ArticleJournal of the National Comprehensive Cancer Network : JNCCN2024
Impact of a Comprehensive Financial Navigation Intervention to Reduce Cancer-Related Financial Toxicity.
Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04931251 (Addressing Cancer-Related Financial Toxicity in Rural North Carolina Oncology Care Settings), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Addressing Cancer-Related Financial Toxicity in Rural North Carolina Oncology Care Settings
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial toxicity among patients with lung cancer: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Improvements in Health-Related Quality of Life After Financial Navigation Among Cancer Survivors.Psycho-oncology · 2026Trial
- The effects of a financial navigation intervention on financial toxicity among patients with breast cancer in China: A randomized controlled trial.Breast (Edinburgh, Scotland) · 2026Trial
- Patient-Reported Financial Toxicity of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy.Annals of surgical oncology · 2026Article
- Exploring the Impact of Financial Toxicity in COPD: A Qualitative Study.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2026Article
- Crowdsourcing Cancer Survivors' Perspectives on the Use of Artificial Intelligence and Automation in Financial Hardship Interventions.JCO oncology practice · 2026Article
- Financial Hardship and Nonadherence to Lifestyle and Surveillance in Childhood Cancer Survivors.JAMA network open · 2026Article
- User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review.JMIR human factors · 2026Article
- Persistent Financial Burden Among U.S. Cancer Survivors Despite Affordable Care Act Implementation: Implications for Survivorship Financial Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Financial concerns of adults with cancer using patient navigation services offered through employer-sponsored benefits.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Application of digital health interventions in the management of economic toxicity in cancer patients: a scoping review.Frontiers in public health · 2026Article
- Cancer-Related Impacts on Employment and Strategies for Support Among Long-Term Young Adult Survivors of Hematologic Malignancies.JCO oncology practice · 2025Article
- Out-of-Pocket Costs and Surprise Billing in Otolaryngology: A National Database Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Screened but Still Struggling: Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens.JCO oncology practice · 2025Article
- Impact of age and treatment-related adverse events on financial toxicity among patients with breast cancer: a systematic review.Journal of cancer survivorship : research and practice · 2025Article
- Understanding and mitigating cancer-related financial toxicity in China: challenges and recommendations.The Lancet regional health. Western Pacific · 2025Article
- The Role of Social Support in Buffering the Financial Toxicity of Breast Cancer: A Qualitative Study of Patient Experiences.Cancers · 2025Article
- Understanding cancer survivor cost communication experiences and preferences.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Review
- Out-of-Pocket Costs and Potential Surprise Bills for Tracheostomy in Commercially Insured Patients.Tracheostomy (Warrenville, Ill.) · 2025Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundAlthough the need to reduce the impact of financial toxicity among patients with cancer is widely acknowledged, few interventions have been developed to address this issue. We tested a novel, multiphase, patient-centered financial navigation (FN) intervention at a large academic medical center.
methodsWe developed a financial toxicity screening tool consisting of the Comprehensive Score for Financial Toxicity (COST) measure plus several additional items based on patient feedback. After systematizing the screening process, 50 patients from the North Carolina Basnight Cancer Hospital were enrolled in the FN intervention following a positive screen for financial distress (COST score <23). The FN intervention involved one-on-one consultations with a trained financial navigator and included an initial comprehensive intake appointment to determine patient eligibility for financial assistance and follow-up appointments to discuss paperwork and application(s) status. We assessed preliminary intervention effectiveness (preintervention and postintervention COST scores) and implementation (ie, fidelity, uptake, acceptability).
resultsAll 50 patients assessed for study eligibility screened positive for financial distress. A total of 46 patients completed both the preintervention and postintervention COST instrument and other measures. Postintervention mean COST scores improved from 6.4 at baseline to 13.3 post-FN (P<.0001), indicating a significant decrease in perceived financial toxicity. Fidelity to the intervention was high and 96% of participants received financial assistance.
conclusionsA patient-centered FN intervention fully integrated into an existing care coordination model can help to decrease the burden of cancer-related financial toxicity among patients with cancer experiencing financial distress. Further studies are needed to test FN interventions in various oncology settings and among targeted populations.
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