Evidence map›Paper›PMID 33539182›Full record

ArticleJCO oncology practice2021

Unmet Care Needs and Financial Hardship in Patients With Metastatic Non-Small-Cell Lung Cancer on Immunotherapy or Chemoimmunotherapy in Clinical Practice.

Laurie E McLouth, Chandylen L Nightingale, Beverly J Levine, Jessica L Burris, Jean A McDougall, Thomas W Lycan, Jennifer Gabbard, Jimmy Ruiz, Michael Farris, Arthur W Blackstock and 3 more

Open access · greenAbstract 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 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
6.8field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Financial hardship experience in middle- and older-aged patients with advanced lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
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  14. Comprehensive needs, social support, and disease perception in lung cancer patients treated with immune checkpoint inhibitors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  15. Article
  16. Financial toxicity among people with metastatic cancer: findings from the Cancer Experience Registry.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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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

13 authors at 4 institutions in 1 country.

Laurie E McLouthDepartment of Behavioral Science, Markey Cancer Center, Center for Health Equity Transformation, University of Kentucky College of Medicine, Lexington, KY.ORCID 0000-0002-4888-6520
Chandylen L NightingaleDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC.ORCID 0000-0002-2275-9849
Beverly J LevineDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC.
Jessica L BurrisDepartment of Psychology, University of Kentucky, Lexington, KY.ORCID 0000-0003-2263-2757
Jean A McDougallUniversity of New Mexico Comprehensive Cancer Center, Albuquerque, NM.ORCID 0000-0003-3144-4387
Thomas W LycanWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.ORCID 0000-0001-9475-1558
Jennifer GabbardDepartment of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Jimmy RuizWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.
Michael FarrisWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.
Arthur W BlackstockWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.
Stefan C GrantWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.ORCID 0000-0001-9053-3852
W Jeffrey PettyWake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.
Kathryn E WeaverDepartment of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC.ORCID 0000-0001-9006-4064
Atrium Health Wake Forest Baptist · USUniversity of Kentucky · USUniversity of New Mexico · USWake Forest University · US

Funding

WOMEN'S CANCERS RESEARCH PROGRAMP30CA118100 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI Yolanda Sanchez · 2005 to 2026
$57.1M
Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
The Dynamics of Smoking Cessation After Cancer Diagnosis: A Naturalisitic StudyK07CA181351 · NCI · UNIVERSITY OF KENTUCKY · PI BURRIS, JESSICA LYNN · 2014 to 2018
$769k
Piloting Pathways, a Hope-Enhancing Intervention to Address Activity and Role Function in Metastatic Lung Cancer PatientsR03CA235171 · NCI · UNIVERSITY OF KENTUCKY · PI MCLOUTH, LAURIE · 2019 to 2020
$153k
NCATS NIH HHS KL2 TR001421NCATS NIH HHS UL1 TR001420NCI NIH HHS K07 CA181351NCI NIH HHS P30 CA012197NCI NIH HHS P30 CA118100NCI NIH HHS P30 CA177558NCI NIH HHS R03 CA235171NCI NIH HHS R25 CA122061
6 · The paper itself

Abstract

purposeImmunotherapy or chemoimmunotherapy is now standard treatment for most patients with metastatic non-small-cell lung cancer (mNSCLC), yet patient supportive care needs (SCNs) on immunotherapy are not well defined. This study characterized the SCNs and financial hardship of patients with mNSCLC treated with immunotherapy or chemoimmunotherapy and examined the relationship between patient and caregiver cancer-related employment reductions and patient financial hardship.

methodsPatients with mNSCLC on immunotherapy or chemoimmunotherapy from a single academic medical center completed the SCNs Survey-34, items indexing material, psychological, and behavioral financial hardship, and the Comprehensive Score for Financial Toxicity. Univariate and bivariate analyses examined care needs, financial hardship, and impact of cancer-related employment reductions on patient financial hardship.

resultsSixty patients (40% male; 75% White, mean age = 62.5 years, 57% on immunotherapy alone) participated. Fifty-five percent reported unmet needs in physical or daily living and psychological domains. Financial hardship was common (33% material, 63% psychological, and 57% behavioral). Fifty-two percent reported hardship in at least two domains. Forty percent reported a caregiver cancer-related employment reduction. Caregiver employment reduction was related to patient financial hardship (68% of those reporting caregiver employment reduction reported at least two domains of hardship

conclusionPatients with mNSCLC treated with immunotherapy or chemoimmunotherapy report multiple unmet care needs and financial hardship. Psychological, functional, financial, and caregiver concerns merit assessment and intervention in this population.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsEmploymentFemaleFinancial StressHumansImmunotherapyMaleMiddle Aged

Identifiers

PMID33539182
PMCPMC8360496
OpenAlexW3126266885

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.