ArticleJournal of cancer survivorship : research and practice2014
Patient time and out-of-pocket costs for long-term prostate cancer survivors in Ontario, Canada.
Article in Journal of cancer survivorship : research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Describing financial toxicity among cancer patients in different income countries: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- The Out-of-Pocket Cost Burden of Cancer Care-A Systematic Literature Review.Current oncology (Toronto, Ont.) · 2021Pooled it
- The psychosocial cost burden of cancer: A systematic literature review.Psycho-oncology · 2020Pooled it
- Financial toxicity associated with a cancer diagnosis in publicly funded healthcare countries: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Pooled it
- A Systematic Review of Financial Toxicity Among Cancer Survivors: We Can't Pay the Co-Pay.The patient · 2017Pooled it
- Patient and Family Financial Burden in Cancer: A Focus on Differences across Four Provinces, and Reduced Spending Including Decisions to Forego Care in Canada.Current oncology (Toronto, Ont.) · 2024Article
- A prospective evaluation of patient perspectives and financial considerations during prostate cancer treatment decision-making.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- Predictors of prostate cancer survivors' engagement in self-management behaviors.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023Article
- Cancer-Related Care Costs and Employment Disruption: Recommendations to Reduce Patient Economic Burden as Part of Cancer Care Delivery.Journal of the National Cancer Institute. Monographs · 2022Article
- The Burden of Health-Related Out-of-Pocket Cancer Costs in Canada: A Case-Control Study Using Linked Data.Current oncology (Toronto, Ont.) · 2022Article
- The Economic Burden of Cancer in Canada from a Societal Perspective.Current oncology (Toronto, Ont.) · 2022Article
- Characteristics associated with inter-individual variability in financial distress in patients with breast cancer prior to and for 12 months following surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Patient and family financial burden associated with cancer treatment in Canada: a national study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Cancer Impacts on Out-of-Pocket Expenses, Income Loss, and Informal (Unpaid) Care: A Cross-Sectional Study of Patient Perspective.Journal of patient experience · 2021Article
- A theoretical model of financial burden after cancer diagnosis.Future oncology (London, England) · 2020Article
- Out-of-Pocket Costs and Perceived Financial Burden Associated with Prostate Cancer Treatment in a Quebec Remote Area: A Cross-Sectional Study.Current oncology (Toronto, Ont.) · 2020Article
- Video Consultations Between Patients and Clinicians in Diabetes, Cancer, and Heart Failure Services: Linguistic Ethnographic Study of Video-Mediated Interaction.Journal of medical Internet research · 2020Article
- Determining the unmet needs of patients with intracranial meningioma-a qualitative assessment.Neuro-oncology practice · 2020Article
- The social and economic toll of cancer survivorship: a complex web of financial sacrifice.Journal of cancer survivorship : research and practice · 2019Article
- Literature review of the burden of prostate cancer in Germany, France, the United Kingdom and Canada.BMC urology · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeTime and out-of-pocket (OOP) costs can represent a substantial burden for cancer patients but have not been described for long-term cancer survivors. We estimated these costs, their predictors, and their relationship to financial income, among a cohort of long-term prostate cancer (PC) survivors.
methodsA population-based, community-dwelling, geographically diverse sample of long-term (2-13 years) PC survivors in Ontario, Canada, was identified from the Ontario Cancer Registry and contacted through their referring physicians. We obtained data on demographics, health care resource use, and OOP costs through mailed questionnaires and conducted chart reviews to obtain clinical data. We compared mean annual time and OOP costs (2006 Canadian dollars) across clinical and sociodemographic characteristics and examined the association between costs and four groups of predictors (patient, disease, system, symptom) using two-part regression models.
resultsPatients' (N = 585) mean age was 73 years; 77 % were retired, and 42 % reported total annual incomes less than $40,000. Overall, mean time costs were $838/year and mean OOP costs were $200/year. Although generally low, total costs represented approximately 10 % of income for lower income patients. No demographic variables were associated with costs. Radical prostatectomy, younger age, poor urinary function, current androgen deprivation therapy, and recent diagnosis were significantly associated with increased likelihood of incurring any costs, but only urinary function significantly affected total amount.
conclusionsTime and OOP costs are modest for most long-term PC survivors but can represent a substantial burden for lower income patients. Even several years after diagnosis, PC-specific treatments and treatment-related dysfunction are associated with increased costs. IMPLICATIONS FOR CANCER SURVIVORS: Time and out-of-pocket costs are generally manageable for long-term PC survivors but can be a significant burden mainly for lower income patients. The effects of PC-specific, treatment-related dysfunctions on quality of life can also represent sources of expense for patients.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.