ArticleJournal of cancer survivorship : research and practice2016
Predictors of financial difficulties and work modifications among cancer survivors in the United States.
Article in Journal of cancer survivorship : research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Describing financial toxicity among cancer patients in different income countries: a systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Financial toxicity and employment status in cancer survivors. A systematic literature review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Pooled it
- Financial Burdens of Cancer Treatment: A Systematic Review of Risk Factors and Outcomes.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Pooled it
- Methods for measuring financial toxicity after cancer diagnosis and treatment: a systematic review and its implications.Annals of oncology : official journal of the European Society for Medical Oncology · 2019Pooled it
- Financial toxicity among US adults with rheumatic disease and prior cancer: a nationally representative cross-sectional study.Clinical rheumatology · 2026Article
- Employment status and food insecurity in cancer survivorship: evidence from the medical expenditure panel survey.Cancer causes & control : CCC · 2026Article
- Social Needs in Cancer Survivors: A Scoping Review and Future Directions.Current oncology reports · 2025Article
- Non-monetary burdens of out-of-pocket costs incurred by patients and caregivers for medical care: a scoping review.BMJ open · 2025Article
- Work ability and work status changes in long-term Hodgkin lymphoma survivors with focus on late adverse effects.Journal of cancer survivorship : research and practice · 2024Article
- Social risk factors among individuals with a history of cancer during the COVID-19 pandemic.Journal of cancer survivorship : research and practice · 2023Article
- Quality of life, distress, anxiety and depression of ambulatory cancer patients receiving chemotherapy.Medicine and pharmacy reports · 2022Article
- Impact of cancer on income, wealth and economic outcomes of adult cancer survivors: a scoping review.BMJ open · 2022Article
- Out-of-pocket costs associated with head and neck cancer treatment.Cancer reports (Hoboken, N.J.) · 2022Article
- Financial hardship and mental health among cancer survivors during the COVID-19 pandemic: An analysis of the US COVID-19 Household Impact Survey.Frontiers in public health · 2022Article
- Association of co-morbidities with financial hardship in survivors of adult cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- The effects of oral anticancer parity laws on out-of-pocket spending and adherence among commercially insured patients with chronic myeloid leukemia.Journal of managed care & specialty pharmacy · 2021Article
- Racial and Ethnic Differences in the Financial Consequences of Cancer-Related Employment Disruption.Frontiers in oncology · 2021Article
- Work- and insurance-related issues among Asian adolescent and young-adult cancer survivors: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Coping mechanisms for financial toxicity: a qualitative study of cancer patients' experiences in Germany.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Challenges of using nationally representative, population-based surveys to assess rural cancer disparities.Preventive medicine · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeThe aim of this study is to examine predictors of cancer-related financial difficulties and work modifications in a national sample of cancer survivors.
methodsUsing the 2011 Medical Expenditure Panel Survey and Experiences with Cancer Survivorship Supplement, the prevalence of financial difficulties and work modifications was examined. Logistic regression and survey weights were used to model these outcomes as functions of sociodemographic and health covariates separately among survivors in active treatment and survivors under age 65 years.
resultsAmong all survivors, 33.2% reported any financial concern, with 17.9% reporting financial difficulties such as debt or bankruptcy. Among working survivors, 44.0% made any work modification and 15.3% made long-term work modifications (e.g., delayed or early retirement). Among those in active treatment, predictors of financial difficulty included: race/ethnicity other than white, non-Hispanic [OR = 8.0; 95% CI 2.2-28.4]; income <200% of federal poverty level (FPL) [OR = 15.7; 95% CI 2.6-95.2] or between 200 and 400% of FPL [OR = 8.2; 95% CI 1.3-51.4]; residence in a non-metropolitan service area [OR = 6.4; 95% CI 1.6-25.0]; and good/fair/poor self-rated health [OR = 3.8; 95% CI 1.0-14.2]. Among survivors under age 65 years, predictors of long-term work modifications included good/fair/poor self-rated health [OR = 4.1; 95% CI 1.6-10.2], being married [OR = 2.2; 95% CI 1.0-4.7], uninsured [OR = 3.5; 95% CI 1.3-9.3], or publicly insured [OR = 9.0; 95% CI 3.3-24.4].
conclusionsA substantial proportion of cancer survivors experience cancer-related financial difficulties and work modifications, particularly those who report race/ethnicity other than white, non-Hispanic, residence in non-metropolitan areas, worse health status, lower income, and public or no health insurance. IMPLICATIONS FOR CANCER SURVIVORS: Attention to the economic impact of cancer treatment is warranted across the survivorship trajectory, with particular attention to subgroups at higher risk.
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