Evidence map›Paper›PMID 40888994›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Association of cancer with racial disparities in financial health: a national cohort study.

Joshua N Herb, Chung-Yuan Hu, Naveen V Manisundaram, George J Chang, Rebecca A Snyder

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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. Observational
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

5 authors.

Joshua N HerbDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Chung-Yuan HuDepartment of Colon and Rectal Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Naveen V ManisundaramDepartment of Surgery, Baylor College of Medicine, Houston, TX, USA.
George J ChangDepartment of Colon and Rectal Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rebecca A SnyderDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. rsnyder@mdanderson.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe impact of a cancer diagnosis on racial differences in financial well-being and treatment related financial toxicity has not been well characterized. The purpose of this study was to compare relative disparities in financial distress by race among respondents with and without a history of cancer.

methodsWe performed a retrospective cohort study based on the National Health Interview Survey (2010 to 2018). Primary outcomes included financial hardship questions about medication adherence, worry about medical costs, and worry about monthly bills. Multivariable logistic regression analysis examined the association of a cancer diagnosis and racial disparities in financial hardship using an interaction term of race and history of cancer.

resultsWe included 204,754 participants without a history of cancer and 19,094 cancer survivors. Black participants with a history of cancer reported higher rates of medication modification due to financial constraints (9.2%), compared to Black participants without cancer (4.8%) and White participants with (5.1%) or without (3.8%) cancer. By multivariable analysis, a history of cancer significantly worsened Black-White disparities in financial-related medication adherence measures and problems with medical bills, with Black patients more likely to report that they took less medicine to save money (OR 1.48, 95% CI 1.17-1.88, P = 0.001), delayed filling prescriptions to save money (OR 1.42, 95% CI 1.13-1.77, P = 0.002), and asked for lower-cost medications to save money (OR 1.27, 95% CI 1.07-1.50, P = 0.005), had problems paying medical bills (OR 1.29, 95% CI 1.08-1.53, P = 0.003), paid off medical bills over time (OR 1.45, 95% CI 1.24-1.69, P < 0.001), and delayed medical care because of worry about cost (OR 1.31, 95% CI 1.03-1.66, P = 0.023).

conclusionsBlack-White disparities in self-reported medical financial hardship among insured adults are worsened by a diagnosis of cancer. Policy- and system-level interventions are required to improve long-term financial distress among Black cancer survivors.

Indexed as

Cancer SurvivorsFinancial StressHealth Status DisparitiesNeoplasmsRacial GroupsAdultAgedCohort StudiesFemaleHumansMaleMedication AdherenceMiddle AgedRetrospective StudiesUnited StatesCancerFinancial toxicityRacial disparities

Identifiers

PMID40888994

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.