Background/Objectives: Psychosocial factors are not routinely screened for during the perioperative period, even though they significantly influence overall health. This study aimed to inventory the psychosocial vulnerabilities among patients undergoing cancer surgery.Methods: We conducted a cross-sectional analysis of a researcher-administered psychosocial screener implemented within a statewide health system between July 2023 and August 2025. A 45 min screener was offered to consecutive adult patients within two weeks before their major elective cancer surgery. Residential addresses were geocoded to assign neighborhood deprivation percentiles for the Area Deprivation Index (ADI) and the Social Vulnerability Index (SVI). Elevated psychosocial vulnerability was determined based on a model-based clustering approach, and a high deprivation index was defined as ≥75th percentile.Results: A total of 383 patients (37% response rate) completed the screener, including colorectal (40%), thoracic (36%), and surgical oncology (24%) patients, with a median age of 66 years (IQR, 57–73). Over half (52.0%, n = 199) reported ≥2 psychological and ≥2 social vulnerabilities. Younger patients (p= 0.021), non-white patients (p< 0.001), patients identifying as non-heterosexual (p= 0.014), without a partner (p< 0.001) or private insurance (p= 0.040), and those with lower household income (p< 0.001) were more likely to report elevated psychosocial vulnerability. Patients with elevated psychosocial vulnerability were more likely to reside in deprived neighborhoods (ADI: 34.0 vs. 29.0,p= 0.035; SVI: 0.35 vs. 0.27,p= 0.005).Conclusions: Patients undergoing major cancer surgery experience substantial psychosocial vulnerabilities, particularly those from socioeconomically disadvantaged neighborhoods. Future work should identify the psychosocial factors most predictive of poor surgical outcomes to guide targeted preoperative interventions.
**背景/目的：** 尽管心理社会因素显著影响整体健康，但在围手术期并未常规筛查。本研究旨在调查接受癌症手术患者的心理社会脆弱性。 **方法：** 我们对一项于2023年7月至2025年8月期间在一个全州卫生系统内实施的研究者主导的心理社会筛查工具进行了横断面分析。该筛查工具（耗时45分钟）提供给在择期重大癌症手术前两周内的连续成年患者。对居住地址进行地理编码，以分配区域剥夺指数和社会脆弱性指数的邻里剥夺百分位数。心理社会脆弱性升高是基于模型聚类方法确定的，高剥夺指数定义为≥75百分位数。 **结果：** 共有383名患者（应答率37%）完成了筛查，包括结直肠癌（40%）、胸外科（36%）和外科肿瘤科（24%）患者，中位年龄为66岁。超过半数（52.0%，n = 199）报告了≥2项心理脆弱性和≥2项社会脆弱性。年轻患者、非白人患者、非异性恋认同者、无伴侣或无私人保险者，以及家庭收入较低者更有可能报告心理社会脆弱性升高。心理社会脆弱性升高的患者更可能居住在剥夺程度较高的社区。 **结论：** 接受重大癌症手术的患者存在显著的心理社会脆弱性，尤其是来自社会经济弱势社区的患者。未来的工作应确定最能预测不良手术结局的心理社会因素，以指导有针对性的术前干预。
肿瘤(癌症)患者之家