Missing the obvious: psychosocial obstacles in Veterans with hepatocellular carcinoma

Abstract

Psychiatric disease and substance abuse are highly prevalent among Veterans with HCC. Most patients survive on a very meager income. These profound socioeconomic and psychosocial problems must be recognized when providing care for HCC to this population to provide adequate treatment and surveillance.

Homelessness, Cancer and Health Literacy: A Scoping Review

“…Characteristics of included articles. Among the 33 included articles, 3-7,10-12,16,17,22,24-45 25 (76%) were empirical studies, 6,7,[10][11][12]16,17,[24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40]45 fi ve (15%) were case studies 3,5,[41][42][43] and three (9%) were commentaries. 4,22,44 Of the empirical studies, 12 (56%) were cross-sectional; fi ve of these were prospective 10,16,31,38,39 and seven were retrospective chart reviews.…”

“…4,22,44 Of the empirical studies, 12 (56%) were cross-sectional; fi ve of these were prospective 10,16,31,38,39 and seven were retrospective chart reviews. 6,7,25,26,30,34,36 Four empirical studies were cohort studies: two were prospective 12,45 and two were retrospective. 33,40 Th ere were only two intervention studies.…”

“…19,27 Th ree empirical studies employed multiple methods. 24,32,35 Th e majority (88%, n=29) of articles were from the U.S. 3,[5][6][7][10][11][12]16,17,22,[24][25][26][27][28][30][31][32][33][34][35][36][37][38][40][41][42]44,45 and, of the remaining articles, two were from Canada, 4,29 one from Australia, 43 and one from Northern Ireland. 39 Study settings were highly diverse.…”

“…Th e majority (79%, n=26) of studies consisted of recruitment at a single setting. 3,[5][6][7]10,16,17,[24][25][26]28,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] Th ese included mobile clinics, 24 shelter-based clinics, 10,16,17,26,34,37,42 community clinics, 30,38 university-based clinics, 28 hospitals, 3,5,6,41,43 homeless shelters, 35,39,44 respite care facilities, 7,31 Veterans Health Administration Medical Centers, 33,36 housing program sites, 37,…”

“…3,5,7,10,12,16,17,[24][25][26][27][30][31][32]34,38,39,41,42,44,45 It was not clear which subset of the homeless were the focus of the remaining 12 articles. 4,6,11,22,28,29,33,[35][36][37]40,43 Most articles 5,6,[10][11][12]16,[24][25][26]28,[30][31][32][33]35,[37][38][39]41,44,…”