Evidence map›Paper›PMID 31900612›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.

M C Haverfield, A E Singer, C Gray, A Shelley, A Nash, K A Lorenz

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Adapting a Cancer Cost and Health Insurance Tool for Implementation: Rapid Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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  9. Palliative care use and utilization determinants among patients treated for advanced stage lung cancer care in the community and academic medical setting.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  10. Defining the Role of the Modern Oncology Provider in Mitigating Financial Toxicity.Journal of the American College of Radiology : JACR · 2023
    Review
  11. Article
  12. Article
  13. Cost health literacy as a physician skill-set: the relationship between oncologist reported knowledge and engagement with patients on financial toxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  14. Navigating Ethical Practices in the Era of High Cost Hematology.Current hematologic malignancy reports · 2020
    Review
  15. Taboo Topics in Adolescent and Young Adult Oncology: Strategies for Managing Challenging but Important Conversations Central to Adolescent and Young Adult Cancer Survivorship.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2020
    Review
  16. Article
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.

M C HaverfieldDepartment of Communication Studies, San José State University, 220 E San Fernando Street, San Jose, CA, 95112, USA. marie.haverfield@sjsu.edu.ORCID https://orcid.org/0000-0003-2949-0229
A E SingerDepartment of Medicine, UCLA, 100 Medical Plaza Driveway, Los Angeles, CA, 90095, USA.
C GrayVA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.
A ShelleyVA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.
A NashVA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.
K A LorenzVA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.

Funding

VA Palo Alto Center for Innovation to Implementation Locally Initiated Project N/A
6 · The paper itself

Abstract

objectivesRising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers', patients', and caregivers' preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.

methodsWe conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.

resultsParticipant groups differed in their concerns surrounding cost communication, namely whether they want to receive this information and how such information might impact provider and patient treatment decisions. All participants agreed that oncology providers should not be leading cost conversations. Patients and caregivers identified social workers or financial advisors as most equipped to communicate about cost. Participants emphasized timely cost conversations, ideally around the time of diagnosis. Participants favored various metrics of financial impact beyond overall costs of care including disability, days lost from work, and out-of-pocket expenses.

conclusionCost transparency should be incorporated into usual care; however, there are several challenges to making cost conversations a part of everyday practice. Patients and family members need resources related to cost to aid in decision-making and those delivering cost information should have competency in oncology, financial advisement, and patient-centered care.

Indexed as

CommunicationCaregiversFamilyFemaleHealth ExpendituresHumansMaleMedical OncologyNeoplasmsPatient-Centered CarePhysician-Patient RelationsQualitative ResearchUnited StatesCancer careCost estimatesFinancial toxicityImplementationPatient-provider communicationQualitative research

Identifiers

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Registered trials

None linked

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.