Evidence map›Paper›PMID 28852970›Full record

ArticleJournal of cancer survivorship : research and practice2018

Exploring barriers to the receipt of necessary medical care among cancer survivors under age 65 years.

Matthew P Banegas, John F Dickerson, Erin E Kent, Janet S de Moor, Katherine S Virgo, Gery P Guy, Donatus U Ekwueme, Zhiyuan Zheng, Stephanie Nutt, Loyce Pace and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
11.9field-weighted citation impact, top 2% of its field
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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
  3. Survival Trends Among Adolescents and Young Adults Diagnosed With Cancer in the United States: Comparisons With Children and Older Adults.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  4. Risk Factors and Trends for HPV-Associated Subsequent Malignant Neoplasms among Adolescent and Young Adult Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  5. Article
  6. Article
  7. Financial hardship among cancer survivors in Southern New Jersey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  8. Review
  9. Article
  10. Article
  11. 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 · 2020
    Article
  12. Article
  13. The social and economic toll of cancer survivorship: a complex web of financial sacrifice.Journal of cancer survivorship : research and practice · 2019
    Article
  14. 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

14 authors at 8 institutions in 1 country.

Matthew P BanegasKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA. Matthew.P.Banegas@kpchr.org.
John F DickersonKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Erin E KentDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
Janet S de MoorDivision of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
Katherine S VirgoRollins School of Public Health, Emory University, Atlanta, GA, USA.
Gery P GuyDivision of Cancer Prevention and Control, U.S Centers for Disease Control and Prevention, Atlanta, GA, USA.
Donatus U EkwuemeDivision of Cancer Prevention and Control, U.S Centers for Disease Control and Prevention, Atlanta, GA, USA.
Zhiyuan ZhengEconomics & Healthcare Delivery Research, American Cancer Society, Atlanta, GA, USA.
Stephanie NuttThe University of Texas, Austin, TX, USA.
Loyce PaceLIVESTRONG Foundation, Austin, TX, USA.
Alexandra VargaKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Lisa WaiwaioleKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
Jennifer SchneiderKaiser Permanente Center for Health Research, 3800 N. Interstate Ave., Portland, OR, 97227, USA.
K Robin YabroffOffice of the Assistant Secretary for Planning and Evaluation, Washington, DC, USA.
Kaiser Permanente Center for Health Research · USCenters for Disease Control and Prevention · USNational Cancer Institute · USAmerican Cancer Society · USEmory University · USLivestrong Foundation · USOffice of the Assistant Secretary for Planning and Evaluation · USThe University of Texas at Austin · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

purposeWith increasing cancer care costs and greater patient cost-sharing in the USA, understanding access to medical care among cancer survivors is imperative. This study aims to identify financial, psychosocial, and cancer-related barriers to the receipt of medical care, tests, or treatments deemed necessary by the doctor or patient for cancer among cancer survivors age < 65 years.

methodsWe used data on 4321 cancer survivors aged 18-64 years who completed the 2012 LIVESTRONG Survey. Multivariable logistic regression was used to identify risk factors associated with the receipt of necessary medical care, including sociodemographic, financial hardship, debt amount, caregiver status, and cancer-related variables.

resultsApproximately 28% of cancer survivors were within 1 year, and 43% between 1 and 5 years, since their last treatment at the time of survey. Nearly 9% of cancer survivors reported not receiving necessary medical care. Compared to survivors without financial hardship, the likelihood of not receiving necessary medical care significantly increased as the amount of debt increased among those with financial hardship (RR

conclusionWe identified key financial and insurance risk factors that may serve as significant barriers to the receipt of necessary medical care among cancer survivors age < 65 in the USA IMPLICATIONS FOR CANCER SURVIVORS: The majority of cancer survivors reported receiving medical care either they or their doctors deemed necessary. However, identifying potentially modifiable barriers to receipt of necessary medical cancer care among cancer survivors age < 65 is imperative for developing interventions to ensure equitable access to care and reducing cancer disparities.

Indexed as

AdolescentAdultCancer SurvivorsFemaleHealth Services ResearchHumansMaleMiddle AgedNeoplasmsSurveys and QuestionnairesYoung AdultAccess to care; financial hardshipCancer survivorsDisparitiesMedical debt

Identifiers

PMID28852970
PMCPMC6993114
OpenAlexW2750698589

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.