Evidence map›Paper›PMID 39008789›Full record

ArticleJCO oncology practice2024

Financial Distress in Genitourinary Cancer: Insights From CDC National Health Interview Survey.

Steven Leonard, Emma Helstrom, Andres Correa, Mohit Sindhani, Nicole Uzzo, Angela Y Jia, Alexander Kutikov, Robert Uzzo, Sarah P Psutka, Adam Calaway and 5 more

Abstract read
In one paragraph

Article in JCO oncology practice, 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

15 authors.

Steven LeonardFox Chase Cancer Center, Philadelphia, PA.
Emma HelstromFox Chase Cancer Center, Philadelphia, PA.
Andres CorreaFox Chase Cancer Center, Philadelphia, PA.ORCID 0000-0001-8506-7324
Mohit SindhaniIndia Institute of Technology, Delhi, India.ORCID 0009-0007-5950-2784
Nicole UzzoFox Chase Cancer Center, Philadelphia, PA.
Angela Y JiaCase Western Reserve School of Medicine, Cleveland, OH.ORCID 0000-0002-0812-2614
Alexander KutikovFox Chase Cancer Center, Philadelphia, PA.
Robert UzzoFox Chase Cancer Center, Philadelphia, PA.
Sarah P PsutkaUniversity of Washington Medical Center, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-4207-7490
Adam CalawayCase Western Reserve School of Medicine, Cleveland, OH.
Zachary KlaassenDivision of Urology, Department of Surgery, Medical College of Georgia, Augusta University, Augusta, GA.ORCID 0000-0001-7392-8916
Michael StaehlerLudwig-Maximilians University of Munich, Munich, Germany.ORCID 0000-0002-4574-6522
Marc SmaldoneFox Chase Cancer Center, Philadelphia, PA.
Christopher J D WallisDivision of Urology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-5990-4026
Laura BukavinaCase Western Reserve School of Medicine, Cleveland, OH.ORCID 0000-0001-7129-6230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study leverages CDC National Health Interview Survey data to examine Financial Distress (FD) among genitourinary (GU) cancer survivors, specifically prostate cancer (PC), kidney cancer (KC), and bladder cancer (BC). It investigates the economic impacts faced by these patients, especially in relation to disparities in insurance coverage and its effects on material, psychological, and behavioral aspects of FD.

methodsWe retrospectively analyzed responses from GU cancer survivors, stratifying by cancer status and age (18-64 years, ≥65 years). Medical financial hardship was divided into three domains: material, psychological, and behavioral. Associations between cancer history, hardship, and clinical factors were assessed using generalized ordinal logistic regressions.

resultsSignificant health care access disparities were found, particularly for mental health services, with 25% of younger BC survivors and 4.7% of younger KC survivors reporting affordability issues, in contrast to 2.7% of noncancer individuals. Dental care was also problematic, with higher avoidance rates among younger BC (27%) and KC (15%) survivors compared with the general population. Surprisingly, noncancer individuals reported more difficulty in affording prescriptions than BC survivors across both age groups. PC survivors, however, showed lower FD across all domains versus noncancer controls, indicating fewer concerns about medical bills and a lesser tendency to forgo care.

conclusionThe study underscores significant gaps in the financial support system for GU cancer survivors, with urgent needs in mental and dental health care access. Policy interventions, including comprehensive insurance reforms, are imperative to alleviate the financial burdens on these individuals.

Indexed as

Financial StressUrogenital NeoplasmsAdolescentAdultAgedCancer SurvivorsFemaleHealth SurveysHumansMaleMiddle AgedRetrospective StudiesUnited StatesYoung Adult

Identifiers

PMID39008789
PMCPMC11649183

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.