Evidence map›Paper›PMID 39913871›Full record

ArticleJCO oncology practice2025

Financial Distress Screening and Navigation in Pediatric Oncology Within the National Cancer Institute Community Oncology Research Program.

Joanna M Robles, Emily V Dressler, Carol Kittel, Chandylen L Nightingale, Wade T Kyono, Sheila J Santacroce, John M Salsman, Kimberly Montez, Pinki Prasad, Aaron J Sugalski and 4 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  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

14 authors.

Joanna M RoblesSection of Pediatric Hematology Oncology, Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0001-9521-0489
Emily V DresslerDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0002-6054-7839
Carol KittelDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0002-4512-0634
Chandylen L NightingaleDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine and the Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.ORCID 0000-0002-2275-9849
Wade T KyonoDivision of Hematology/Oncology, Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
Sheila J SantacroceSchool of Nursing and Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0001-8713-8069
John M SalsmanDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine and the Atrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC.ORCID 0000-0003-2317-4006
Kimberly MontezDepartments of Pediatrics and Social Sciences & Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC.ORCID 0000-0003-0247-3664
Pinki PrasadDivision of Pediatric Hematology Oncology, Department of Pediatrics, Children's Hospital of New Orleans, Louisiana State University Health Sciences Center, New Orleans, LA.
Aaron J SugalskiDepartment of Pediatrics, University of Texas Health Science Center, San Antonio, TX.ORCID 0009-0007-6945-6179
Timothy J D OhlsenDivision of Hematology/Oncology, Department of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA.ORCID 0000-0002-1098-2330
Daniel J ZhengDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0003-2217-088X
Susan K ParsonsInstitute for Clinical Research and Health Policy Studies and the Division of Hematology/Oncology, Tufts Medical Center, Boston, MA.ORCID 0000-0003-0282-6490
Melissa P BeaucheminDivision of Scholarship and Research, School of Nursing, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0003-4058-1586

Funding

Towards a preventive cancer vaccine for children with constitutional mismatch repair deficiencyUG1CA189955 · NCI · PUBLIC HEALTH INSTITUTE · PI BRAD H POLLOCK, Michael E. Roth · 2014 to 2026
$62.5M
Wake Forest NCORP Research BaseUG1CA189824 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Emily Van Meter Dressler, GLENN J LESSER · 2014 to 2026
$57.9M
CTSA K12 Program at Wake ForestK12TR004931 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Nicholette D. Allred · 2024 to 2026
$2.3M
NCATS NIH HHS K12 TR004931NCI NIH HHS UG1 CA189824NCI NIH HHS UG1 CA189955
6 · The paper itself

Abstract

purposeCancer-related financial hardship is associated with poor quality of life, risk of household material hardship, and psychological distress for families affected by pediatric cancer. Current processes on financial distress screening and financial navigation across the pediatric National Cancer Institute Community Oncology Research Program (NCORP) network remain unknown.

methodsFinancial distress screening and financial navigation services among NCORP practices were assessed using two survey items from the 2022 NCORP Landscape Assessment Survey. Practices answering yes to providing oncology care for pediatric patients were included. Univariable models were used to test associations between practice characteristics and financial screening and financial navigation.

resultsOf the 53 NCORP practices serving pediatric patients with cancer that responded to the survey, 44 (83%) reported routinely conducting financial distress screening. Most of the practices reported that financial screening is completed by social workers (n = 40/44, 91%). One third of practices reported financial screening using a survey completed by patients/caregivers (n = 14/44, 32%). Almost all practices (n = 51/53, 96%) reported responding to financial needs through a social worker. One third of the practices reported having a cancer-specific financial navigator (n = 17/53, 32%) or a nondedicated (not cancer-specific) financial navigator (n = 19/53, 36%). Practices that served a proportion of new patients with cancer at or above the national average of Hispanic individuals in the United States were as likely to screen for financial distress as practices below the national average (odds ratio, 2.42 [95% CI, 0.45 to 13.03];

conclusionMost pediatric NCORP practices report screening for financial distress. Fewer groups offer dedicated cancer-specific financial navigation, and practices vary. Further research is needed to explore the development and implementation of standardized financial distress measures and financial navigation interventions within pediatric cancer care.

Indexed as

Financial StressMedical OncologyNeoplasmsAdolescentChildFemaleHumansMaleNational Cancer Institute (U.S.)PediatricsSurveys and QuestionnairesUnited States

Identifiers

PMID39913871
PMCPMC12074882

What OpenQuestion holds

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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.