Evidence map›Paper›PMID 36179267›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Financial Hardship in Adult Survivors of Childhood Cancer in the Era After Implementation of the Affordable Care Act: A Report From the Childhood Cancer Survivor Study.

Paul C Nathan, I-Chan Huang, Yan Chen, Tara O Henderson, Elyse R Park, Anne C Kirchhoff, Leslie L Robison, Kevin Krull, Wendy Leisenring, Gregory T Armstrong and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
11.4field-weighted citation impact, top 1% 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, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  12. Basal cell carcinoma risk prediction in survivors of childhood cancer.Journal of the National Cancer Institute · 2025
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  17. Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors.Health education & behavior : the official publication of the Society for Public Health Education · 2025
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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

13 authors at 8 institutions in 2 countries.

Paul C NathanThe Hospital for Sick Children, Division of Hematology/Oncology, The University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0334-0871
I-Chan HuangSt Jude Children's Research Hospital, Department of Epidemiology & Cancer Control, Memphis, TN.ORCID 0000-0002-1194-3923
Yan ChenUniversity of Alberta, Edmonton, School of Public Health Alberta, Edmonton, Alberta, Canada.
Tara O HendersonUniversity of Chicago Comer Children's Hospital, Section of Pediatric Hematology, Oncology and Stem Cell Transplantation, Chicago, IL.ORCID 0000-0001-9394-6206
Elyse R ParkMassachusetts General Hospital Cancer Center, Boston, MA.ORCID 0000-0002-6319-264X
Anne C KirchhoffHuntsman Cancer Institute, Cancer Control and Population Sciences, University of Utah, Salt Lake City, UT.ORCID 0000-0002-0747-9179
Leslie L RobisonSt Jude Children's Research Hospital, Department of Epidemiology & Cancer Control, Memphis, TN.ORCID 0000-0001-7460-8578
Kevin KrullSt Jude Children's Research Hospital, Department of Epidemiology & Cancer Control, Memphis, TN.ORCID 0000-0002-0476-7001
Wendy LeisenringFred Hutchinson Cancer Research Center, Clinical Research Division, Seattle, WA.ORCID 0000-0001-7405-0906
Gregory T ArmstrongSt Jude Children's Research Hospital, Department of Epidemiology & Cancer Control, Memphis, TN.
Rena M ContiDepartment of Markets, Public Policy and Law, Questrom School of Business, Boston University, Boston, MA.
Yutaka YasuiSt Jude Children's Research Hospital, Department of Epidemiology & Cancer Control, Memphis, TN.ORCID 0000-0002-7717-8638
K Robin YabroffSurveillance and Health Equity Science Department, American Cancer Society, Atlanta, GA.ORCID 0000-0003-0644-5572
St. Jude Children's Research Hospital · USAmerican Cancer Society · USComer Children's Hospital · USFred Hutch Cancer Center · USMassachusetts General Hospital · USUniversity of Alberta · CAUniversity of Toronto · CAUniversity of Utah · US

Funding

Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
NCI NIH HHS U24 CA055727
6 · The paper itself

Abstract

purposeTo estimate the prevalence of financial hardship among adult survivors of childhood cancer compared with siblings and identify sociodemographic, cancer diagnosis, and treatment correlates of hardship among survivors in the era after implementation of the Affordable Care Act.

methodsA total of 3,555 long-term (≥ 5 years) survivors of childhood cancer and 956 siblings who completed a survey administered in 2017-2019 were identified from the Childhood Cancer Survivor Study. Financial hardship was measured by 21 survey items derived from US national surveys that had been previously cognitively tested and fielded. Principal component analysis (PCA) identified domains of hardship. Multiple linear regression examined the association of standardized domain scores (ie, scores divided by standard deviation) with cancer and treatment history and sociodemographic characteristics among survivors.

resultsSurvivors were more likely than siblings to report hardship in ≥ 1 item (63.4%

conclusionSurvivors of childhood cancer were more likely to experience financial hardship than siblings. Correlates of hardship can inform survivorship care guidelines and intervention strategies.

Indexed as

Cancer SurvivorsNeoplasmsAdultChildCost of IllnessFinancial StressHumansPatient Protection and Affordable Care ActSurveys and QuestionnairesSurvivorsUnited States

Identifiers

PMID36179267
PMCPMC9928627
OpenAlexW4298124740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.