Evidence map›Paper›PMID 33125296›Full record

ArticleJCO oncology practice2021

Financial Distress Among Older Adults With Cancer.

Smith Giri, Deanna Clark, Mustafa Al-Obaidi, Will Varnado, Seema Kumar, Ravi Paluri, Olumide Gbolahan, Smita Bhatia, Grant R Williams

Open access · bronzeAbstract read
In one paragraph

Article in JCO oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Unequal paths to care: a scoping review of access and cancer outcomes in Alabama.Journal of cancer survivorship : research and practice · 2026
    Review
  2. Association between financial toxicity and frailty among older patients with cancer: a cross-sectional study using COST and G8.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Prevalence and impact of financial toxicity in older patients with cancer: a prospective observational study in India.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  5. Article
  6. Review
  7. Review
  8. Influence of age on financial toxicity in cancer patients.Asia-Pacific journal of oncology nursing · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Pain among older adults with gastrointestinal malignancies- results from the cancer and aging resilience evaluation (CARE) Registry.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  16. Decision Making in Older Adults With Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Review
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

9 authors at 1 institution in 1 country.

Smith GiriInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.
Deanna ClarkInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-7010-4409
Mustafa Al-ObaidiInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.
Will VarnadoDivision of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Seema KumarInternal Medicine Program, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Ravi PaluriDivision of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-2317-7082
Olumide GbolahanDivision of Hematology and Oncology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Smita BhatiaInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0002-7755-5683
Grant R WilliamsInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.ORCID 0000-0003-4294-5232
University of Alabama at Birmingham · US

Funding

Myopenia and Mechanisms of Chemotherapy Toxicity in Older Adults with Colorectal Cancer: The M&M StudyK08CA234225 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILLIAMS, GRANT R · 2018 to 2022
$1.0M
NCI NIH HHS K08 CA234225
6 · The paper itself

Abstract

purposeFinancial distress (FD) among older adults with cancer is not well studied. We sought to characterize prevalence and factors associated with FD among older adults with cancer and the association of FD with geriatric assessment (GA) -identified deficits. PATIENTS AND

methodsWe included adults age ≥ 60 years with cancer in the University of Alabama at Birmingham Cancer and Aging Resilience Evaluation Registry who underwent GA during initial consultation with a medical oncologist before starting systemic therapy. We captured FD using a single-item question: "Do you have to pay for more medical care than you can afford?" We built multivariable models to study the impact of sociodemographic/clinical factors on FD as well as the association of FD with GA impairments.

resultsWe identified 447 older adults with a median age of 69 years; 60% were men, 75% were White, and colorectal (26%) and pancreatic (19%) cancers were the most common. Overall, 27% (n = 121) reported having FD. Factors associated with FD included being Black (v White; odds ratio [OR], 2.26; 95% CI, 1.35 to 3.81;

conclusionMore than a quarter of older adults with cancer reported FD at the time of initial presentation to an oncologist. Several demographic factors and GA impairments were associated with FD.

Indexed as

NeoplasmsOncologistsAgedCross-Sectional StudiesGeriatric AssessmentHumansMaleMiddle AgedQuality of Life

Identifiers

PMID33125296
PMCPMC8257995
OpenAlexW3095278349

What OpenQuestion holds

Textmetadata
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.