Evidence map›Paper›PMID 38400876›Full record

Observational studyInternational journal of clinical oncology2024

Financial toxicity and patient experience associated with financial burden of molecular-targeted and immune therapies for cancer: an observational study under public health insurance.

Sena Yamamoto, Chiharu Kondoh, Hideko Nakagoshi, Mayuko Kakumen, Kana Yasuhara, Mayumi Nakai, Naoko Kodani, Kazumi Sunda, Chizuru Higashide, Megumi Katayama and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Healthcare utilization in cancer patients treated with immune checkpoint inhibitors: a population-based study of all patients and 1-year survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Exploring financial toxicity and its impact on health-related quality of life of cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

11 authors at 8 institutions in 1 country.

Sena YamamotoOsaka University Graduate School of Medicine, Division of Health Sciences, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan. s-yamamoto@sahs.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-7961-697X
Chiharu KondohSumitomo Hospital, 5-3-20 Nakanoshima Kita-Ku, Osaka, Osaka, 535-0005, Japan.
Hideko NakagoshiNursing Department, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-Cho, Amagasaki, Hyogo, 660-8550, Japan.
Mayuko KakumenMatsushita Memorial Hospital, 5-55 Sotojima-Cho, Moriguchi, Osaka, 570-8540, Japan.
Kana YasuharaNational Hospital Organization Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-Ku Osaka, Osaka, 540-0006, Japan.
Mayumi NakaiDepartment of Nursing, National Hospital Organization Nagoya Medical Center, 4-1-1, Sannomaru, Naka-Ku, Nagoya, Aichi, 460-0001, Japan.
Naoko KodaniNational Hospital Organization, Yonago Medical Center, 4-17-1 Kuzumo, Yonago, Tottori, 683-0006, Japan.
Kazumi SundaSocial Welfare Organization Imperial Gift Foundation, Inc. Saiseikai Shiga Hospital, 2-4-1 Ohashi, Ritto, Shiga, 520-3046, Japan.
Chizuru HigashideShiga General Hospital, 5-4-30 Moriyama, Moriyama, Shiga, 524-8524, Japan.
Megumi KatayamaKyoto Chubu Medical Center, 25 Yagi-Cho Yagi Ueno, Nantan, Kyoto, 629-0197, Japan.
Harue AraoOsaka University Graduate School of Medicine, Division of Health Sciences, 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan.
National Hospital Organization · JPThe University of Osaka · JPHyogo Prefectural Amagasaki General Medical Center · JPMatsushita Memorial Hospital · JPNantan General Hospital · JPOsaka National Hospital · JPShiga Medical Center · JPSumitomo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFinancial burden of cancer treatment can negatively affect patients and their families. This study aimed to evaluate the financial toxicity of patients treated with molecular-targeted and immune therapies and explore the relationship between financial toxicity and patient experiences associated with the financial burden of cancer treatment.

methodsThis anonymous, self-administered questionnaire survey conducted across nine hospitals in Japan included patients aged 20-60 years who were receiving molecular-targeted agents or immune checkpoint inhibitors for any type of cancer for ≥ 2 months. Financial toxicity was evaluated using the COmprehensive Score for Financial Toxicity (COST). Patient experience was examined using 11 items based on previous studies. Independent factors related to financial toxicity were explored using multiple regression analyses.

resultsThe mean COST score was 17.0 ± 8.4, and 68 (49.3%) participants reported COST scores at or below the cutoff point. The factors contributing to financial toxicity were "hesitation regarding continuing treatment based on finances" (sβ = - 0.410, p < 0.001), "cutting through my deposits and savings" (sβ = - 0.253, p = 0.003), and "reducing spending on basics like food or clothing" (sβ = - 0.205, p = 0.046) along with comorbidities (sβ = - 0.156, p = 0.032).

conclusionPatients receiving molecular-targeted and immune therapies are at risk of experiencing profound financial toxicity and a reduced quality of life. The independently related factors that we identified have the potential to serve as indicators of profound financial toxicity and the need for specialized intervention.

Indexed as

Financial StressNeoplasmsAdultHumansInsurance, HealthMiddle AgedPatient Outcome AssessmentQuality of LifeYoung AdultCancerFinancial toxicityImmunotherapyMolecular targeted therapy

Identifiers

PMID38400876
PMCPMC10963472
OpenAlexW4392135735

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.