Understanding Barriers to Early Liver Cancer Detection in Los Angeles
This study is looking into why some people with liver cancer (Hepatocellular Carcinoma or HCC) are diagnosed at a later stage, especially those with lower incomes. It's an observational study, meaning you won't receive a new treatment, but researchers will gather information from you. They want to understand the social and health-related reasons that might prevent people from getting an early diagnosis. To join, you must be an adult (18+) recently diagnosed with HCC, live in Los Angeles County, and have Medicaid or no insurance. You should also be able to speak English, Spanish, or Chinese. The study aims to identify barriers to early detection over a period of up to four years.
- Study design
- This is an observational study planning to enroll 730 adults with a new diagnosis of liver cancer.
- What's involved
- You would complete surveys, have your medical records reviewed, and might participate in an interview.
- Compensation
- Not stated in the trial record.
- Follow-up
- Researchers will look at information related to social determinants of health and barriers to early detection for up to four years.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Multilevel Determinants of Socioeconomic Disparities in Geographic Late-Stage Hepatocellular Carcinoma Hotspots
At a glance
Conditions
NCT07312162
Where you'd take part
This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.
USC / Norris Comprehensive Cancer Center
Los Angeles, Californiastudy coordinator listed
Recruiting
Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.
Study leadership
- Kali Zhou · PRINCIPAL_INVESTIGATOR · University of Southern California
Who to contact
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Inclusion
Exclusion
What this trial measures
- Social determinants of healthUp to 4 years
Patient social determinants of health-related needs will be measured through a health questionnaire created for the study. The patient can respond yes or no to having a lack of transportation to and from appointments. The patient is given a scale of never true, sometimes true and often true for questions regarding food insecurity. The patient can indicate that they do or do not have housing today (or choose not to answer), and they can indicate how many times they moved in the last year as 0, 1, or 2+. For the remaining questions regarding housing, paying for utilities, paying for medications, unemployment, education and child or family care, the patient can respond yes, no or choose not to answer. Responses of yes indicate the patient has a need, and no indicates that they do not have a need.
- Barriers to completion of the early detection pathway for liver cancerUp to 4 years
For assessment we will conduct semi-structured interviews with key stakeholders, including low-income patients with liver cancer, providers in an interconnected safety net system, and community leaders of hotspot neighborhoods.