Evidence map›Paper›PMID 34642793›Full record

ArticleJournal of cancer research and clinical oncology2022

Health and life insurance-related problems in very long-term cancer survivors in Germany: a population-based study.

Melissa S Y Thong, Daniela Doege, Linda Weißer, Lena Koch-Gallenkamp, Heike Bertram, Andrea Eberle, Bernd Holleczek, Alice Nennecke, Annika Waldmann, Sylke Ruth Zeissig and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

14 authors at 7 institutions in 1 country.

Melissa S Y ThongUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), PO Box 101949, 69009, Heidelberg, Germany. m.thong@dkfz.de.ORCID http://orcid.org/0000-0002-6987-705X
Daniela DoegeUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), PO Box 101949, 69009, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-7499-5376
Linda WeißerDivision of Clinical Epidemiology and Aging Research, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-4404-5131
Lena Koch-GallenkampDivision of Clinical Epidemiology and Aging Research, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7290-906X
Heike BertramCancer Registry of North Rhine-Westphalia, Bochum, Germany.
Andrea EberleBremen Cancer Registry, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.ORCID http://orcid.org/0000-0003-4195-5236
Bernd HolleczekSaarland Cancer Registry, Saarbrücken, Germany.ORCID http://orcid.org/0000-0001-8759-4371
Alice NenneckeHamburg Cancer Registry, Hamburg, Germany.ORCID http://orcid.org/0000-0002-7115-5160
Annika WaldmannInstitute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.ORCID http://orcid.org/0000-0002-5909-9936
Sylke Ruth ZeissigCancer Registry of Rhineland-Palatinate, Mainz, Germany.ORCID http://orcid.org/0000-0002-0743-6128
Ron PritzkuleitCancer Registry of Schleswig-Holstein, Lübeck, Germany.ORCID http://orcid.org/0000-0002-2858-2941
Michael SchlanderDivision of Health Economics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Hermann BrennerDivision of Clinical Epidemiology and Aging Research, DKFZ, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-6129-1572
Volker ArndtUnit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), PO Box 101949, 69009, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-9320-8684
German Cancer Research Center · DEHeidelberg University · DEIndependent Centre for Privacy Protection · DEKrebsregister Saarland · DELeibniz Institute for Prevention Research and Epidemiology - BIPS · DEUniversity Cancer Center Hamburg · DEUniversity of Lübeck · DE

Funding

Deutsche Krebshilfe 108262Deutsche Krebshilfe 70112089
6 · The paper itself

Abstract

purposeLimited research suggests that cancer survivors have problems with insurance. Our study aimed to gain insight into the proportion of very long-term (14-24 years post-diagnosis) survivors of breast, colorectal, and prostate cancers who had problems with health (HI) and life (LI) insurance.

methodsWe used data from CAESAR (CAncEr Survivorship-A multi-Regional population-based study). Participants completed questions on change in insurance providers since cancer diagnosis, problems with requesting (additional) HI or LI, and how potential problems were resolved. We conducted logistic regression to determine factors associated with change in statutory HI.

resultsOf the 2714 respondents, 174 (6%) reported having changed HI providers. Most switched between different statutory HI providers (86%), 9% from statutory to private, and 5% from private to statutory. Respondents who changed statutory HI providers were more likely to be prostate cancer survivors (OR 2.79, 95% CI 1.01-7.68) while being ≥ 65 years at time of diagnosis (OR 0.58, 95% CI 0.35-0.96) and having ≥ 2 comorbid conditions (OR 0.61, 95% CI 0.40-0.92) were associated with reduced odds for change. Problems in changing HI were minimal and were resolved with additional contribution. Of the 310 respondents who tried to get LI, 25 respondents reported having difficulties, of whom the majority had their request rejected.

conclusionMost cancer survivors did not change their HI nor tried to buy LI after cancer diagnosis. Problems with changing statutory HI were generally resolved with additional contribution while the main problem encountered when buying LI was rejection of request.

Indexed as

Insurance Selection BiasAgedBreast NeoplasmsCancer SurvivorsColorectal NeoplasmsFemaleGermanyHumansInsurance, HealthInsurance, LifeMaleMiddle AgedProstatic NeoplasmsSurveys and QuestionnairesCancer survivorsFinancial toxicityInsurance problemsPopulation-based

Identifiers

PMID34642793
PMCPMC8752534
OpenAlexW3207812043

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.