ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019
Rural-urban differences in financial burden among cancer survivors: an analysis of a nationally representative survey.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 76 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Psychological distress among cancer patients in African countries: a systematic review and meta-analysis study.BMC psychology · 2025Pooled it
- A Rapid Systematic Review on the Experiences of Cancer Survivors Residing in Rural Areas during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Pooled it
- Psychosocial well-being and supportive care needs of cancer patients and survivors living in rural or regional areas: a systematic review from 2010 to 2021.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- Feasibility of a Remote Patient Video Education Intervention to Improve Care Coordination for Rural Cancer Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Trial
- Building on and tailoring to: Adapting a cancer caregiver psychoeducational intervention for rural settings.Cancer medicine · 2024Trial
- Caregiving burden of informal caregivers of older adults with advanced cancer: The effects of rurality and education.Journal of geriatric oncology · 2021Trial
- A mixed-methods study characterizing patient experiences with digital survivorship services and preferences for care at a rural cancer center.Journal of cancer survivorship : research and practice · 2026Article
- Sociodemographic trends in prostate cancer: insights from the All of Us Research Program.JNCI cancer spectrum · 2026Article
- Evaluating the impact of virtual oncology financial and legal navigation on cancer-related financial toxicity.JNCI cancer spectrum · 2026Article
- Financial Distress Screening and Financial Navigation Among Adolescents and Young Adults Within the National Cancer Institute Community Oncology Research Program: Results of the 2022 Landscape Survey.JCO oncology practice · 2026Article
- An Analysis of Grants Focused on Health Disparities Held by the National Cancer Institute's Health Communication and Informatics Research Branch, 2010-2024.Health communication · 2026Article
- Association between time to treatment and financial toxicity among women with breast cancer in Ethiopia: a multicentre study in a low-resource setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Increasing Diversity in Head and Neck Cancer Clinical Trials.Current treatment options in oncology · 2026Review
- Longitudinal studies on financial toxicity in cancer patients: a scoping review.Frontiers in public health · 2026Article
- Advancing rural cancer control: A portfolio analysis of research funded by the National Cancer Institute, 2016-2024.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Cost and transportation barrier trends related to Affordable Care Act among cancer survivors and atherosclerotic cardiovascular disease patients.PLOS global public health · 2026Article
- Differences in patient-centered burdens and economic outcomes based on sociodemographic characteristics and social determinants of health: a scoping review.Frontiers in public health · 2026Article
- A Systematic Review and Meta-Analysis of Physical Activity Interventions in Colorectal Cancer Survivors: An Evidence Evaluation Attempt Across Racial/Ethnic Groups.Healthcare (Basel, Switzerland) · 2025Review
- Rural cancer financial toxicity screening.Advances in radiation oncology · 2025Article
- Material financial hardship and insurance-related experiences among Utah's rural and urban cancer survivors.Journal of cancer survivorship : research and practice · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 5 institutions in 1 country.
Funding
Abstract
purposeRural cancer survivors may disproportionately experience financial problems due to their cancer because of greater travel costs, higher uninsured/underinsured rates, and other factors compared to their urban counterparts. Our objective was to examine rural-urban differences in reported financial problems due to cancer using a nationally representative survey.
methodsWe used data from three iterations of the National Cancer Institute's Health Information and National Trends Survey (2012, 2014, and 2017) to identify participants who had a previous or current cancer diagnosis. Our outcome of interest was self-reported financial problems associated with cancer diagnosis and treatment. Rural-urban status was defined using 2003 Rural-Urban Continuum Codes. We calculated weighted percentages and Wald chi-square statistics to assess rural-urban differences in demographic and cancer characteristics. In multivariable logistic regression models, we examined the association between rural-urban status and other factors and financial problems, reporting the corresponding adjusted predicted probabilities.
findingsOur sample included 1359 cancer survivors. Rural cancer survivors were more likely to be married, retired, and live in the Midwest or South. Over half (50.5%) of rural cancer survivors reported financial problems due to cancer compared to 38.8% of urban survivors (p = 0.02). This difference was attenuated in multivariable models, 49.3 and 38.7% in rural and urban survivors, respectively (p = 0.06).
conclusionsA higher proportion of rural survivors reported financial problems associated with their cancer diagnosis and treatment compared to urban survivors. Future research should aim to elucidate these disparities and interventions should be tested to address the cancer-related financial problems experienced by rural survivors.
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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.