ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022
Shared burden: the association between cancer diagnosis, financial toxicity, and healthcare cost-related coping mechanisms by family members of non-elderly patients in the USA.
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. Cited by 34 papers.
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.
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.
Who cites it
34 citing papers in PubMed, 39 citations in OpenAlex.
- A point-of-care pilot randomized intervention to connect patients with cancer-induced financial toxicity to telehealth financial counseling.Cancer causes & control : CCC · 2024Trial
- Health services research and advocacy in US cancer care: pathways from evidence to implementation.Lancet regional health. Americas · 2026Review
- Prevalence and Factors Associated With Financial Toxicity in Cervical Cancer Patients: A Cross-Sectional Study.Nursing open · 2026Article
- Behavioral and Psychological Financial Hardship Among Caregivers of Pediatric Cancer Patients.Cancer medicine · 2026Article
- Adolescent and young adult cancer survivor experiences of financial toxicity: a scoping review.Journal of cancer survivorship : research and practice · 2026Review
- Integrating Cancer Education Into High School Curricula.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Review
- Differences in patient-centered burdens and economic outcomes based on sociodemographic characteristics and social determinants of health: a scoping review.Frontiers in public health · 2026Article
- Article
- Mapping Disparities in the Measurement of Financial Toxicity in Cancer Care: A Scoping Review.Current oncology reports · 2025Article
- The global, regional, and national burden of cancer, 1990-2023, with forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2023.Lancet (London, England) · 2025Article
- Risk Factors and Consequences of Financial Hardship among Family of Critically Ill Patients.Annals of the American Thoracic Society · 2025Article
- Financial toxicity of hemophilia care in Southeast Asian countries.The Lancet regional health. Southeast Asia · 2025Review
- The financial toll of cancer: uncovering the links between financial toxicity and symptom burden.The oncologist · 2025Observational
- Non-monetary burdens of out-of-pocket costs incurred by patients and caregivers for medical care: a scoping review.BMJ open · 2025Article
- Nasopharynx Cancer in the United States: Racial and Ethnic Disparities in Stage at Presentation.The Laryngoscope · 2025Article
- Cross-Cultural Validation of the COmprehensive Score for Financial Toxicity (COST) Measure in an Australian Sample.Cancer medicine · 2025Article
- Economic costs of family caregiving for persons with advanced stage cancer: a longitudinal cohort study.Journal of cancer survivorship : research and practice · 2025Article
- Development of A Caregiver-Reported Scale for Pediatric Cancer Financial Toxicity (CRS-PCFT).Cancer medicine · 2025Article
- Understanding the family financial toxicity of cancer through the lens of US patients of South Asian descent.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity.Frontiers in psychiatry · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 9 institutions in 1 country.
Funding
Abstract
purposeThere has been little research on the healthcare cost-related coping mechanisms of families of patients with cancer. Therefore, we assessed the association between a cancer diagnosis and the healthcare cost-related coping mechanisms of participant family members through their decision to forego or delay seeking medical care, one of the manifestations of financial toxicity.
methodsUsing data from the National Health Interview Survey (NHIS) between 2000 and 2018, sample weight-adjusted prevalence was calculated and multivariable logistic regressions defined adjusted odds ratios (aORs) for participant family members who needed but did not get medical care or who delayed seeking medical care due to cost in the past 12 months, adjusting for relevant sociodemographic covariates, including participant history of cancer (yes vs. no) and participant age (18-45 vs. 46-64 years old). The analysis of family members foregoing or delaying medical care was repeated using a cancer diagnosis * age interaction term.
resultsParticipants with cancer were more likely than those without a history of cancer to report family members delaying (19.63% vs. 16.31%, P < 0.001) or foregoing (14.53% vs. 12.35%, P = 0.001) medical care. Participants with cancer in the 18 to 45 years old age range were more likely to report family members delaying (p
conclusionA cancer diagnosis may be associated with familial healthcare cost-related coping mechanisms, one of the manifestations of financial toxicity. This is seen through delayed/omitted medical care of family members of people with a history of cancer, an association that may be stronger among young adult cancer survivors. These findings underscore the need to further explore how financial toxicity associated with a cancer diagnosis can affect patients' family members and to design interventions to mitigate healthcare cost-related coping mechanisms.
Indexed as
Identifiers
What OpenQuestion holds
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.