Social Determinants of Health in Cardio Oncology, from Evidence To Action: Translating Concepts into Clinical Practice Through Implementation Science.

IF 4.7 2区 医学 Q2 ONCOLOGY
Harikrishnan Hyma Kunhiraman, Viraj Shah, Tarek Nahle, Nicholas Trinh, Andrew Lempner, Shivam Singh, Tanvi Borse, Nandhini Iyer, Aaron J Kruse-Diehr, Avirup Guha, Cardio-Oncology Program
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引用次数: 0

Abstract

Opinion statement: As cardio-oncology matures, its continued inattention to the social determinants of health (SDOH) represents a critical blind spot in both clinical care and health equity. Despite growing recognition of how factors like income, housing, and transportation shape cardiovascular outcomes in cancer patients, their routine integration into care remains limited. This review underscores that implementation science frameworks such as RE-AIM, PRISM, and CFIR offer structured, evidence-informed pathways to translate knowledge into practice. With scalable strategies from EHR-based screening to community health worker interventions now available, the field is well-positioned to lead. Advancing equity in cardio-oncology requires not just awareness but deliberate, systematic action rooted in implementation science.

心脏肿瘤健康的社会决定因素,从证据到行动:通过实施科学将概念转化为临床实践。
意见声明:随着心脏肿瘤学的成熟,其对健康的社会决定因素(SDOH)的持续忽视代表了临床护理和卫生公平的关键盲点。尽管越来越多的人认识到收入、住房和交通等因素如何影响癌症患者的心血管预后,但这些因素在日常护理中的整合仍然有限。本综述强调,RE-AIM、PRISM和CFIR等实施科学框架为将知识转化为实践提供了结构化的、循证的途径。随着从基于电子病历的筛查到社区卫生工作者干预措施的可扩展战略的出现,该领域处于领先地位。促进心脏肿瘤学的公平性不仅需要意识,而且需要基于实施科学的深思熟虑、系统的行动。
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来源期刊
CiteScore
7.10
自引率
0.00%
发文量
113
审稿时长
>12 weeks
期刊介绍: This journal aims to review the most important, recently published treatment option advances in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to cancer treatment. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as endocrine tumors, lymphomas, neuro-oncology, and cancers of the breast, head and neck, lung, skin, gastrointestinal tract, and genitourinary region. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known oncologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.
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