Evidence map›Paper›PMID 38100563›Full record

ArticleCancer2024

Financial hardship among siblings of long-term survivors of childhood cancer: A Childhood Cancer Survivor Study report.

Timothy J D Ohlsen, Huiqi Wang, David Buchbinder, I-Chan Huang, Arti D Desai, Zhiyuan Zheng, Anne C Kirchhoff, Elyse R Park, Kevin Krull, Rena M Conti and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Development of a Health Insurance Navigation Program for Long-Term Childhood Cancer Survivors.Health education & behavior : the official publication of the Society for Public Health Education · 2025
    Article
  3. Article
  4. Article
  5. 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

16 authors at 9 institutions in 2 countries.

Timothy J D OhlsenSeattle Children's Hospital, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-1098-2330
Huiqi WangSt. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0002-7599-7349
David BuchbinderChildren's Hospital of Orange County, Orange, California, USA.ORCID 0000-0002-9470-3473
I-Chan HuangSt. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0002-1194-3923
Arti D DesaiSeattle Children's Hospital, University of Washington, Seattle, Washington, USA.
Zhiyuan ZhengAmerican Cancer Society, Atlanta, Georgia, USA.ORCID 0000-0002-7665-3564
Anne C KirchhoffHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Elyse R ParkMassachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-6319-264X
Kevin KrullSt. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0002-0476-7001
Rena M ContiQuestrom School of Business, Boston University, Boston, Massachusetts, USA.
Yutaka YasuiSt. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Wendy LeisenringFred Hutchinson Cancer Center, Seattle, Washington, USA.
Gregory T ArmstrongSt. Jude Children's Research Hospital, Memphis, Tennessee, USA.
K Robin YabroffAmerican Cancer Society, Atlanta, Georgia, USA.
Paul C NathanThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0334-0871
Eric J ChowSeattle Children's Hospital, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-7712-961X
St. Jude Children's Research Hospital · USSeattle Children's Hospital · USAmerican Cancer Society · USBoston University · USChildren's Hospital of Orange County · USFred Hutch Cancer Center · USMassachusetts General Hospital · USUniversity of Toronto · CAUniversity of Utah · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Shondra Michelle Miller · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
CHILDHOOD CANCER SURVIVOR STUDYU01CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROBISON, LESLIE L · 1993 to 1999
–
NCI NIH HHS CA55727NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727
6 · The paper itself

Abstract

backgroundSiblings of children with cancer may experience adverse household economic consequences, but their financial outcomes in adulthood are unknown.

methodsA total of 880 siblings (aged 18-64 years) of adult-aged childhood cancer survivors were surveyed to estimate the prevalence of financial hardship by three established domains (behavioral, material, and psychological). For individual financial hardship items matching the contemporaneous National Health Interview Survey or Behavioral Risk Factor Surveillance System, siblings were compared with the general population by calculating adjusted prevalence odds ratios (ORs) to sample-weighted responses. Multivariable logistic regression models examined associations between sibling characteristics and each hardship domain and between sibling hardship and survivors' cancer/treatment characteristics.

resultsBehavioral, material, and psychological hardship was reported by 24%, 35%, and 28%, respectively. Compared with national survey respondents, siblings were more likely to report worries about medical bills (OR, 1.14; 95% confidence interval [CI], 1.06-1.22), difficulty affording nutritious foods (OR, 1.79; 95% CI, 1.54-2.07), and forgoing needed medical care (OR, 1.38; 95% CI, 1.10-1.73), prescription medications (OR, 2.52; 95% CI, 1.99-3.20), and dental care (OR, 1.34; 95% CI, 1.15-1.57) because of cost. Sibling characteristics associated with reporting financial hardship in one or more domains included female sex, older age, chronic health conditions, lower income, not having health insurance, high out-of-pocket medical expenditures, and nonmedical/nonhome debt. No survivor cancer/treatment characteristics were associated with sibling financial hardship.

conclusionsAdult siblings of childhood cancer survivors were more likely to experience financial hardship compared with the general population. Childhood cancer may adversely affect entire households, with potentially lasting implications.

Indexed as

Cancer SurvivorsNeoplasmsAdultChildCost of IllnessFemaleFinancial StressHumansSiblingsSurveys and QuestionnairesSurvivorscancer survivorshipfamily membersfinancial hardshipfinancial toxicityfinancial worrypediatric oncologysiblings of children with cancer

Identifiers

PMID38100563
PMCPMC10939878
OpenAlexW4389778153

What OpenQuestion holds

Textmetadata
LicenceTDM
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.