ArticleJournal of oncology practice2019
Conversations About Financial Issues in Routine Oncology Practices: A Multicenter Study.
Article in Journal of oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled 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.
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
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Communication of costs and financial burdens between cancer patients and healthcare providers: a qualitative systematic review and meta-synthesis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Pooled it
- Physician-patient communication of costs and financial burden of cancer and its treatment: a systematic review of clinical guidelines.BMC cancer · 2021Pooled it
- Cost Conversations About Anticoagulation Between Patients With Atrial Fibrillation and Their Clinicians: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2021Trial
- Oncologists' insights and solutions on navigating financial toxicity: an exploratory study in Pakistan.BMJ open · 2026Article
- Patients' sense of gain experience and its influencing factors: a cross-sectional study in Foshan, China.BMJ open · 2025Article
- Time to Talk Money? Intensive Care Unit Clinicians' Perspectives on Addressing Patients' Financial Hardship.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2025Article
- Assessment of the financial toxicity in patients with differentiated thyroid cancer: a cross-sectional study in western China.Frontiers in public health · 2025Article
- Financial Toxicity Among Patients With Metastatic Prostate Cancer: A Mixed Methods Approach to Identify Effective Interventions.Urology practice · 2024Article
- An Egalitarian Perspective on Information Sharing: The Example of Health Care Priorities.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Financial Toxicity in Patients with Hematologic Malignancies: a Review and Need for Interventions.Current hematologic malignancy reports · 2023Review
- The Association Between Financial Toxicity and Treatment Regret in Men With Localized Prostate Cancer.JNCI cancer spectrum · 2022Article
- Medical-Legal Partnerships Facilitate Patient-Provider Cost of Care Conversations: A Multisite Qualitative Study in the U.S.Clinical nursing research · 2022Article
- Navigating financial toxicity in patients with cancer: A multidisciplinary management approach.CA: a cancer journal for clinicians · 2022Review
- "It's a mess sometimes": patient perspectives on provider responses to healthcare costs, and how informatics interventions can help support cost-sensitive care decisions.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Practical Strategies for Advanced Practitioners Streamlining the Integration of Oncology Biosimilar Therapies Into Practice.Journal of the advanced practitioner in oncology · 2022Review
- Impact of Cost Conversation on Decision-Making Outcomes.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Article
- Characterizing the relationships between tertiary and community cancer providers: Results from a survey of medical oncologists in Southern California.Cancer medicine · 2021Article
- Conversations on Cancer Chemotherapy Cessation in Patients With Advanced Cancer: Qualitative Findings From a Multi-Institutional Study.The American journal of hospice & palliative care · 2021Article
- Using a Twitter Chat to Rapidly Identify Barriers and Policy Solutions for Metastatic Breast Cancer Care: Qualitative Study.JMIR public health and surveillance · 2021Article
- Experience of Indonesian medical students of ethical issues during their clinical clerkship in a rural setting.Journal of medical ethics and history of medicine · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
purposeTo describe the frequency, content, dynamics, and patterns of cost conversations in academic medical oncology across tumor types. PATIENTS AND
methodsWe reviewed 529 audio recordings between May 3, 2012, to September 23, 2014, from a prospective three-site communication study in which patients at any stage of management for any solid tumor malignancy were seen in routine oncology appointments. Recordings were deidentified, transcribed, and flagged for any mention of cost. We coded encounters and used qualitative thematic analysis.
resultsFinancial issues were discussed in 151 (28%) of 529 recordings. Conversations lasted shorter than 2 minutes on average. Patients/caregivers raised a majority of discussions (106 of 151), and 40% of cost concerns raised by patients/caregivers were not verbally acknowledged by clinicians. Social service referrals were made only six times. Themes from content analysis were related to insurance eligibility/process, work insecurity, cost of drugs, cost used as tool to influence medical decision making, health care-specific costs, and basic needs. Financial concerns influenced oncology work processes via test or medication coverage denials, creating paperwork for clinicians, potentially influencing patient involvement in trials, and leading to medication self-rationing or similar behaviors. Typically, financial concerns were associated with negative emotions.
conclusionFinancial issues were raised in approximately one in four academic oncology visits. These brief conversations were usually initiated by patients/caregivers, went frequently unaddressed by clinicians, and seemed to influence medical decision making and work processes and contribute to distress. Themes identified shed light on the kinds of gaps that must be addressed to help patients with cancer cope with the rising cost of care.
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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.