Evidence map›Paper›PMID 29462511›Full record

ArticlePsycho-oncology2018

Financial difficulty, worry about affording care, and benefit finding in long-term survivors of cancer.

Salene M W Jones, Rod Walker, Monica Fujii, Larissa Nekhlyudov, Borsika A Rabin, Jessica Chubak

Registry-linked trialAbstract read
In one paragraph

Article in Psycho-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06922188 (Development of Measures to Screen for Financial Hardship in Alzheimer's Disease and Dementia), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 3% 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.

NCT06922188 recruitingnot on this mapstarted 2025, after this paper: background citation

Development of Measures to Screen for Financial Hardship in Alzheimer's Disease and Dementia

TypeobservationalSponsorFred Hutchinson Cancer CenterRan2025 to 2029Enrolled2,460ConditionsFinancial Hardship, Alzheimer&#39, s Disease (AD), Alzheimer&#39
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Beyond Barriers: Achieving True Equity in Cancer Care.Current oncology (Toronto, Ont.) · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Impact of objective financial burden and subjective financial distress on spiritual well-being and quality of life among working-age cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
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  16. Review
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  19. Observational
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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

6 authors at 4 institutions in 1 country.

Salene M W JonesFred Hutchinson Cancer Research Center, Seattle, WA, USA.ORCID 0000-0003-2140-5798
Rod WalkerKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Monica FujiiKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Larissa NekhlyudovDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Borsika A RabinDepartment of Family Medicine and Public Health, School of Medicine, University of California San Diego, La Jolla, CA, USA.
Jessica ChubakKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Kaiser Permanente Washington Health Research Institute · USBrigham and Women's Hospital · USFred Hutch Cancer Center · USUniversity of California San Diego · US

Funding

CRN4: Cancer Research Resources & Collaboration in Integrated Health Care SystemsU24CA171524 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2012 to 2016
$16.0M
Health Care Improvement for Aging WomenT32AG027677 · NIA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI LACROIX, ANDREA Z. · 2007 to 2016
$1.4M
NCI NIH HHS U24 CA171524NIA NIH HHS T32 AG027677
6 · The paper itself

Abstract

objectiveTo examine the associations of worry about affording care and reporting financial difficulties with benefit finding in long-term cancer survivors.

methodsLong-term survivors of cancer (n = 547) in 3 integrated health care delivery systems completed the Medical Expenditure Panel Survey Cancer Survivorship Supplement. The relationship between benefit finding (becoming a stronger person, coping better, and making positive changes) and the potentially interacting factors of worry about affording care and financial difficulties was examined using multivariate logistic regression models.

resultsOf the total sample, 20% reported worry and 15% reported financial difficulty. Among those who reported no worry, financial difficulty was positively associated with becoming a stronger person (odds ratio [OR] = 2.89, 95% CI: 1.07, 7.80). Coping better was not associated with worry, financial difficulties, or the interaction of the two. Among those with no financial difficulty, worry was positively associated with making positive changes (OR = 2.64, 95% CI: 1.41, 4.96), and among those reporting no worry, financial difficulty had a non-significant positive association with making positive changes (OR = 1.98, 95% CI: 0.91, 4.31). Among those reporting worry, having financial difficulties was associated with lower odds of making positive changes (OR = 0.32, 95% CI: 0.13, 0.78).

conclusionsOur results suggest a complex relationship between financial difficulty, worry, and benefit finding. The combination of worry about affording care and financial difficulty needs to be addressed and further studied among cancer survivors, as the presence of both, but not alone, was negatively associated with making positive changes, an aspect of benefit finding.

Indexed as

Adaptation, PsychologicalAdultAnxietyCancer SurvivorsFemaleHealth ExpendituresHumansLogistic ModelsMaleMiddle AgedNeoplasmsQuality of LifeSurveys and QuestionnairesSurvivorsanxietycancerfinancial toxicityoncologypost-traumatic growthquality of life

Identifiers

PMID29462511
PMCPMC13088915
OpenAlexW2792788926

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.