Objectives Sexual and gender minority (SGM) patients faces unique health care disparities in cancer care. This study is aimed to evaluate the rate of sexual orientation and gender identity (SOGI) data collection at a cancer center.

Methods Between 9/2019–8/2020, patients with newly diagnosed leukemia, melanoma, lung, breast, gastrointestinal, gynecologic, prostate, or testicular cancers were identified. Data were collected via retrospective chart review: legal sex, age, sexual orientation, gender identity, and cancer diagnosis. Appropriate statistical analyses were applied.

Results 387 new patient visits were identified. The median age was 65 years (range 0–98), evenly broken down by cancer type. For this patient cohort, 12% and 16% had SO and GI data reported, respectively. There was no significant difference between cancer type when reporting SOGI, however SOGI was reported for 20% of breast cancer patients, while for patients with gastrointestinal cancer, SO was reported for 6% of patients and GI for 10% (p=0.94). There was no significant difference in reporting SOGI based on legal sex (SO: Female 12.5%, Male 11%; p=0.75; GI: Female 16.5%, GI 14.1%, p=0.52) or age (SO: <45 12%, > or = 46 12%, p=1.00; GI <45y 14%, > or = 46 16%, p=0.65).

Conclusions This study demonstrated that at one major cancer center, collection of SOGI data for newly diagnosed cancer patients is done at an alarmingly low rate. We found no difference in rates of SOGI collection based on cancer type, age, or legal sex. This study demonstrates the importance of encouraging SOGI collection for all patients and across all providers.