Evidence map›Paper›PMID 29105024›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2018

Objective and subjective financial burden and its associations with health-related quality of life among lung cancer patients.

Jieling Elaine Chen, Vivian Weiqun Lou, Hong Jian, Zhen Zhou, Meiqiong Yan, Jingfen Zhu, Guohong Li, Yaping He

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
23.8field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  5. Financial hardship experience in middle- and older-aged patients with advanced lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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  11. Associations between financial toxicity, health-related quality of life, and well-being in Indonesian patients with breast cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Jieling Elaine ChenDepartment of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Vivian Weiqun LouDepartment of Social Work and Social Administration, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Hong JianDepartment of Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Zhen ZhouDepartment of Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Meiqiong YanDepartment of Oncology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Jingfen ZhuSchool of Public Health, Shanghai Jiao Tong University, 227 South Chongqing Road, Shanghai, 200025, People's Republic of China.
Guohong LiSchool of Public Health, Shanghai Jiao Tong University, 227 South Chongqing Road, Shanghai, 200025, People's Republic of China.
Yaping HeSchool of Public Health, Shanghai Jiao Tong University, 227 South Chongqing Road, Shanghai, 200025, People's Republic of China. hypcyr@sina.com.
Shanghai Jiao Tong University · CNShanghai Chest Hospital · CNUniversity of Hong Kong · HK

Funding

Humanity and Social Science Foundation of Shanghai Jiaotong University 13TS05The Fourth Round of Three-year Action Plan on Public Health Discipline and Talent Program: Evidence-based Public Health and Health Economics 15GWZK0901
6 · The paper itself

Abstract

purposeThe purpose of this study is to examine the effect of financial burden, using objective and subjective indicators, on the health-related quality of life (HRQOL) in lung cancer patients.

methodA total of 227 patients diagnosed with lung cancer (from the inpatient unit of the department of internal medicine-chest oncology, in Shanghai Chest Hospital, China) participated in the study. Financial information was measured by direct medical costs, direct nonmedical costs, healthcare-cost-to-income ratio, and perceived financial difficulty. HRQOL was measured using the Functional Assessment of Cancer Therapy-Lung (FACT-L) scale.

findingsCatastrophic health spending, defined as a healthcare-cost-to-income ratio of more than 40%, was reported in 72.7% of the participants, whereas 37.0% reported that healthcare costs exceeded annual household income. Financial difficulty was perceived in 83.7% of the participants. Patients whose healthcare costs exceeded their annual household income and who perceived financial difficulty reported a clinically meaningful difference in overall HRQOL (> 6 points on the FACT-L) compared with participants without catastrophic health spending or perceived financial difficulty. Healthcare costs did not show a significant effect on HRQOL.

conclusionHealthcare costs exceeding total annual household income and perceived financial difficulty are associated with poorer HRQOL in lung cancer patients. Subjective indicator of financial burden has a stronger effect on quality of life than objective indicators. IMPLICATION: Health-cost-to-income ratio and perceived financial difficulty can be implied as objective and subjective indicators of financial burden to identify the patients who may need additional assistance. Communication on deciding on cost-effective treatments can be facilitated.

Indexed as

Cost of IllnessHealth Care CostsChinaFemaleHumansIncomeLung NeoplasmsMaleMiddle AgedPerceptionQuality of LifeCatastrophic health spendingFinancial burdenLung cancerPerceived financial difficultyQuality of life

Identifiers

PMID29105024
OpenAlexW2766727388

What OpenQuestion holds

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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.