ArticleJCO oncology practice2021
Affordable Care Act and Cancer Survivors' Financial Barriers to Care: Analysis of the National Health Interview Survey, 2009-2018.
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 12 papers.
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.
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.
Who cites it
12 citing papers in PubMed.
- Are age and sex associated with variation in use of follow-up care and financial barriers to care in U.S. cancer survivors?Journal of cancer survivorship : research and practice · 2026Article
- Trends in Reported End-of-Life Concerns after the Legalization of Physician-Assisted Suicide.Southern medical journal · 2026Article
- The lasting impact of the ACA: how Medicaid expansion reduces outcome disparities in AYAs with leukemia and lymphoma.Hematology. American Society of Hematology. Education Program · 2024Article
- Impact of the Affordable Care Act on access to accredited facilities for cancer treatment.Health services research · 2024Article
- Pediatric and Adolescent Hodgkin Lymphoma: Paving the Way for Standards of Care and Shared Decision Making.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2024Review
- The Affordable Care Act and income-based disparities in health care coverage and spending among nonelderly adults with cancer.Health affairs scholar · 2024Article
- High out‑of‑pocket spending and financial hardship at the end of life among cancer survivors and their families.Israel journal of health policy research · 2023Article
- Insurance Coverage and Forgoing Medical Appointments Because of Cost Among Cancer Survivors After 2016.JCO oncology practice · 2023Article
- Defining the Role of the Modern Oncology Provider in Mitigating Financial Toxicity.Journal of the American College of Radiology : JACR · 2023Review
- Financial Toxicity Interventions in Hematologic Malignancies Are Timely and Necessary.JCO oncology practice · 2022Article
- Article
- What Oncologists Must Account for: The Financial Burden of Cancer-Associated Symptom Relief.JCO oncology practice · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
purposeSince Affordable Care Act (ACA) implementation in 2014, studies have demonstrated gains in insurance coverage for cancer survivors < 65 years. We assessed the impact of ACA implementation on financial barriers to care by stratifying survivors at age 65 years, when individuals typically become Medicare-eligible.
methodsWe used data from respondents with cancer in the 2009-2018 National Health Interview Survey. We identified 21,954 respondents representing approximately 7.4 million survivors, who were then age-stratified at age 65 years. Survey responses regarding financial barriers to medical care and medications were analyzed, and age-stratified multivariable logistic regression modeling was performed, which evaluated the impact of ACA implementation on these measures, adjusted for demographic and socioeconomic variables.
resultsAfter multivariable logistic regression, ACA implementation was associated with higher adjusted odds of Medicaid insurance (odds ratio [95% CI] 2.02 [1.72 to 2.36];
conclusionSurvivor-reported measures of financial barriers in cancer survivors age 18-64 years significantly improved following ACA implementation. Similar changes were not seen in the Medicare-eligible cohort, likely because of high Medicare enrollment and few uninsured.
Indexed as
Identifiers
What OpenQuestion holds
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.