Evidence map›Paper›PMID 41070850›Full record

Trial reportJCO oncology practice2025

Financial Navigation for People Newly Diagnosed With Cancer: Primary Outcomes From the Cancer Financial Experience Randomized Trial.

Nora B Henrikson, Melissa L Anderson, John Dickerson, Amanda F Petrik, Marlaine Figueroa Gray, John J Ewing, Robin Garcia, Erin Keast, Deborah A King, Blake Locher and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Review
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

15 authors.

Nora B HenriksonKaiser Permanente Washington Health Research Institute, Seattle, WA.ORCID 0000-0002-3459-7787
Melissa L AndersonKaiser Permanente Washington Health Research Institute, Seattle, WA.
John DickersonKaiser Permanente Center for Health Research, Portland, OR.
Amanda F PetrikKaiser Permanente Center for Health Research, Portland, OR.ORCID 0000-0002-8891-6042
Marlaine Figueroa GrayKaiser Permanente Washington Health Research Institute, Seattle, WA.
John J EwingKaiser Permanente Washington Health Research Institute, Seattle, WA.
Robin GarciaKaiser Permanente Washington Health Research Institute, Seattle, WA.ORCID 0000-0001-7184-8170
Erin KeastKaiser Permanente Center for Health Research, Portland, OR.
Deborah A KingKaiser Permanente Washington Health Research Institute, Seattle, WA.
Blake LocherKaiser Permanente Center for Health Research, Portland, OR.
Aaron ScrolKaiser Permanente Washington Health Research Institute, Seattle, WA.
Arvind RamaprasanKaiser Permanente Washington Health Research Institute, Seattle, WA.
Jennifer S RivelliKaiser Permanente Center for Health Research, Portland, OR.ORCID 0009-0006-6598-1809
Jennifer L SchneiderKaiser Permanente Center for Health Research, Portland, OR.
Matthew P BanegasUniversity of California San Diego, San Diego, CA.ORCID 0000-0002-6158-7162

Funding

Legacy Project - Diversity SupplementR01CA237322 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI BANEGAS, MATTHEW P, HENRIKSON, NORA B. · 2019 to 2023
$3.7M
NCI NIH HHS R01 CA237322
6 · The paper itself

Abstract

purposeFinancial navigation could mitigate or prevent cancer-related financial hardship, but its effectiveness has not been established in real-world settings. We developed an intervention that provided proactive, personalized financial navigation to individuals newly diagnosed with cancer.

methodsWe conducted a randomized controlled trial at two integrated health systems. Inclusion criteria were age 18+ years and receiving care for a new cancer diagnosis of any type or stage. Participants were randomly assigned 1:1:1 to either brief intervention (one proactive outreach +6 months of navigation), extended intervention (three proactive outreaches +6 months of navigation), or enhanced usual care. All arms received a list of available financial assistance resources. Primary outcomes were self-reported financial hardship (InCharge Financial Distress/Financial Well-Being Scale) and cancer-related quality of life (FACT-G7) at 12-month follow-up. We fit generalized linear models adjusting for site, cancer type, socioeconomic diversity, and demographics.

resultsWe randomly assigned 371 participants (26.2% enrollment of those reached and eligible). The sample had a mean age of 61.6 years (standard deviation [SD], 13.3); 62.8% were female; 8.7% were Asian, 8.5% Black, 10.7% Hispanic, 8.2% other or multiple race, and 63.9% White. Cancer types were primarily breast (37.7%) and prostate (14.6%). At 12-month follow-up (n = 283), financial hardship and quality of life were similar between intervention groups (unadjusted mean [SD]: brief = 7.39 (2.66), extended = 6.84 (2.55), usual care = 6.69 (2.66), adjusted

conclusionFinancial navigation was not associated with improved financial hardship or cancer-related quality of life in patients newly diagnosed with cancer compared with enhanced usual care. Continued research on strategies to address the urgent problem of cancer-related financial hardship is needed.

Indexed as

NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedPatient NavigationQuality of Life

Identifiers

PMID41070850
PMCPMC12667239

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.