Evidence map›Paper›PMID 40147544›Full record

ArticleContemporary clinical trials2025

Effectiveness of out-of-pocket cost COMmunication and financial navigation (CostCOM) in cancer patients: Study protocol for ECOG-ACRIN EAQ222CD.

Gelareh Sadigh, Fenghai Duan, Ilana F Gareen, Judy Hancock, JoRean D Sicks, Sarah Hawley, Veena Shankaran, Mylin Torres, Lynne I Wagner, Ruth C Carlos

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06295367 (Effectiveness of Out-of-Pocket Cost COMmunication and Financial Navigation), which is not on this 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.

NCT06295367 narecruitingnot on this map

Effectiveness of Out-of-Pocket Cost COMmunication and Financial Navigation (CostCOM) in Cancer Patients

TypeinterventionalSponsorECOG-ACRIN Cancer Research GroupRan2024 to 2027Enrolled760ConditionsMalignant Solid NeoplasmArmsBest Practice, Financial Navigation, Interview, Survey Administration
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  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

10 authors.

Gelareh SadighChao Family Comprehensive Cancer Center, University of California Irvine, Orange, CA, USA. Electronic address: gsadigh@uci.edu.
Fenghai DuanBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, USA.
Ilana F GareenBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, USA.
Judy HancockCancer Research for the Ozarks NCORP, Springfield, MO, USA.
JoRean D SicksBrown University - ECOG-ACRIN Biostatistics Center, Providence, RI, USA.
Sarah HawleyUniversity of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA.
Veena ShankaranUniversity of Washington Medical Center, Seattle, WA, USA.
Mylin TorresWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Lynne I WagnerUniversity of North Carolina at Chapel Hill, NC, USA.
Ruth C CarlosColumbia University, New York, NY, USA.

Funding

ECOG-ACRIN NCORP Research Base - TMISTUG1CA189828 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$199.7M
Ozark Health Ventures, LLC dba Cancer Research for the Ozarks (CRO)UG1CA189822 · NCI · OZARK HEALTH VENTURES, LLC · PI Jay W Carlson · 2014 to 2026
$14.2M
Effectiveness of Out-of-Pocket Cost COMmunication and Financial Navigation (CostCOM) in Cancer PatientsR01CA272680 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Gelareh Sadigh · 2023 to 2026
$2.4M
NCI NIH HHS R01 CA272680NCI NIH HHS UG1 CA189822NCI NIH HHS UG1 CA189828
6 · The paper itself

Abstract

backgroundHigh out-of-pocket costs (OOPC) of cancer treatment and lost income result in financial hardship. There is compelling evidence that OOPC communication complemented by financial navigation and counseling will decrease financial hardship by enabling cancer patients to anticipate and accommodate treatment costs and proactively seek financial assistance.

methodsThis is a two-arm randomized controlled trial enrolling 720 patients with newly diagnosed solid tumors (stratified by non-metastatic vs. metastatic) who plan to receive anticancer systemic therapy at one of the participating NCI Community Oncology Research Practices (NCORP). Participants are randomized to receive four up to 1-h remote counseling sessions which include systemic therapy OOP cost communication, financial navigation and counseling (CostCOM intervention) vs. enhanced usual care with provision of an informational brochure for Patient Advocate Foundation (PAF), a national non-profit financial navigation organization (EUC). Patients will complete surveys at baseline, 3, 6, and 12 months after enrollment. Our goals are to compare the effectiveness of CostCOM vs. EUC at 12 months on (1) patient-reported cost-related cancer care nonadherence, defined as any self-reported incident of delay, forgo, stop or change in cancer care due to cost concerns and (2) patient-reported material financial hardship, financial worry, and quality of life; and to (3) conduct a process evaluation to examine practice providers' and CostCOM arm patients' satisfaction with the intervention and their perceptions of barriers and facilitators to CostCOM. A successful CostCOM is a scalable and financially sustainable program that can improve cancer care delivery, patients' experience, and health outcomes.

trial registrationNCT06295367.

Indexed as

CounselingHealth ExpendituresNeoplasmsCommunicationFemaleHumansMalePatient NavigationQuality of LifeRandomized Controlled Trials as TopicCancerCost communicationFinancial hardshipFinancial navigation

Identifiers

PMID40147544
PMCPMC12128040

What OpenQuestion holds

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Registered trials

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.