ArticleCancer medicine2018
Financial burden among older, long-term cancer survivors: Results from the LILAC study.
Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed, 26 citations in OpenAlex.
- Beyond income: financial hardship as a pathway from socioeconomic disadvantage to depression among middle and older cancer survivors.Journal of cancer survivorship : research and practice · 2026Article
- Effects of the right to be forgotten for childhood or breast cancer survivors: results of a quasi-experimental study in France.Journal of cancer survivorship : research and practice · 2026Article
- Financial Toxicity in Older Adults With Cancer and Their Caregivers.JCO oncology practice · 2025Review
- Review
- Out-of-pocket payments and loss of income among long-term breast cancer survivors in Germany: a multi-regional population-based study.Journal of cancer survivorship : research and practice · 2023Article
- Anticipatory Guidance: Developing a Patient Navigation Pathway to Reduce the Financial Toxicity of Cancer.Medical research archives · 2023Article
- Evaluation of the key geriatric assessment constructs in primary brain tumor population - a descriptive study.Journal of geriatric oncology · 2022Article
- Impact of cancer on income, wealth and economic outcomes of adult cancer survivors: a scoping review.BMJ open · 2022Article
- Financial Hardship by Age at Diagnosis Including in Young Adulthood among African American Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Health and life insurance-related problems in very long-term cancer survivors in Germany: a population-based study.Journal of cancer research and clinical oncology · 2022Article
- Financial constraints on genetic counseling and further risk-management decisions among U.S. women at elevated breast cancer risk.Journal of genetic counseling · 2021Article
- The relationships of unmet needs with quality of life and characteristics of Indonesian gynecologic cancer survivors.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- Liens entre les besoins non satisfaits, la qualité de vie et les caractéristiques des survivantes de cancers gynécologiques en Indonésie.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021Article
- Work changes and individual, cancer-related, and work-related predictors of decreased work participation among African American cancer survivors.Cancer medicine · 2020Article
- Value and affordability of CAR T-cell therapy in the United States.Bone marrow transplantation · 2020Review
- Financial Toxicity After Acute Respiratory Distress Syndrome: A National Qualitative Cohort Study.Critical care medicine · 2020Article
- Clinical and Genome-Wide Analysis of Serum Platinum Levels after Cisplatin-Based Chemotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019Article
- Race, financial hardship, and limiting care due to cost in a diverse cohort of cancer survivors.Journal of cancer survivorship : research and practice · 2019Article
- Financial burden among older, long-term cancer survivors: Results from the LILAC study.Cancer medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundIncreasing attention is being paid to financial burdens of cancer survivorship, but little is known about the prevalence and predictors of these burdens in older, long-term survivors.
methodsWe used data from 6012 participants diagnosed with cancer since enrolling in the Women's Health Initiative, and who participated in the Life and Longevity After Cancer (LILAC) ancillary study to estimate prevalence and identify predictors of financial burden. We used logistic regression to identify sociodemographic, socioeconomic, health- and cancer-related factors associated with financial burden and backward selection to build a final multivariable model.
resultsAverage age at LILAC participation was 79 and 9.2 years had elapsed since cancer diagnosis. Overall, 6% experienced some form of financial burden, including having an insurance company refuse a claim (2.6%), being denied loans or insurance due to cancer history (2.2%), or experiencing significant indebtedness (1.8%, including facing large debts or bills or declaring bankruptcy). Eight predictors remained associated (P < 0.05) with financial burden in the fully-adjusted model: younger age, shorter time since diagnosis, African-American race, household income <$20 000/year, modified Charlson comorbidity score ≥2, receipt of chemotherapy, regional stage at diagnosis, and no private health insurance. Education, cancer site, social support, receipt of radiation, and receipt of hormone therapy were not associated with financial burden. Predictors differed between types of financial burden experienced and age at diagnosis (<65 vs 65+).
conclusionCancer-related financial burden was rare in this population of older, female long-term cancer survivors. The identification of several socioeconomic, health-related and demographic predictors of financial burden may suggest targets of intervention to reduce financial burdens. PRECIS: Financial burden was uncommon in older, female, long-term survivors. Predictors of financial burden included age, race, income, comorbidities, time since diagnosis, stage, insurance, and receipt of chemotherapy.
Indexed as
Identifiers
What OpenQuestion holds
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.