Evidence map›Paper›PMID 37402039›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Challenges and solutions to cancer-related financial toxicity according to Australian health professionals: qualitative results from a national survey.

Jordana McLoone, Raymond J Chan, Megan Varlow, Kate Whittaker, Daniel Lindsay, Carla Thamm, Lillian Leigh, Laura Muir, Gillian Mackay, Deme J Karikios and 5 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.7field-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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. "It was time I could have spent better"-the barriers, enablers, and recommendations for improving access to financial aid when a child has cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  5. Article
  6. Article
  7. Willingness to pay for exercise oncology services: a mixed methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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 at 11 institutions in 1 country.

Jordana McLooneBehavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital NSW, Sydney, New South Wales, Australia. J.McLoone@unsw.edu.au.
Raymond J ChanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Megan VarlowCancer Council Australia, Sydney, New South Wales, Australia.
Kate WhittakerCancer Council Australia, Sydney, New South Wales, Australia.
Daniel LindsayFaculty of Medicine, University of Queensland, Brisbane, Herston, Australia.
Carla ThammCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Lillian LeighRare Cancers Australia, Bowral, New South Wales, Australia.
Laura MuirCancer Council NSW, Sydney, New South Wales, Australia.
Gillian MackayClinical Oncology Society of Australia, Sydney, New South Wales, Australia.
Deme J KarikiosDepartment of Medical Oncology, Nepean Hospital, Kingswood, New South Wales, Australia.
Lee HuntCancer Voices NSW, Sydney NSW, Australia.
Kim HobbsOncology Social Work Australia & New Zealand/Westmead Hospital NSW, Westmead, New South Wales, Australia.
David E GoldsburyThe Daffodil Centre, University of Sydney, Cancer Council NSW, Sydney, New South Wales, Australia.
Doreen NabukaluQIMR Berghofer Medical Research Institute, Population Health Department, Brisbane, Herston, Australia.
Louisa G GordonFaculty of Medicine, University of Queensland, Brisbane, Herston, Australia.
Cancer Council Australia · AUFlinders University · AUQIMR Berghofer Medical Research Institute · AUCancer Council NSW · AUCancer Institute of New South Wales · AUClinical Oncological Society of Australia · AUNepean Hospital · AURare Cancers Australia · AUSydney Children's Hospital · AUThe University of Queensland · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo qualitatively explore Australian healthcare professionals' perspectives on how to improve the care and management of cancer-related financial toxicity, including relevant practices, services, and unmet needs.

methodsWe invited healthcare professionals (HCP) who currently provide care to people with cancer within their role to complete an online survey, which was distributed via the networks of Australian clinical oncology professional associations/organisations. The survey was developed by the Clinical Oncology Society of Australia's Financial Toxicity Working Group and contained 12 open-ended items which we analysed using descriptive content analysis and NVivo software.

resultsHCPs (n = 277) believed that identifying and addressing financial concerns within routine cancer care was important and most believed this to be the responsibility of all HCP involved in the patient's care. However, financial toxicity was viewed as a "blind spot" within a medical model of healthcare, with a lack of services, resources, and training identified as barriers to care. Social workers reported assessment and advocacy were part of their role, but many reported lacking formal training and understanding of financial complexities/laws. HCPs reported positive attitudes towards transparent discussions of costs and actioning cost-reduction strategies within their control, but feelings of helplessness when they perceived no solution was available.

conclusionIdentifying financial needs and providing transparent information about cancer-related costs was viewed as a cross-disciplinary responsibility, however, a lack of training and services limited the provision of support. Increased cancer-specific financial counselling and advocacy, via dedicated roles or developing HCPs' skills, is urgently needed within the healthcare system.

Indexed as

Financial StressNeoplasmsAustraliaHealth PersonnelHumansMedical OncologyFinancial counsellingFinancial toxicityTelehealth

Identifiers

PMID37402039
PMCPMC10319649
OpenAlexW4383058801

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.