Social Determinants of Health in Cardio Oncology, from Evidence To Action: Translating Concepts into Clinical Practice Through Implementation Science.

Authors

Harikrishnan Hyma Kunhiraman
Viraj Shah
Tarek Nahle
Nicholas Trinh
Andrew Lempner
Shivam Singh, Department of Internal Medicine, Reading Hospital, Tower Health, West Reading, PA, 19611Follow
Tanvi Borse
Nandhini Iyer
Aaron J Kruse-Diehr
Avirup Guha
Cardio-Oncology Program

Document Type

Article

Publication Date

12-1-2025

Abstract

As cardio-oncology matures, its continued inattention to the social determinants of health (SDOH) represents a critical blind spot in both clinical care and health equity. Despite growing recognition of how factors like income, housing, and transportation shape cardiovascular outcomes in cancer patients, their routine integration into care remains limited. This review underscores that implementation science frameworks such as RE-AIM, PRISM, and CFIR offer structured, evidence-informed pathways to translate knowledge into practice. With scalable strategies from EHR-based screening to community health worker interventions now available, the field is well-positioned to lead. Advancing equity in cardio-oncology requires not just awareness but deliberate, systematic action rooted in implementation science.

Publication Title

Current treatment options in oncology

Volume

26

Issue

12

First Page

1033

Last Page

1046

Recommended Citation

Kunhiraman, H., Shah, V., Nahle, T., Trinh, N., Lempner, A., Singh, S., Borse, T., Iyer, N., Kruse-Diehr, A., Guha, A., & Program, C. (2025). Social Determinants of Health in Cardio Oncology, from Evidence To Action: Translating Concepts into Clinical Practice Through Implementation Science.. Current treatment options in oncology, 26 (12), 1033-1046. https://doi.org/https://doi.org/10.1007/s11864-025-01362-0