Evidence map›Paper›PMID 33070458›Full record

Observational studyCancer medicine2020

Financial toxicity and strain among men receiving prostate cancer care in an equal access healthcare system.

Alexandria G Bauer, Melanie Jefferson, Georges J Nahhas, Stephen Savage, Richard Drake, Michael Lilly, Linda Ambrose, Susan Caulder, David Mahvi, Chanita Hughes Halbert

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 6% 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.

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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Long-term quality of life, financial toxicity, and decision regret following therapeutic and prophylactic gastrectomy for cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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  3. Review
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  9. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  10. Unmet supportive care needs in prostate cancer survivors with advanced disease: A mixed-methods exploration.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  11. Observational
  12. 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

10 authors at 2 institutions in 1 country.

Alexandria G BauerDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0001-9826-9056
Melanie JeffersonHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Georges J NahhasDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Stephen SavageHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Richard DrakeHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Michael LillyHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Linda AmbroseRalph H. Johnson Veteran Affairs Medical Center, Charleston, SC, USA.
Susan CaulderRalph H. Johnson Veteran Affairs Medical Center, Charleston, SC, USA.
David MahviHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Chanita Hughes HalbertDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Medical University of South Carolina · USRalph H. Johnson VA Medical Center · US

Funding

Medical University of South Carolina NCORP Minority/Underserved Community SiteUG1CA189848 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Marvella Elizabeth Ford, Evan Michael Graboyes · 2014 to 2026
$11.0M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Sociobiological Responses to Stress in Prostate Cancer SurvivorsU54MD010706 · NIMHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ETHIER, STEPHEN P., HUGHES-HALBERT, CHANITA A. · 2016 to 2020
$8.0M
NCI NIH HHS UG1 CA189848NIDDK NIH HHS P30 DK123704NIMHD NIH HHS U54 MD010706
6 · The paper itself

Abstract

purposeTo examine financial toxicity and strain among men in an equal access healthcare system based on social determinants and clinical characteristics.

methodsObservational study among men receiving prostate cancer care (n = 49) at a Veterans Health Administration (VHA) facility. Financial hardship included overall financial strain and financial toxicity due to healthcare costs. Financial strain was measured with one item asking how much money they have leftover at the end of the month. Financial toxicity was measured with the Comprehensive Score for Financial Toxicity (COST) scale.

resultsComprehensive Score for Financial Toxicity scores among participants indicated moderate levels of financial toxicity (M = 24.4, SD = 9.9). For financial strain, 36% of participants reported that they did not have enough money left over at the end of the month. There were no racial or clinically related differences in financial toxicity, but race and income level had significant associations with financial strain.

conclusionFinancial toxicity and strain should be measured among patients in an equal access healthcare system. Findings suggest that social determinants may be important to assess, to identify patients who may be most likely to experience financial hardship in the context of obtaining cancer care and implement efforts to mitigate the burden for those patients.

Indexed as

Health Care CostsHealth ExpendituresAdultAgedComorbidityFinancial StressHealth Services AccessibilityHealth StatusHumansMaleMiddle AgedProstatic NeoplasmsRace FactorsRisk AssessmentRisk FactorsSocial Determinants of Healthdisparitiesfinancial toxicityhealthcare systemprostate cancer

Identifiers

PMID33070458
PMCPMC7724486
OpenAlexW3092969970

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.