ArticleJCO oncology practice2026
Financial Distress Screening and Financial Navigation Among Adolescents and Young Adults Within the National Cancer Institute Community Oncology Research Program: Results of the 2022 Landscape Survey.
Article in JCO oncology practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Distress screening and management for adolescents and young adults: 2022 NCI community oncology program landscape assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
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Authors and funding
12 authors.
Funding
Abstract
purposeAdolescents and young adults (AYAs, age 15-39 years) with cancer are vulnerable to the harmful effects of cancer-related financial hardship. Our objective was to describe financial distress screening and financial navigation across National Cancer Institute Community Oncology Research Program (NCORP) practices treating AYAs with cancer.
methodsThe 2022 NCORP Landscape Assessment was developed and refined by an expert committee to assess infrastructure and capacity to conduct oncology research. Survey items specific to financial distress screening and cancer-specific financial navigation were compared on the basis of practice and patient characteristics among practices treating AYAs.
resultsA total of 271 NCORP practices (45 of 46 NCORP sites; 517 of 1,000+ discrete clinics) responded to the survey April through June 2022. One-hundred practices (37.0%) were characterized as treating AYAs. Most practices reported routinely screening for financial distress (82.0%) via social worker evaluation (57.0%). Financial concerns were addressed via social workers (81.0%), cancer-specific financial navigation (47.0%), billing staff (46.0%), general financial navigation (35.0%), or outside case management (31.0%). A lower proportion of practices with access to cancer-specific financial navigation reported having a dedicated AYA program (10.6%
conclusionAlthough most NCORP practices treating AYAs reported routinely screening for financial distress, only one half of practices offer cancer-specific financial navigation. Practices treating a higher percentage of patients at greatest risk for financial hardship have less access to cancer-specific financial navigation. Further research is needed to support expansion of financial navigation services among community oncology practices that treat AYAs.
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