Evidence map›Paper›PMID 31273909›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

Financial burden and quality of life among early-onset colorectal cancer survivors: A qualitative analysis.

Erica Blum-Barnett, Sarah Madrid, Andrea Burnett-Hartman, Shane R Mueller, Carmit K McMullen, Andrea Dwyer, Heather S Feigelson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05002608 (A Virtual Health Insurance Navigation for Colorectal Survivors), which is not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
10.4field-weighted citation impact, top 2% 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.

NCT05002608 nacompletednot on this mapstarted 2021, after this paper: background citation

A Virtual Health Insurance Navigation for Colorectal Survivors

TypeinterventionalSponsorMassachusetts General HospitalRan2021 to 2023Enrolled36ConditionsHealth Insurance, Colorectal Cancer SurvivorsArmsHealth Insurance Navigation Tools Program
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Differences in quality of life between early onset colorectal cancer patients compared to older patients: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  6. Review
  7. Article
  8. "Everything I do is for your own good!" Exploring the real experience of family support for cancer survivors' return-to-work in China: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Listening to patients: A qualitative study on diagnostic delay, coping strategies and stigma in early-onset colorectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  10. Review
  11. Review
  12. Supportive care needs related to the sexual quality of life of the spouses of ostomy patients diagnosed with colorectal cancer: a descriptive phenomenological study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  13. Article
  14. Article
  15. Understanding the impact of early onset colorectal cancer on quality of life: a qualitative analysis of online forum data.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
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  18. Review
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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

7 authors at 3 institutions in 1 country.

Erica Blum-BarnettInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.ORCID 0000-0001-5297-8789
Sarah MadridInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Andrea Burnett-HartmanInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Shane R MuellerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Carmit K McMullenCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.ORCID 0000-0001-9445-6591
Andrea DwyerFight Colorectal Cancer, The Colorado School of Public Health, Aurora, Colorado.
Heather S FeigelsonInstitute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
Kaiser Permanente · USColorado School of Public Health · USKaiser Permanente Center for Health Research · US

Funding

Patient-Centered Outcomes Research Institute CDRN-1306-04681 Phase II
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) diagnosed at ages <50 years old (early-onset CRC) has been increasing in the United States, resulting in a growing number of early-onset CRC survivors who may face significant financial and quality of life (QOL) challenges.

objectiveIdentify themes from a patient advocate discussion about the impact of CRC on financial burden and QOL among early-onset CRC survivors.

methodsWe conducted a semi-structured, stakeholder discussion among 14 early-onset CRC survivors and one caregiver who were members of an advocacy group. The discussion focused on the financial and overall QOL impacts of CRC. The meeting was recorded, transcribed and coded in ATLAS.ti, using a thematic analysis approach.

resultsCancer stage at diagnosis among advocates with CRC ranged from 2 to 4; about half of the attendees had no evidence of disease, and about half were undergoing treatment. Employment (career trajectory, lost wages, health insurance/benefits, performance) emerged as the dominant theme of the financial impacts discussion. Lifestyle impacts of disease and survivorship included both emotional and physical side-effects. Diagnosis experience, missing information about CRC treatment and side-effects, financial stress and strain on relationships were the primary themes for the overall QOL impacts.

conclusionGiven the growing incidence of CRC in those under 50, it is particularly important for providers to be aware of these patients' financial, emotional and QOL needs, and to develop care plans that specifically address these areas of concern for early-onset CRC survivors.

Indexed as

Cost of IllnessQuality of LifeAge of OnsetCancer SurvivorsColorectal NeoplasmsHealth Care CostsHumansInterviews as TopicQualitative Researchearly-onset colorectal cancerfinancial burdenqualitativequality of lifesurvivorship

Identifiers

PMID31273909
PMCPMC6803402
OpenAlexW2954417162

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.