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ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Counting the cost of cancer: out-of-pocket payments made by colorectal cancer survivors.

Alan Ó Céilleachair, Paul Hanly, Máiréad Skally, Eamonn O'Leary, Ciaran O'Neill, Patricia Fitzpatrick, Kanika Kapur, Anthony Staines, Linda Sharp

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 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

17 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
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  6. 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 · 2020
    Pooled it
  7. Article
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  13. 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 · 2021
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  14. Article
  15. A cost analysis of a community-based support centre for cancer patients and their families in Ireland: the EVeCANs study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  16. Out-of-pocket-payments and the financial burden of 502 cancer patients of working age in Germany: results from a longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  17. Out-of-pocket expenses experienced by rural Western Australians diagnosed with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    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.

Alan Ó CéilleachairNational Cancer Registry Ireland, Building 6800, Cork Airport Business Park, Cork, Ireland. a.oceilleachair@ncri.ie.
Paul HanlyNational College of Ireland, IFSC, Dublin 1, Ireland.
Máiréad SkallyNational Cancer Registry Ireland, Building 6800, Cork Airport Business Park, Cork, Ireland.
Eamonn O'LearyNational Cancer Registry Ireland, Building 6800, Cork Airport Business Park, Cork, Ireland.
Ciaran O'NeillNational University of Ireland, Galway, Ireland.
Patricia FitzpatrickSchool of Public Health, Physiotherapy & Population Science, University College Dublin, Dublin 4, Ireland.
Kanika KapurSchool of Economics and Geary Institute, University College Dublin, Dublin 4, Ireland.
Anthony StainesSchool of Nursing and Human Sciences, Dublin City University, Dublin 9, Ireland.
Linda SharpInstitute of Health & Society, Newcastle University, Newcastle, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCancer places a significant cost burden on health services. There is increasing recognition that cancer also imposes a financial and economic burden on patients but this has rarely been quantified outside North America. We investigate out-of-pocket costs (OOPCs) incurred by colorectal (CRC) survivors in Ireland.

methodsCRC survivors (ICD10 C18-20) diagnosed 6-30 months previously were identified from the National Cancer Registry Ireland and invited to complete a postal questionnaire. Cancer-related OOPC for tests, procedures, drugs, allied medications and household management in approximately the year following diagnosis were calculated. Robust regression was used to identify predictors of OOPC; this was done for all survivors combined and stratified by age (<70 and ≥70 years) and employment status (working and not working) at diagnosis.

resultsFour hundred ninety-seven CRC survivors completed questionnaires (response rate = 39%). Almost all (90%) respondents reported some cancer-related OOPC. The average total OOPC was €1589. Stage III at diagnosis was associated with significantly higher OOPCs than other stages in the all-survivor model, in those not working in the employment model and in those under 70 years in the age-stratified model. In all-survivor model, those under 70 also had higher OOPCs, as did those in employment. Having one or more children was associated with significantly lower OOPCs in those under 70 years.

conclusionsAlmost all CRC survivors incur cancer-related OOPCs; for some, these are not insignificant. Greater attention should be paid to the development of services to help survivors manage the financial and economic burden of cancer.

Indexed as

Cost of IllnessColorectal NeoplasmsFemaleHealth ExpendituresHumansMaleMiddle AgedSurveys and QuestionnairesSurvivorsColorectal cancerOutcomesPatient costsSurvivorship

Identifiers

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Textmetadata
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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.