Evidence map›Paper›PMID 34699110›Full record

ArticlePsycho-oncology2022

Stakeholder-informed conceptual framework for financial burden among adolescents and young adults with cancer.

Suzanne C Danhauer, Mollie Canzona, Reginald D Tucker-Seeley, Bryce B Reeve, Chandylen L Nightingale, Dianna S Howard, Nicole Puccinelli-Ortega, Denisha Little-Greene, John M Salsman

2 registry-linked trialsAbstract read
In one paragraph

Article in Psycho-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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.

NCT06072833 nacompletednot on this mapstarted 2023, after this paper: background citation

Characterizing and Addressing Financial Toxicity in Adolescents and Young Adults With Cancer

TypeinterventionalSponsorColumbia UniversityRan2023 to 2025Enrolled26ConditionsCancer in AdolescenceArmsPatient Financial Education / Navigation
NCT06296641 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Leveraging COmmunity Partnered nEeds Navigation to Reduce Unmet Health-related Social Needs Among Caregivers for Adolescent and Younger Adult Cancer Survivors

TypeinterventionalSponsorColumbia UniversityRan2024 to 2026Enrolled60ConditionsCancer in AdolescenceArmsNeeds navigation intervention
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Sources of informal financial support among adolescent and young adult cancer survivors: a mixed methods analysis from the HIAYA CHAT study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  2. A conceptual model of cancer care and lived experiences in adolescents and young adults with cancer: results from the multi-national European STRONG AYA project.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  7. A life put on hold? Navigating fertility-related considerations after cancer in adolescence and young adulthood (AYA).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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  12. Financial toxicity among pediatric oncology families during therapy and early survivorship: a qualitative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

9 authors.

Suzanne C DanhauerDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.ORCID 0000-0002-2003-9805
Mollie CanzonaDepartment of Communication, Wake Forest University, Winston Salem, North Carolina, USA.ORCID 0000-0001-9351-5422
Reginald D Tucker-SeeleyLeonard Davis School of Gerontology, University of Southern California, Los Angeles, California, USA.
Bryce B ReeveDepartment of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Chandylen L NightingaleDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Dianna S HowardDepartment of Internal Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Nicole Puccinelli-OrtegaDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
Denisha Little-GreeneDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.
John M SalsmanDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, North Carolina, USA.ORCID 0000-0003-2317-4006

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
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
Optimizing health related quality of life measurement in adolescent and young adult oncology: A PROMISing solutionR01CA218398 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SALSMAN, JOHN · 2017 to 2021
$2.6M
NCATS NIH HHS UL1 TR001420NCI NIH HHS P30 CA012197NCI NIH HHS R01 CA218398
6 · The paper itself

Abstract

backgroundCancer and its treatments can result in substantial financial burden that may be especially distressing for adolescents and young adults (AYAs) since they are at a developmental stage focused on completing one's education and establishing independence. The purpose of this study was to develop a conceptual model of financial burden among AYA cancer patients to inform development of a financial burden measure.

methodsIn-depth concept elicitation interviews were conducted with a purposive-selected stakeholder sample (36 AYAs and 36 AYA oncology health care providers). The constant comparative method was used to identify themes that illustrate AYAs' experience of financial burden by stakeholder groups.

resultsEleven financial burden themes emerged: (1) impact of socioeconomic status and age; (2) significant cancer costs; (3) indirect cost "ripple effects"; (4) limited awareness of costs (adolescents); (5) emotional impact; (6) feeling overwhelmed navigating the health care system; (7) treatment decision modifications; (8) reducing spending; (9) coping strategies; (10) financial support; and (11) long-lasting impact. The conceptual model highlights the importance of material, psychosocial, and behavioral domains of financial burden with an emphasis on phase along the cancer continuum and developmental stage in the experience of financial burden for AYAs.

conclusionsIssues presented in the voice of AYA patients and providers highlight the profound impact of financial burden in this survivor group. The next step in this work will be to develop and test a patient-reported measure of financial burden among AYA cancer survivors.

Indexed as

Cancer SurvivorsNeoplasmsAdaptation, PsychologicalAdolescentFinancial StressHumansSurvivorsYoung Adultadolescentadolescent and young adult oncologycancerfinancial burdenfinancial distressfinancial toxicityoncologypsycho-oncologystakeholder inputyoung adult

Identifiers

PMID34699110
PMCPMC9023074

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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.