Evidence map›Paper›PMID 40096558›Full record

ArticleClinical journal of oncology nursing2025

Patient-Provider Cost-of-Care Conversations to Prevent Financial Toxicity.

Dwight F Hettler, Shannon Moreland, Meghan Underhill-Blazey, Arpan Patel

Abstract read
In one paragraph

Article in Clinical journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  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

4 authors.

Dwight F HettlerDwight F. Hettler.
Shannon MorelandShannon Moreland.
Meghan Underhill-BlazeyMeghan Underhill-Blazey.
Arpan PatelArpan Patel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-provider cost-of-care conversations are one method to decrease the burden of financial distress. However, providers have identified a lack of confidence in initiating these conversations and time constraints as barriers.

objectivesTo improve provider confidence and patient satisfaction in four oncology clinics, a practice improvement initiative was conducted to evaluate a patient-provider cost-of-care conversation protocol.

methodsTwo physicians and four advanced practice providers implemented the protocol in their clinics. Twenty-three patients participated in cost conversations with their providers during a routine clinic visit. Seventeen patients agreed to complete a follow-up interview.

findingsProvider confidence with initiating cost-of-care conversations improved post-protocol implementation. Provider feedback reflected support for the protocol and new insight into patients' struggles with treatment-related financial toxicity. Patients reported being highly satisfied when discussing treatment costs with their providers. Comments from patients reflected their appreciation that providers took the time to discuss their financial concerns.

Indexed as

CommunicationFinancial StressNeoplasmsAdultAgedFemaleHumansMaleMiddle AgedPatient Satisfactioncost-of-care conversationsfinancial toxicitypatients with cancerquality of life

Identifiers

PMID40096558
PMCPMC12056851

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.