Evidence map›Paper›PMID 28218801›Full record

ArticleCancer2017

Do cancer survivors change their prescription drug use for financial reasons? Findings from a nationally representative sample in the United States.

Zhiyuan Zheng, Xuesong Han, Gery P Guy, Amy J Davidoff, Chunyu Li, Matthew P Banegas, Donatus U Ekwueme, K Robin Yabroff, Ahmedin Jemal

Abstract read
In one paragraph

Article in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Financial Toxicity and Kidney Disease in Children and Adults: A Scoping Review.International journal of nephrology and renovascular disease · 2025
    Review
  7. Article
  8. Pilot implementation and qualitative evaluation of a financial hardship screening among Native American patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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  18. Financial toxicity assessment and associated factors analysis of patients with cancer in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zhiyuan ZhengSurveillance and Health Services Research Program, American Cancer Society, Atlanta, Georgia.
Xuesong HanSurveillance and Health Services Research Program, American Cancer Society, Atlanta, Georgia.
Gery P GuyDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Amy J DavidoffDepartment of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut.ORCID 0000-0001-8141-9249
Chunyu LiDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Matthew P BanegasThe Center for Health Research, Kaiser Permanente, Portland, Oregon.
Donatus U EkwuemeDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
K Robin YabroffDivision of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.
Ahmedin JemalSurveillance and Health Services Research Program, American Cancer Society, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThere is limited evidence from nationally representative samples about changes in prescription drug use for financial reasons among cancer survivors in the United States.

methodsThe 2011 to 2014 National Health Interview Survey was used to identify adults who reported ever having been told they had cancer (cancer survivors; n = 8931) and individuals without a cancer history (n = 126,287). Measures of changes in prescription drug use for financial reasons included: 1) skipping medication doses, 2) taking less medicine, 3) delaying filling a prescription, 4) asking a doctor for lower cost medication, 5) buying prescription drugs from another country, and 6) using alternative therapies. Multivariable logistic regression analyses were controlled for demographic characteristics, number of comorbid conditions, interactions between cancer history and number of comorbid conditions, and health insurance coverage. Main analyses were stratified by age (nonelderly, ages 18-64 years; elderly, ages ≥65 years) and time since diagnosis (recently diagnosed, <2 years; previously diagnosed, ≥2 years).

resultsAmong nonelderly individuals, both recently diagnosed (31.6%) and previously diagnosed (27.9%) cancer survivors were more likely to report any change in prescription drug use for financial reasons than those without a cancer history (21.4%), with the excess percentage changes for individual measures ranging from 3.5% to 9.9% among previously diagnosed survivors and from 2.6% to 2.7% among recently diagnosed survivors (P < .01). Elderly cancer survivors and those without a cancer history had comparable rates of changes in prescription drug use for financial reasons.

conclusionsNonelderly cancer survivors are particularly vulnerable to changes in prescription drug use for financial reasons, suggesting that targeted efforts are needed. Cancer 2017;123:1453-1463. © 2016 American Cancer Society.

Indexed as

Drug SubstitutionSurvivorsAdolescentAdultAgedAntineoplastic AgentsComorbidityComplementary TherapiesCross-Sectional StudiesHumansInsurance, HealthMiddle AgedNeoplasmsPrescription DrugsSurveys and QuestionnairesUnited StatesAntineoplastic AgentsPrescription Drugscancer survivorscomorbid conditionsfinancial burdenhigh-deductible planprescription drugs

Identifiers

PMID28218801
PMCPMC6080209

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Registered trials

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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.