Documentation of individual-level social determinants of health among adults diagnosed with cancer in the United States

The ICD-10-CM diagnosis codes ranging from Z55 to Z65 (Z codes) capture individual-level social determinants of health (SDOH) and are typically under-coded in individuals’ health records. There is limited characterization of SDOH Z codes among adults diagnosed with cancer and information about oncol...

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Vydáno v:Scientific reports Ročník 15; číslo 1; s. 29646 - 11
Hlavní autoři: Hsu, Chia-Yun, Henderson, Gabriel, Slejko, Julia F., Hussain, Arif, Swain, Richard Scott, Kalesan, Bindu, Huang, Pei-Lin, Onukwugha, Eberechukwu
Médium: Journal Article
Jazyk:angličtina
Vydáno: London Nature Publishing Group UK 13.08.2025
Nature Publishing Group
Nature Portfolio
Témata:
692/4028/67
692/4028/67/2324
692/499
Adult
Aged
Beneficiaries
Cancer
Claims data
Codes
Comorbidity
Cross-Sectional Studies
Documentation
Electronic health records
Female
Health care expenditures
Humanities and Social Sciences
Humans
International Classification of Diseases
Male
Mammography
Medicaid
Medicare
Metastases
Metastasis
Middle Aged
multidisciplinary
Neoplasms - diagnosis
Neoplasms - epidemiology
Oncology
Patients
Physician perspectives
Registries
Science
Science (multidisciplinary)
Social determinants of health
Social Determinants of Health - statistics & numerical data
Socioeconomic factors
United States - epidemiology
Z codes
United States
United States > US
Social determinants of health
Z codes
Claims data
Physician perspectives
ISSN:2045-2322, 2045-2322
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Shrnutí:The ICD-10-CM diagnosis codes ranging from Z55 to Z65 (Z codes) capture individual-level social determinants of health (SDOH) and are typically under-coded in individuals’ health records. There is limited characterization of SDOH Z codes among adults diagnosed with cancer and information about oncologists’ perspectives on Z codes. Using pooled cross sections, we selected 35,099 adults from the IQVIA PharMetrics ® Plus for Academics data and 17,852 individuals from linked cancer registry and claims data. The prevalence of comorbidities and metastatic cancer was higher among individuals with Z codes compared to those without Z code claims. The proportion of individuals with any Z code claims ranged from 0.6 to 0.9% in the PharMetrics Plus data and from 1.4 to 2.1% in the linked data. Among 112 medical oncologists/hematologists who responded to a survey about SDOH Z codes, 54% had not heard of Z codes to document SDOH. 26% reported that lack of reimbursement makes it difficult to increase their documentation and 64% would consider using Z codes if they are tied to payer reimbursement. Individuals with Z codes had greater comorbidity and cancer burden. Additional research is needed and depends on improved coding of SDOH Z codes.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-025-13825-3