Evidence map›Paper›PMID 38095729›Full record

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

Short-term and long-term financial toxicity from breast cancer treatment: a qualitative study.

Sandy Lee, Ramona G Olvera, Karen Shiu-Yee, Laura J Rush, Willi L Tarver, Tessa Blevins, Ann Scheck McAlearney, Barbara L Andersen, Electra D Paskett, William E Carson and 2 more

Abstract read
PubMed 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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. A One Health Perspective on Cancer: A Narrative Review.Medical sciences (Basel, Switzerland) · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Treatment-related adverse events as a source of financial hardship in young adults with breast cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Cancer survivor preferences on the timing and content of interventions to mitigate financial toxicity associated with cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  17. Article
  18. 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

12 authors.

Sandy LeeDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0009-0001-6354-2822
Ramona G OlveraCATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, OH, USA. Ramona.Olvera@osumc.edu.ORCID https://orcid.org/0000-0002-1150-5034
Karen Shiu-YeeCATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-2367-031X
Laura J RushCATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-3859-6885
Willi L TarverCATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0001-7667-5758
Tessa BlevinsDepartment of Psychology, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-0498-1355
Ann Scheck McAlearneyCATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0001-9107-5419
Barbara L AndersenDepartment of Psychology, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-7335-1325
Electra D PaskettDepartment of Internal Medicine, College of Medicine, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-8247-8299
William E CarsonDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0001-7024-7533
J C ChenDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-4356-5522
Samilia Obeng-GyasiDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-5330-7247

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe rising cost of breast cancer treatment has increased patients' financial burden, intensifying an already stressful treatment process. Although researchers increasingly recognize the harmful impact of medical and nonmedical costs associated with cancer treatment, understanding patients' perspectives of financial toxicity is limited. We aimed to explore the topic of financial toxicity through the lived experiences of patients with breast cancer from groups at risk of social and economic marginalization.

methodsWe conducted semi-structured interviews with 50 women with breast cancer from four specific groups: Black women, Medicaid enrollees, rural residents, and women age ≤ 40. We transcribed, coded, and analyzed the data using deductive and inductive approaches.

resultsTwo overarching themes captured patients' experiences of financial toxicity: short-term and long-term impacts. Short-term stressors included direct medical (e.g., co-pays, premiums), nonmedical (e.g., transportation, lodging), and indirect (e.g., job loss, reduced work hours) costs. Early in their treatments, patients' focus on survival took precedence over financial concerns. However, as the treatment course progressed, fear of consequences from compounding costs of care and financial distress negatively impacted patients' lifestyles and outlooks for the future.

conclusionPrograms addressing financial toxicity that look beyond early-phase interventions are needed. Specifically, patients struggling with the accumulation of treatment costs and the resultant stress require ongoing support. Long-term support is especially needed for groups vulnerable to financial instability and social marginalization.

Indexed as

Breast NeoplasmsFemaleFinancial StressHealth Care CostsHumansLongitudinal StudiesQualitative ResearchBreast cancerFinancial toxicityMarginalized groupsTreatment costs

Identifiers

PMID38095729

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.