Evidence map›Paper›PMID 42786405›Full record

ReviewJournal of cancer survivorship : research and practice2026

Financial hardship in adolescent and young adult cancer survivors and adult survivors of childhood cancers.

Ayushi Garg, Sarah Monick, Brittany Kimball, Neel S Bhatt, Nandita Khera, Allison Rosenthal

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ayushi GargDivision of Hematology and Oncology, Barbara Ann Karmanos Cancer Institute, Detroit, MI, USA. garga@karmanos.org.
Sarah MonickDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Phoenix, USA.
Brittany KimballDivision of Hematology and Oncology, Allina Health Cancer Institute, Minneapolis, USA.
Neel S BhattClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, USA.
Nandita KheraDivision of Hematology and Oncology, Mayo Clinic, Phoenix, USA.
Allison RosenthalDivision of Hematology and Oncology, Mayo Clinic, Phoenix, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdolescent and young adult (AYA) cancer survivors and adult survivors of childhood cancer (CCSs) represent growing populations facing unique survivorship challenges. Among these, financial hardship has emerged as a critical late effect, with profound implications for quality of life and health equity.

methodsThis narrative review synthesizes literature published between January 2020 and April 2025 on financial hardship in AYA cancer survivors and CCSs. Studies were identified through PubMed, Medline (Ovid), and Scopus and we compared the prevalence, determinants, and consequences of financial hardship across these populations.

resultsFinancial hardship represents a critical late effect with implications for quality of life and health equity. Common drivers include high out-of-pocket medical costs, educational and employment disruptions, job lock, and fertility preservation expenses. Marginalized groups, including racial and ethnic minorities, LGBTQIA+ individuals, and rural residents, face disproportionate risk. Financial hardship is linked to treatment non-adherence, delayed follow-up, and adverse psychosocial outcomes, which may be exacerbated during care transitions and insurance changes. Interventions remain limited, but emerging strategies include early financial risk screening, integration of financial navigation into survivorship care, policy reforms to decouple insurance from employment, and leveraging digital tools for resource delivery.

conclusionsGaps persist in prospective, population-based research, culturally tailored interventions, and systematic inclusion of underserved survivors. IMPLICATIONS FOR CANCER SURVIVORS: Addressing financial hardship in AYA cancer survivors and CCSs requires coordinated clinical, policy, and community efforts to ensure equitable survivorship outcomes.

Indexed as

Adolescent and young adult cancer survivorsChildhood cancer survivorsFinancial toxicityHealth equitySurvivorship

Identifiers

PMID42786405

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.