Evidence map›Paper›PMID 38864681›Full record

ArticleThe oncologist2024

National survey of patient perspectives on cost discussions among recipients of copay assistance.

Anh B Lam, Ryan David Nipp, Jill S Hasler, Bonnie Y Hu, Greg J Zahner, Sarina Robbins, Stephanie B Wheeler, Erin K Tagai, Suzanne M Miller, Jeffrey M Peppercorn

Abstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Anh B LamDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, United States.ORCID 0009-0009-6422-9967
Ryan David NippSection of Hematology and Oncology, Department of Medicine, University of Oklahoma Health Sciences Center, Stephenson Cancer Center, Oklahoma City, OK 73104, United States.
Jill S HaslerFox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, United States.
Bonnie Y HuPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.
Greg J ZahnerSection of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, United States.
Sarina RobbinsHealthWell Foundation, Germantown, MD 20874, United States.
Stephanie B WheelerUniversity of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Erin K TagaiFox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, United States.
Suzanne M MillerFox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, United States.
Jeffrey M PeppercornSection of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with cancer and other medical conditions often experience financial concerns from high costs-of-care and may utilize copay assistance programs (CAP). We sought to describe CAP recipients' experiences/preferences for cost discussions with clinicians.

methodsWe conducted a national, cross-sectional electronic-survey from 10/2022 to 11/2022 of CAP recipients with cancer or autoimmune conditions to assess patient perspectives on cost discussions. We used multivariable logistic regression models to explore associations of patient perspectives on cost discussions with patient characteristics and patient-reported outcomes (eg, financial toxicity, depression/anxiety, and health literacy).

resultsAmong 1,566 participants, 71% had cancer and 29% had autoimmune conditions. Although 62% of respondents desired cost discussions, only 32% reported discussions took place. Additionally, 52% of respondents wanted their doctor to consider out-of-pocket costs when deciding the best treatment, and 61% of respondents felt doctors should ensure patients can afford treatment prescribed. Participants with depression symptoms were more likely to want doctors to consider out-of-pocket costs (OR = 1.54, P = .005) and to believe doctors should ensure patients can afford treatment (OR = 1.60, P = .005). Those with severe financial toxicity were more likely to desire cost discussions (OR = 1.65, P < .001) and want doctors to consider out-of-pocket costs (OR = 1.52, P = .001). Participants with marginal/inadequate health literacy were more likely to desire cost discussions (OR = 1.37, P = .01) and believe doctors should ensure patients can afford treatment (OR = 1.30, P = .036).

conclusionsIn this large sample of CAP recipients with cancer and autoimmune conditions, most reported a desire for cost discussions, but under one-third reported such discussions took place.

Indexed as

Health ExpendituresAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeoplasmsSurveys and Questionnairesautoimmune diseasecancercopay assistance programscost discussionfinancial toxicity

Identifiers

PMID38864681
PMCPMC11546722

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Registered trials

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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.