Evidence map›Paper›PMID 36659856›Full record

ArticleCancer medicine2023

International medical tourism of US cancer patients for alternative cancer treatments: Financial, demographic, and clinical profiles of online crowdfunding campaigns.

John Peterson, Trevor F Wilson, Melissa H Watt, Josh Gruhl, Sydney Davis, Jaxon Olsen, Matthew W Parsons, Benjamin H Kann, Briony Swire-Thompson, Angela Fagerlin and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. GoFundMe®: Crowdfunding Among Young Adult Patients With Cancer.Clinical journal of oncology nursing · 2025
    Article
  3. Article
  4. 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

14 authors at 4 institutions in 1 country.

John PetersonDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Trevor F WilsonDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID 0000-0002-1311-2998
Melissa H WattDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Josh GruhlDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID 0000-0003-3159-9936
Sydney DavisDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Jaxon OlsenDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Matthew W ParsonsDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Benjamin H KannDepartment of Radiation Oncology, Dana-Farber Cancer Institute/Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Briony Swire-ThompsonNetwork Science Institute, Northeastern University, Boston, Massachusetts, USA.
Angela FagerlinDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Echo L WarnerCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-5998-9744
Andy J KingCancer Control & Population Sciences, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Fumiko ChinoDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID 0000-0003-0498-488X
Skyler B JohnsonDepartment of Radiation Oncology, University of Utah, Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID 0000-0002-8881-7706
University of Utah · USBrigham and Women's Hospital · USMemorial Sloan Kettering Cancer Center · USNortheastern University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundPrevious research has found that individuals may travel outside their home countries in pursuit of alternative cancer therapies (ACT). The goal of this study is to compare individuals in the United States who propose plans for travel abroad for ACT, compared with individuals who seek ACT domestically.

methodsClinical and treatment data were extracted from campaign descriptions of 615 GoFundMe® campaigns fundraising for individuals in the United States seeking ACT between 2011 and 2019. We examined treatment modalities, treatment location, fundraising metrics, and online engagement within campaign profiles. Clinical and demographic differences between those who proposed international travel and those who sought ACT domestically were examined using two-sided Fisher's exact tests. Differences in financial and social engagement data were examined using two-sided Mann-Whitney tests.

resultsOf the total 615 campaigns, 237 (38.5%) mentioned plans to travel internationally for ACT, with the majority (81.9%) pursuing travel to Mexico. Campaigns that proposed international treatment requested more money ($35,000 vs. $22,650, p < 0.001), raised more money ($7833 vs. $5035, p < 0.001), had more donors (57 vs. 45, p = 0.02), and were shared more times (377 vs. 290.5, p = 0.008) compared to campaigns that did not. The median financial shortfall was greater for campaigns pursuing treatments internationally (-$22,640 vs. -$13,436, p < 0.003).

conclusionsCampaigns proposing international travel for ACT requested and received more money, were shared more online, and had more donors. However, there was significantly more unmet financial need among this group, highlighting potential financial toxicity on patients and families.

Indexed as

CrowdsourcingFund RaisingMedical TourismNeoplasmsDemographyHumansUnited Statesalternative cancer therapyfinancial toxicityhealth misinformationinternet researchmedical tourism

Identifiers

PMID36659856
PMCPMC10134261
OpenAlexW4317567407

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.