Evidence map›Paper›PMID 34861066›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2022

Interventions to address cancer-related financial toxicity: Recommendations from the field.

Jean Edward, Victoria M Petermann, Jan M Eberth, Whitney E Zahnd, Robin C Vanderpool, Natoshia Askelson, Catherine L Rohweder, Sarah Koopman Gonzalez, Lindsay R Stradtman, Linda K Ko and 1 more

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.3field-weighted citation impact, top 4% 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.

NCT07032584 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Multimodal Telerehabilitation on Reducing Disparities in Rural Survivors of Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled74ConditionsProstate Cancer, Metastatic Prostate Cancer, Androgen Deprivation TherapyArmsTelerehabilitation Intervention
NCT07093177 narecruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Telerehabilitation of Rural Patients With Advanced Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2026 to 2028Enrolled30ConditionsProstate CancerArmsTelerehabilitation Unit
NCT07390071 narecruitingnot on this mapstarted 2025, after this paper: background citation

Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled40ConditionsLymphoma, Myeloma, Cytokine Release Syndrome, Immune Effector Cell Associated Neurotoxicity SyndromeArmsHome Automated Telemanagement (HAT) Patient Unit
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 32 citations in OpenAlex.

  1. Financial toxicity among breast cancer survivors receiving care during the pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Rural cancer financial toxicity screening.Advances in radiation oncology · 2025
    Article
  11. Article
  12. Associations between financial toxicity, health-related quality of life, and well-being in Indonesian patients with breast cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Pilot implementation and qualitative evaluation of a financial hardship screening among Native American patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  18. Financial toxicity of total cancer care immunotherapy patients and caregivers: impacts of COVID-19 pandemic and inflation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  19. Cancer survivor preferences on the timing and content of interventions to mitigate financial toxicity associated with cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  20. Can you spare 100 days? The allogeneic hematopoietic cell transplant caregiver requirement from the perspective of social workers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    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

11 authors at 7 institutions in 1 country.

Jean EdwardCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0001-9184-1048
Victoria M PetermannSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jan M EberthEpidemiology and Biostatistics, Arnold School of Public Health & Rural and Minority Health Research Center, University of South Carolina, Columbia, South Carolina, USA.
Whitney E ZahndHolden Comprehensive Cancer Center, College of Public Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-5174-8666
Robin C VanderpoolCollege of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Natoshia AskelsonCommunity and Behavioral Health, University of Iowa, Iowa City, Iowa, USA.
Catherine L RohwederCenter for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Sarah Koopman GonzalezDepartment of Population and Quantitative Health Sciences, Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, Ohio, USA.
Lindsay R StradtmanLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Linda K KoHealth Systems and Population Health, School of Public Health, University of Washington, Seattle, Washington, USA.
Paige E FarrisKnight Cancer Institute's Community Outreach and Engagement Program, Oregon Health & Science University, Portland, Oregon, USA.
University of North Carolina at Chapel Hill · USUniversity of Iowa · USUniversity of Kentucky · USCase Western Reserve University · USOregon Health & Science University · USUniversity of South Carolina · USWashington State Department of Health · US

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 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
ACL HHS U48DP005006ACL HHS U48DP005013ACL HHS U48DP005014ACL HHS U48DP005017ACL HHS U48DP005021ACL HHS U48DP005030ACL HHS U48DP005053NCCDPHP CDC HHS U48 DP005006NCCDPHP CDC HHS U48 DP005013NCCDPHP CDC HHS U48 DP005014NCCDPHP CDC HHS U48 DP005017NCCDPHP CDC HHS U48 DP005021NCCDPHP CDC HHS U48 DP005030NCCDPHP CDC HHS U48 DP005053NCI NIH HHS P30 CA016086NCI NIH HHS T32 CA057726NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

purposeAddressing financial toxicity among cancer patients is a complex process that requires a multifaceted approach, particularly for rural patients who may face additional cost-related barriers to care. In this study, we examined interventions being implemented by financial navigation staff at various cancer centers that help address financial toxicity experienced by oncology patients.

methodsWe conducted semistructured interviews with a convenience sample of financial navigation staff across 29 cancer centers in both rural and urban areas in 7 states. Interviews were audio-recorded and transcribed. Descriptive coding and thematic analysis techniques were used to analyze the data.

findingsThirty-five participants were interviewed, the majority of whom worked in cancer centers located in rural counties. Participants identified the use of screening tools, patient education, and access to tailored financial assistance resources as best practices. Immediate resource needs included additional financial navigation staff, including lay navigators and community health workers, to promote linkages to local resources. Suggested clinical areas for intervention included proactive and early implementation of financial assessments and discussions between providers and patients, along with training and access to regularly updated resources for those in financial navigator/counselor roles. Participants also discussed the need for policy-level interventions to reform health systems (including employment protections) and health insurance programs.

conclusionsImplementing proactive methods to screen for and address financial needs of patients is essential to improving cancer-related outcomes. Additional programs and research are needed to help establish systematic and standardized methods to enhance financial navigation services, especially for underserved rural communities.

Indexed as

Insurance, HealthNeoplasmsCommunity Health WorkersEmploymentHumansRural Populationfinancial hardshipfinancial navigationfinancial toxicityoncologyrural

Identifiers

PMID34861066
PMCPMC9163204
OpenAlexW3214884352

What OpenQuestion holds

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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.