Evidence map›Paper›PMID 36944141›Full record

ArticleJCO clinical cancer informatics2023

Implementation of Systematic Financial Screening in an Outpatient Breast Oncology Setting.

Melissa P Beauchemin, David DeStephano, Rohit Raghunathan, Erik Harden, Melissa Accordino, Grace C Hillyer, Justine M Kahn, Benjamin L May, Billy Mei, Todd Rosenblat and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in JCO clinical cancer informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06296641 (Leveraging COmmunity Partnered nEeds Navigation to Reduce Unmet Health-related Social Needs Among Caregivers for Adolescent and Younger Adult Cancer Survivors), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06296641 naenrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Leveraging COmmunity Partnered nEeds Navigation to Reduce Unmet Health-related Social Needs Among Caregivers for Adolescent and Younger Adult Cancer Survivors

TypeinterventionalSponsorColumbia UniversityRan2024 to 2026Enrolled60ConditionsCancer in AdolescenceArmsNeeds navigation intervention
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Measures of financial toxicity in cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  3. Adapting a Cancer Cost and Health Insurance Tool for Implementation: Rapid Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Rural cancer financial toxicity screening.Advances in radiation oncology · 2025
    Article
  9. 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
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Cancer cost-related subjective financial distress among breast cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  15. 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

15 authors.

Melissa P BeaucheminSchool of Nursing, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0003-4058-1586
David DeStephanoHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Rohit RaghunathanHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Erik HardenHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0003-1633-3777
Melissa AccordinoHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0002-4156-7279
Grace C HillyerHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0003-0467-075X
Justine M KahnHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0003-3330-6754
Benjamin L MayHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Billy MeiClinical Information Technology Shared Resources, New York Presbyterian Hospital, New York, NY.
Todd RosenblatHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Cynthia LawDivision of Hematology/Oncology, Department of Medicine, Columbia University Irving Medical Center, New York, NY.
Elena B ElkinDepartment of Health Policy and Management, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0001-8833-4213
Rita KukafkaDepartment of Biomedical Informatics, Columbia University, New York, NY.
Jason D WrightHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0001-6390-825X
Dawn L HershmanHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0001-8807-153X

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Training Program in Cancer-Related Population SciencesR25CA094061 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NEUGUT, ALFRED I. · 2002 to 2016
$5.9M
Training Program in Cancer-related Population SciencesT32CA094061 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NEUGUT, ALFRED I., TERRY, MARY BETH · 2017 to 2021
$1.1M
NCI NIH HHS P30 CA013696NCI NIH HHS R25 CA094061NCI NIH HHS T32 CA094061
6 · The paper itself

Abstract

purposeImplementation of routine financial screening is a critical step toward mitigating financial toxicity. We evaluated the feasibility, sustainability, and acceptability of systematic financial screening in the outpatient breast oncology clinic at a large, urban cancer center.

methodsWe developed and implemented a stakeholder-informed process to systematically screen for financial hardship and worry. A 2-item assessment in English or Spanish was administered to patients through the electronic medical record portal or using paper forms. We evaluated completion rates and mode of completion. Through feedback from patients, clinicians, and staff, we identified strategies to improve completion rates and acceptability.

resultsFrom March, 2021, to February, 2022, 3,500 patients were seen in the breast oncology clinic. Of them, 39% (n = 1,349) responded to the screening items, either by paper or portal, 12% (n = 437) preferred not to answer, and the remaining 49% (n = 1,714) did not have data in their electronic health record, meaning they were not offered screening or did not complete the paper forms. Young adults (18-39 years) were more likely to respond compared with patients 70 years or older (61%

conclusionSystematic financial screening is feasible, and electronic data capture facilitates successful implementation. However, inclusive procedures that address language and technology preferences are needed to optimize screening.

Indexed as

Breast NeoplasmsFinancing, PersonalMedical OncologyAdolescentAdultHumansYoung Adult

Identifiers

PMID36944141
PMCPMC10530809

What OpenQuestion holds

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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.