ArticleCancer medicine2017
Out-of-pocket costs and burden among rural breast cancer survivors.
Article in Cancer medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
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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
35 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Psychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled 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
- Breast cancer survivorship in rural settings: a systematic 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
- Trial
- Article
- The relationship of out-of-pocket expenses to quality of life and disease coping in breast cancer patients receiving chemotherapy.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Exploring disparities in post-cancer treatment instructions: an analysis of rural vs. urban breast cancer survivors in Missouri using BRFSS data.BMC health services research · 2024Article
- "It was kind of a nightmare, it really was:" financial toxicity among rural women cancer survivors.Journal of cancer survivorship : research and practice · 2024Article
- Article
- Factors affecting the economic burden of breast cancer in southern Iran.BMC health services research · 2023Article
- Out-of-pocket payments and loss of income among long-term breast cancer survivors in Germany: a multi-regional population-based study.Journal of cancer survivorship : research and practice · 2023Article
- Cancer Survivors Living in Rural Settings: A Qualitative Exploration of Concerns, Positive Experiences and Suggestions for Improvements in Survivorship Care.Current oncology (Toronto, Ont.) · 2023Article
- The Impact of Travel Distance and Income on Breast Reconstruction after Mastectomy in a Rural Population.Plastic and reconstructive surgery. Global open · 2023Article
- The economic cost of cancer treatment in Iran.Journal of education and health promotion · 2023Article
- The role of physical arm function and demographic disparities in breast cancer survivors' ability to return to work.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Out-of-pocket costs associated with head and neck cancer treatment.Cancer reports (Hoboken, N.J.) · 2022Article
- Development, Therapeutic Evaluation and Theranostic Applications of Cubosomes on Cancers: An Updated Review.Pharmaceutics · 2022Review
- Identifying missing links in the conceptualization of financial toxicity: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Little is known about out-of-pocket (OOP) costs incurred for medical and health needs by rural breast cancer survivors and what factors may be associated with higher OOP costs and the associated economic burden. Data were examined for 432 survivors participating in the Rural Breast Cancer Survivor Intervention trial. OOP costs were collected using the Work and Finances Inventory survey at baseline and four assessments every 3 months. Mean and median OOP costs and burden (percent of monthly income spent on OOP costs) were reported and factors associated with OOP costs and burden identified with generalized linear models fitted with over-dispersed gamma distributions and logarithmic links (OOP costs) and with beta distributions with logit link (OOP burden). OOP costs per month since the end of treatment were on average $232.7 (median $95.6), declined at the next assessment point to $186.5 (median $89.1), and thereafter remained at that level. Mean OOP burden was 9% at baseline and between 7% and 8% at the next assessments. Factors suggestive of contributing to higher OOP costs and OOP burden were the following: younger age, lower income, time in survivorship from diagnosis, and use of supportive services. OOP costs burden rural breast cancer survivors, particularly those who are younger and low income. Research should investigate the impact of OOP costs and interventions to reduce economic burden.
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