Evidence map›Paper›PMID 34655327›Full record

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

How cancer programs identify and address the financial burdens of rural cancer patients.

Victoria Petermann, Whitney E Zahnd, Robin C Vanderpool, Jan M Eberth, Catherine Rohweder, Randall Teal, Maihan Vu, Lindsay Stradtman, Elizabeth Frost, Erika Trapl and 13 more

Registry-linked trialOpen access · greenAbstract read
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. It is linked to trial NCT07410689 (SAFE.AI), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT07410689 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

SAFE.AI: Developing and Testing an AI-based Hybrid Chatbot for Financial Empowerment in Rural Cancer Care

TypeinterventionalSponsorUniversity of UtahRan2026 to 2027Enrolled60ConditionsCancer, Financial ToxicityArmsRule-Based Chatbot, Hybrid Chatbot
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. A systematic review on the qualitative experiences of people living with lung cancer in rural areas.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Geographic variability in contemporary utilization of PET imaging for prostate cancer: a medicare claims cohort study.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  6. Observational
  7. Article
  8. Observational
  9. Geographic distance to Commission on Cancer-accredited and nonaccredited hospitals in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

23 authors at 8 institutions in 1 country.

Victoria PetermannThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. vpeterma@email.unc.edu.ORCID http://orcid.org/0000-0003-2016-5657
Whitney E ZahndUniversity of South Carolina, Columbia, SC, USA.
Robin C VanderpoolUniversity of Kentucky, Lexington, KY, USA.
Jan M EberthUniversity of South Carolina, Columbia, SC, USA.
Catherine RohwederThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Randall TealThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Maihan VuThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lindsay StradtmanUniversity of Kentucky, Lexington, KY, USA.
Elizabeth FrostCase Western Reserve University, Cleveland, OH, USA.
Erika TraplCase Western Reserve University, Cleveland, OH, USA.
Sarah Koopman GonzalezCase Western Reserve University, Cleveland, OH, USA.
Thuy VuUniversity of Washington, Seattle, WA, USA.
Linda K KoUniversity of Washington, Seattle, WA, USA.
Allison ColeUniversity of Washington, Seattle, WA, USA.
Paige E FarrisOregon Health & Science University, Portland, OR, USA.
Jackilen ShannonOregon Health & Science University, Portland, OR, USA.
Jessica LeeUniversity of South Carolina, Columbia, SC, USA.
Natoshia AskelsonUniversity of Iowa, Iowa City, IA, USA.
Laura SeegmillerUniversity of Iowa, Iowa City, IA, USA.
Arica WhiteCenters for Disease Control and Prevention, Atlanta, GA, USA.
Jean EdwardUniversity of Kentucky, Lexington, KY, USA.
Melinda DavisOregon Health & Science University, Portland, OR, USA.
Stephanie B WheelerThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USCase Western Reserve University · USOregon Health & Science University · USUniversity of Kentucky · USUniversity of South Carolina · USUniversity of Washington · USUniversity of Iowa · USCenters for Disease Control and Prevention · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
Health Promotion and Disease Prevention Research CenterU48DP005013 · DP · UNIVERSITY OF WASHINGTON · PI HANNON, MARGARET A · 2014 to 2018
$13.3M
Center for Health Promotion and Disease PreventionU48DP005017 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AMMERMAN, ALICE S, WHEELER, STEPHANIE BROOKE · 2014 to 2018
$10.9M
University of Pennsylvania Prevention Research CenterU48DP005053 · DP · UNIVERSITY OF PENNSYLVANIA · PI GLANZ, KAREN, VOLPP, KEVIN G · 2014 to 2018
$8.7M
Prevention Research Center for Healthy NeighborhoodsU48DP005030 · DP · CASE WESTERN RESERVE UNIVERSITY · PI BORAWSKI, ELAINE A. · 2014 to 2018
$6.8M
Rural Cancer Prevention Center __ Early Detection of Colorectal Cancer and PolypsU48DP005014 · DP · UNIVERSITY OF KENTUCKY · PI CROSBY, RICHARD A · 2014 to 2018
$6.3M
Dissemination, Implementation, and Evaluation of Native STAND in AI CommunitiesU48DP005006 · DP · OREGON HEALTH & SCIENCE UNIVERSITY · PI BECKER, THOMAS MARK · 2014 to 2018
$6.3M
University of Iowa Prevention Research Center for Rural HealthU48DP005021 · DP · UNIVERSITY OF IOWA · PI BAQUERO, BARBARA I, PARKER, EDITH A · 2014 to 2018
$5.6M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Using Context to Improve Implementation of Evidenced-based Interventions for Colorectal Cancer Screening in Rural Primary Care (Precise CRC)K07CA211971 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVIS, MELINDA MARIE · 2017 to 2020
$683k
ACL HHS U48DP005006ACL HHS U48DP005013ACL HHS U48DP005014ACL HHS U48DP005017ACL HHS U48DP005021ACL HHS U48DP005030ACL HHS U48DP005053NCCDPHP CDC HHS U48 DP005006NCCDPHP CDC HHS U48-DP005006NCCDPHP CDC HHS U48 DP005013NCCDPHP CDC HHS U48-DP005013NCCDPHP CDC HHS U48 DP005014NCCDPHP CDC HHS U48-DP005014NCCDPHP CDC HHS U48 DP005017NCCDPHP CDC HHS U48-DP005017NCCDPHP CDC HHS U48 DP005021NCCDPHP CDC HHS U48-DP005021NCCDPHP CDC HHS U48 DP005030NCCDPHP CDC HHS U48-DP005030NCCDPHP CDC HHS U48 DP005053NCCDPHP CDC HHS U48-DP005053NCI NIH HHS K07 CA211971NCI NIH HHS P30 CA016086NCI NIH HHS T32 CA057726NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

purposeFinancial toxicity is associated with negative patient outcomes, and rural populations are disproportionately affected by the high costs of cancer care compared to urban populations. Our objective was to (1) understand cancer programs' perceptions of rural-urban differences in cancer patients' experiences of financial hardship, (2) evaluate the resources available to cancer patients across the rural-urban continuum, and (3) determine how rural and urban health care teams assess and address financial distress in cancer patients.

methodsSeven research teams within the Cancer Prevention and Research Control Network conducted semi-structured interviews with cancer program staff who have a role in connecting cancer patients with financial assistance services in both rural and urban counties. Interviews were audio-recorded and transcribed. We identified themes using descriptive content and thematic analysis.

resultsWe interviewed 35 staffs across 29 cancer care programs in seven states, with roughly half of respondents from programs in rural counties. Participants identified differences in rural and urban patients' experiences of financial hardship related to distance required to travel for treatment, underinsurance, and low socioeconomic status. Insufficient staffing was an identified barrier to addressing rural and urban patients' financial concerns.

conclusionsImproved financial navigation services could mitigate the effects of financial toxicity experienced by cancer patients, particularly rural patients, throughout treatment and survivorship. Future research is needed to improve how cancer programs assess financial hardship in patients and to expand financial navigation services to better serve rural cancer patients.

Indexed as

Financial StressNeoplasmsCosts and Cost AnalysisHumansRural PopulationUrban PopulationCancerFinancial assistanceFinancial toxicityNavigationOncologyRural

Identifiers

PMID34655327
PMCPMC9380718
OpenAlexW3207878160

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.