Evidence map›Paper›PMID 37897261›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Economic Evaluation of a Nonmedical Financial Assistance Program on Missed Treatment Appointments Among Adults With Cancer.

Caitlin B Biddell, Lisa P Spees, Justin G Trogdon, Erin E Kent, Donald L Rosenstein, Rebekah S M Angove, Cindy D Rogers, Stephanie B Wheeler

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
6.3field-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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Quantifying and addressing self-defined needs in cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
  5. "It really takes a village": perspectives on multi-level barriers to endometrial cancer care for rural patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
  7. Financial hardship, financial toxicity, and transportation challenges among older cancer survivors treated with curative-intent surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. 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

8 authors at 4 institutions in 1 country.

Caitlin B BiddellDepartment of Health Policy and Management, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC.ORCID 0000-0002-1644-7187
Lisa P SpeesDepartment of Health Policy and Management, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC.ORCID 0000-0002-5680-9330
Justin G TrogdonDepartment of Health Policy and Management, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC.ORCID 0000-0001-5484-7870
Erin E KentDepartment of Health Policy and Management, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC.ORCID 0000-0003-2503-2191
Donald L RosensteinUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0002-8611-8012
Rebekah S M AngovePatient Advocate Foundation, Hampton, VA.ORCID 0000-0003-3832-1670
Cindy D RogersUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
Stephanie B WheelerDepartment of Health Policy and Management, University of North Carolina at Chapel Hill (UNC), Chapel Hill, NC.ORCID 0000-0002-3399-9047
University of North Carolina at Chapel Hill · USPatient Advocate Foundation · USUNC Lineberger Comprehensive Cancer CenterUniversity of North Carolina Health Care · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Cancer Care Quality Training ProgramT32CA116339 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ETHAN M. BASCH, Stephanie Brooke Wheeler · 2018 to 2026
$3.0M
Emotional Well-Being and Economic Burden Research NetworkU24AT011310 · NCCIH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MARTIN, MICHELLE Y, PISU, MARIA · 2021 to 2024
$2.4M
Examining the Relationship Between Spatial Accessibility to Care, FT, and HRQoL Among Rural Cancer SurvivorsR01CA240092 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSENSTEIN, DONALD L, WHEELER, STEPHANIE BROOKE · 2019 to 2022
$2.2M
NCATS NIH HHS UL1 TR002489NCCIH NIH HHS U24 AT011310NCI NIH HHS R01 CA240092NCI NIH HHS T32 CA116339
6 · The paper itself

Abstract

purposeWe retrospectively evaluated the clinical and economic impact of a program providing nonmedical financial assistance on missed treatment appointments among patients receiving cancer treatment at a large, Southeastern public hospital system. MATERIALS AND

methodsWe used patient electronic health records, program records, and cancer registry data to examine the impact of the program on rates of missed (or no-show) radiation therapy and infusion chemotherapy/immunotherapy appointments in the 180 days after treatment initiation. We used propensity weighting to estimate the effect of the program, stratified by treatment appointment type (radiation therapy, infusion chemotherapy/immunotherapy). We developed a decision tree-based economic model to conduct a cost-consequence analysis from the health system perspective in a hypothetical cohort over a 6-month time horizon.

resultsOf 1,347 patients receiving radiation therapy between 2015 and 2019, 53% (n = 715) had ≥1 no-shows and 28% (n = 378) received program assistance. Receipt of any assistance was associated with a 2.1 percentage point (95% CI, 0.6 to 3.5) decrease in the proportion of no-shows, corresponding to a 51% decrease in the overall mean no-show proportion. Under the current funding model, the program is estimated to save the health system $153 in US dollars per missed appointment averted, relative to not providing nonmedical financial assistance. Of the 1,641 patients receiving infusion chemotherapy/immunotherapy, 33% (n = 541) received program assistance, and only 14% (n = 223) had ≥1 no-shows. The financial assistance program did not have a significant effect on no-show proportions among infusion visits.

conclusionThis study used a novel approach to retrospectively evaluate a nonmedical financial assistance program for patients undergoing active cancer treatment. Findings support investment in programs that address patients' nonmedical financial needs, particularly for those undergoing intensive radiation therapy.

Indexed as

NeoplasmsAdultCost-Benefit AnalysisHumansMedical AssistanceRetrospective Studies

Identifiers

PMID37897261
PMCPMC10824376
OpenAlexW4388007201

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.