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A Scoping Review of Surgical Care for People Experiencing Homelessness With Cancer
Harris Allen1, Wendy Feng2, Caroline B Falker3
1Columbia University Vagelos College of Physicians and Surgeons, NY, USA.
None:
People experiencing homelessness (PEH) face significant barriers to surgical care. This scoping review identified 26 studies describing cancer surgery in PEH. Major themes that emerged for PEH were poor access to surgical specialists, advanced stage at cancer presentation, worse surgical outcomes compared to housed cancer patients, and loss to follow-up care. Although some studies proposed strategies like housing support and improved care coordination, few evaluated targeted interventions. These findings highlight a critical gap in oncologic surgical care for PEH and emphasize the need for targeted research and policy initiatives.
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