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Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1786531
Review Article

Addressing Colorectal Cancer Disparities in Unhoused Populations: A Call for Equitable Access and Compassionate Care

Hannah Decker 
1   Department of Surgery, University of California San Francisco, San Francisco, California
,
Caroline Erickson
1   Department of Surgery, University of California San Francisco, San Francisco, California
,
Elizabeth Wick
1   Department of Surgery, University of California San Francisco, San Francisco, California
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Abstract

Housing is essential for health. Unhoused individuals have markedly worse health status than the general population culminating in higher rates of premature mortality. Cancer is a leading cause of death in older unhoused adults. Caring for unhoused patients at risk for or with colorectal cancer poses challenges at every stage of oncologic care: prevention, screening, diagnosis, treatment, and follow-up. These challenges result in later stages at diagnosis and worse overall survival. Health systems can work to advance health equity in colorectal cancer in unhoused patients by improving access to care, transitions of care, health care quality, and focusing on socioeconomic/environmental impact.

Keywords

housing - homelessness - health equity - colorectal cancer - health disparities

Note

Outside the published work, Hannah Decker is a National Clinician Scholar with salary support from the VA and consulting compensation from Moon Surgical LLC from December 2022-June 2023.




Publication History

Article published online:
02 May 2024

© 2024. Thieme. All rights reserved.

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