edition":"2"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2009.03.011"},{"key":"e_1_3_7_14_2","doi-asserted-by":"crossref","first-page":"e0171131","DOI":"10.1371\/journal.pone.0171131","article-title":"Cancer prevalence, incidence and mortality in people who experience incarceration in Ontario, Canada: A population-based retrospective cohort study","volume":"12","author":"Kouyoumdjian FG","year":"2017","unstructured":"Kouyoumdjian FG, Pivnick L, McIsaac KE, et al: Cancer prevalence, incidence and mortality in people who experience incarceration in Ontario, Canada: A population-based retrospective cohort study. 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Bureau of Justice Statistics, Washington, DC, 2021"}],"container-title":["JCO Oncology Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ascopubs.org\/doi\/pdfdirect\/10.1200\/OP-25-00361","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T23:05:47Z","timestamp":1778713547000},"score":1,"resource":{"primary":{"URL":"https:\/\/ascopubs.org\/doi\/10.1200\/OP-25-00361"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1200\/OP-25-00361"],"URL":"https:\/\/doi.org\/10.1200\/op-25-00361","relation":{},"ISSN":["2688-1527","2688-1535"],"issn-type":[{"value":"2688-1527","type":"print"},{"value":"2688-1535","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-23","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}