Evidence map›Paper›PMID 34477973›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Characteristics associated with inter-individual variability in financial distress in patients with breast cancer prior to and for 12 months following surgery.

Raymond Javan Chan, Bruce Cooper, Bogda Koczwara, Alexandre Chan, Chia Jie Tan, Louisa Gordon, Steven M Paul, Laura B Dunn, Yvette P Conley, Kord M Kober and 3 more

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Survivorship care for people affected by advanced or metastatic cancer: MASCC-ASCO standards and practice recommendations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Evaluation of financial toxicity and associated factors in female patients with breast cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  3. Unraveling the vicious cycle: longitudinal analysis between financial toxicity and symptom burden in women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
  5. Article
  6. Cancer cost-related subjective financial distress among breast cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  7. Article
  8. 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

13 authors at 7 institutions in 3 countries.

Raymond Javan ChanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, SA5042, Australia. raymond.chan@flinders.edu.au.ORCID http://orcid.org/0000-0003-0248-7046
Bruce CooperSchool of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Bogda KoczwaraFlinders Centre for Innovation in Cancer, Flinders Medical Centre, Flinders University, Bedford Park, Australia.
Alexandre ChanDepartment of Clinical Pharmacy Practice, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, Irvine, CA, USA.
Chia Jie TanDepartment of Pharmacy, Faculty of Science, National University of Singapore, Singapore, Singapore.
Louisa GordonSchool of Nursing, Queensland University of Technology, Kelvin Grove, Australia.
Steven M PaulSchool of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Laura B DunnSchool of Medicine, Stanford University, Stanford, CA, USA.
Yvette P ConleySchool of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
Kord M KoberSchool of Nursing, University of California, San Francisco, San Francisco, CA, USA.
Gary AbramsSchool of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Jon D LevineSchool of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Christine MiaskowskiSchool of Nursing, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USQueensland University of Technology · AUFlinders University · AUNational University of Singapore · SGStanford University · USUniversity of California, Irvine · USUniversity of Pittsburgh · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Symptom Management After Breast Cancer SurgeryR01CA107091 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MIASKOWSKI, CHRISTINE A. · 2003 to 2008
$4.5M
National Health and Medical Research Council APP1194051NCI NIH HHS CA107091/CA118658/CA168960NIH HHS RR024131
6 · The paper itself

Abstract

purposeTo evaluate for inter-individual differences in financial distress and identify demographic, clinical, and symptom characteristics associated with higher levels of financial distress.

methodsPatients (n = 387) were enrolled prior to breast cancer surgery and followed for 12 months. Financial distress was measured using a 0 (no problem) to 10 (severe problem) numeric rating scale. Hierarchical linear modeling was used to evaluate for inter-individual differences in trajectories of financial distress and characteristics associated with financial distress at enrollment and over 12 months.

resultsPatients' mean age was 55.0 (± 11.7) years and the majority underwent breast conservation surgery (80.6%). Mean financial distress score prior to surgery was 3.3 (± 3.4; range 0 to 10). Unconditional model for financial distress demonstrated no significant changes over time (-0.006/month). Younger age, lower income, receipt of an axillary lymph node dissection and adjuvant chemotherapy, and lower attentional function were associated with higher preoperative levels of financial distress.

conclusionRisk factors identified in this study can be used to inform clinicians regarding the need to initiate financial discussions and social work referrals for some patients. Additional clinical or system level interventions should be considered for vulnerable groups with these risk factors.

Indexed as

Breast NeoplasmsBreastFemaleHumansIndividualityLymph Node ExcisionMastectomyMiddle AgedBreast cancerFinancial burdenFinancial distressFinancial toxicityHierarchical linear modeling

Identifiers

PMID34477973
OpenAlexW3198021701

What OpenQuestion holds

Textmetadata
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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.