Evidence map›Paper›PMID 29372485›Full record

ArticleJournal of cancer survivorship : research and practice2018

Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA.

Lorraine T Dean, Kathryn H Schmitz, Kevin D Frick, Lauren H Nicholas, Yuehan Zhang, S V Subramanian, Kala Visvanathan

Abstract 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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

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  13. Identifying a cut-off score for the COST measure to indicate high financial toxicity and low quality of life among cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  14. Article
  15. Addressing financial toxicity in oncology care.Journal of hospital management and health policy · 2021
    Article
  16. Article
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  20. Insurance Coverage, Employment Status, and Financial Well-Being of Young Women Diagnosed with Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    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

7 authors.

Lorraine T DeanDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, E6650, Baltimore, MD, 21205, USA. ldean9@jhu.edu.
Kathryn H SchmitzDepartment of Public Health Sciences, Pennsylvania State University College of Medicine, Pennsylvania State University, Hershey, PA, USA.
Kevin D FrickDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Lauren H NicholasDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Yuehan ZhangDepartment of General Internal Medicine, University of Pennsylvania School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
S V SubramanianDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
Kala VisvanathanDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St, E6650, Baltimore, MD, 21205, USA.

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
The Women In Steady Exercise Research (WISER) SurwVor TrialU54CA155850 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHMITZ, KATHRYN H. · 2011 to 2015
$9.1M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Physical Activity and Lymphedema Project (PAL Trial)R01CA106851 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHMITZ, KATHRYN H. · 2004 to 2007
$2.2M
Social Determinants of Breast Cancer SurvivorshipK01CA184288 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DEAN, LORRAINE TIERA · 2014 to 2018
$767k
Geographic Variation in the Health and Economic Determinants and Outcomes of ElecK01AG041763 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NICHOLAS, LAUREN HERSCH · 2012 to 2016
$622k
National Center for Advancing Translational Sciences (US) 1UL1TR001079National Institute of Allergy and Infectious Diseases P30AI094189NCATS NIH HHS UL1 TR001079NCI NIH HHS 1U54CA155850NCI NIH HHS K01 CA184288NCI NIH HHS K01CA184288NCI NIH HHS P30 CA006973NCI NIH HHS P30CA006973NCI NIH HHS R01 CA106851NCI NIH HHS R01CA106851NCI NIH HHS U54 CA155850NIAID NIH HHS P30 AI045008NIAID NIH HHS P30 AI094189NIA NIH HHS K01AG04176NIA NIH HHS K01 AG041763NIMH NIH HHS R25 MH083620NIMH NIH HHS R25MH083620
6 · The paper itself

Abstract

backgroundConsumer credit may reflect financial hardship that patients face due to cancer treatment, which in turn may impact ability to manage health after cancer; however, credit's relationship to economic burden and health after cancer has not been evaluated.

methodsFrom May to September 2015, 123 women with a history of breast cancer residing in Pennsylvania or New Jersey completed a cross-sectional survey of demographics, socioeconomic position, comorbidities, SF-12 self-rated health, economic burden since cancer diagnosis, psychosocial stress, and self-reported (poor to excellent) credit quality. Ordinal logistic regression evaluated credit's contribution to economic burden and self-rated health.

resultsMean respondent age was 64 years. Mean year from diagnosis was 11.5. Forty percent of respondents were Black or Other and 60% were White. Twenty-four percent self-reported poor credit, and 76% reported good to excellent credit quality. In adjusted models, changing income, using savings, borrowing money, and being unable to purchase a health need since cancer were associated with poorer credit. Better credit was associated with 7.72 ([1.22, 14.20], p = 0.02) higher physical health t-score, and a - 2.00 ([- 3.92, - 0.09], p = 0.04) point change in psychosocial stress.

conclusionsThis exploratory analysis establishes the premise for consumer credit as a marker of economic burden and health for breast cancer survivors. Future work should validate these findings in larger samples and for other health conditions. IMPLICATIONS FOR CANCER SURVIVORS: Stabilizing and monitoring consumer credit may be a potential intervention point for mitigating economic burden after breast cancer.

Indexed as

Cancer SurvivorsCost of IllnessPatient Credit and CollectionAdultAgedBreast NeoplasmsCosts and Cost AnalysisCross-Sectional StudiesFemaleHealth ExpendituresHumansIncomeLogistic ModelsMiddle AgedSelf ReportUnited StatesBreast cancerCreditEconomic burdenLymphedemaSocioeconomic positionSurvivorshipUSA

Identifiers

PMID29372485
PMCPMC5955811

What OpenQuestion holds

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LicenceCC BY
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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.