Evidence map›Paper›PMID 39525372›Full record

ReviewMethodist DeBakey cardiovascular journal2024

A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health.

Vijay Aaroha Kandula, Grace Li Smith, Ravi Rajaram, Nicolas L Palaskas, Anita Deswal, Khurram Nasir, Hyeon-Ju Ryoo Ali

Abstract readReview
In one paragraph

Review in Methodist DeBakey cardiovascular journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

7 authors.

Vijay Aaroha KandulaMcGovern Medical School at UT Health Houston, Houston, Texas, US.ORCID https://orcid.org/0009-0003-5789-8739
Grace Li SmithThe University of Texas MD Anderson Cancer Center, Houston, Texas, US.ORCID https://orcid.org/0000-0002-3171-2911
Ravi RajaramThe University of Texas MD Anderson Cancer Center, Houston, Texas, US.ORCID https://orcid.org/0000-0003-2782-7756
Nicolas L PalaskasThe University of Texas MD Anderson Cancer Center, Houston, Texas, US.ORCID https://orcid.org/0000-0001-7565-1797
Anita DeswalThe University of Texas MD Anderson Cancer Center, Houston, Texas, US.ORCID https://orcid.org/0000-0002-6147-9591
Khurram NasirHouston Methodist Hospital, Houston, Texas, US.ORCID https://orcid.org/0000-0001-5576-5498
Hyeon-Ju Ryoo AliThe University of Texas MD Anderson Cancer Center, Houston, Texas, US.ORCID https://orcid.org/0000-0002-3378-9154

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease (CVD) represents a significant financial burden on patients and families, compounded by both direct and indirect healthcare costs. The increasing prevalence of CVD, coupled with the rising costs of treatment, exacerbates financial toxicity-defined as the economic strain and associated physical, emotional, and behavioral consequences on patients. This review explores the scope of financial toxicity in CVD care, detailing its prevalence, associated risk factors, and the complex interplay with social determinants of health such as income, insurance status, and comorbidities. Drawing from models in oncology, we highlight key interventions aimed at mitigating financial toxicity, including patient counseling, financial navigation, and enhanced patient-physician cost discussions. By adopting these approaches, healthcare providers can better support patients with CVD in managing both their health and financial well-being, potentially improving clinical outcomes. Future research is needed to develop standardized assessment tools for financial toxicity in CVD and implement system-wide mitigation strategies.

Indexed as

Cardiovascular DiseasesHealth Care CostsSocial Determinants of HealthComorbidityCost of IllnessFinancial StressHealth ExpendituresHumansPrevalenceRisk Factorscardiovascular diseasefinancial toxicitysocial determinants of health

Identifiers

PMID39525372
PMCPMC11546205

What OpenQuestion holds

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LicenceCC BY-NC
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.