Evidence map›Paper›PMID 35416372›Full record

ArticlePsycho-oncology2022

Financial burden for caregivers of adolescents and young adults with cancer.

Chandylen L Nightingale, Mollie R Canzona, Suzanne C Danhauer, Bryce B Reeve, Dianna S Howard, Reginald D Tucker-Seeley, Shannon L S Golden, Denisha Little-Greene, Michael E Roth, David E Victorson and 1 more

Open access · hybridAbstract 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. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
6.6field-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.

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

28 citing papers in PubMed, 30 citations in OpenAlex.

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  13. Enduring Economic Effects of a Cancer Diagnosis in Adolescence and Young Adulthood.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  19. 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

11 authors at 6 institutions in 2 countries.

Chandylen L NightingaleDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, NC, USA.ORCID 0000-0002-2275-9849
Mollie R CanzonaDepartment of Communication, Wake Forest University, Winston Salem, NC, USA.ORCID 0000-0001-9351-5422
Suzanne C DanhauerDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, NC, USA.ORCID 0000-0002-2003-9805
Bryce B ReeveDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Dianna S HowardDepartment of Internal Medicine, Section on Hematology and Oncology, Wake Forest School of Medicine, Winston Salem, NC, USA.
Reginald D Tucker-SeeleyLeonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Shannon L S GoldenGoldsmith Research Group, Winston Salem, NC, USA.
Denisha Little-GreeneDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, NC, USA.
Michael E RothDepartment of Pediatrics, MD Anderson Cancer Center, Houston, TX, USA.
David E VictorsonDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-3530-8633
John M SalsmanDepartment of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston Salem, NC, USA.
Wake Forest University · USDuke University · USGramercy Research Group (United States) · USNorthwestern University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Southern California · US

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
Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
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
Chandylen Nightingale's work on this was in part supported by the NCATS KL2TR001421NCATS NIH HHS KL2 TR001421NCATS NIH HHS UL1 TR001420NCI NIH HHS P30 CA012197NCI NIH HHS R01 CA218398Wake Forest Baptist Comprehensive Cancer Center's NCI Cancer Center P30CA012197
6 · The paper itself

Abstract

objectiveAdolescent and young adult (AYA) cancer survivors are vulnerable to cancer-related financial burden, which is likely shared by their caregivers. This study aims to enhance an existing conceptual model of financial burden by conducting concept elicitation interviews with caregivers to generate knowledge that can be translated to inform instrumental and psychosocial support in cancer care.

methodsQualitative concept elicitation interviews were conducted with 24 caregivers of AYA cancer survivors (caregivers of adolescents, n = 12; caregivers of emerging adults, n = 12) recruited from four sites. Constant comparative methods were used to identify themes, and results were interpreted and organized into domains of the conceptual model. We also explored COVID-19 related financial impacts among a subset (n = 12) of caregivers.

resultsSeven themes emerged, which varied by age group and strengthened the conceptualization of the model. Themes centered on: (1) direct and indirect costs of cancer; (2) impact of socioeconomic status on financial burden; (3) caregiver desire to shield AYAs from distress due to financial burden; (4) strategies to manage cancer-related costs; (5) worries about AYAs' financial future; (6) seeking and receiving financial support; and (7) navigating the healthcare system. Findings also revealed that COVID-19 exacerbates financial burden for some caregivers.

conclusionsBuilding upon our prior work, we have adapted the conceptual model of financial burden to reflect perspectives of AYAs, oncology providers, and now, caregivers. An important next step is to develop a reliable and valid self-report measure of financial burden among caregivers of AYA cancer survivors.

Indexed as

Cancer SurvivorsCOVID-19NeoplasmsAdolescentCaregiversFinancial StressHumansYoung Adultadolescentadolescent and young adult oncologycancercaregiverfinancial burdenfinancial distressfinancial toxicityoncologypsycho-oncologyyoung adult

Identifiers

PMID35416372
PMCPMC9540021
OpenAlexW4223431385

What OpenQuestion holds

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Registered trials

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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.