Evidence map›Paper›PMID 39361410›Full record

ArticleJNCI cancer spectrum2024

The intersection of travel burdens and financial hardship in cancer care: a scoping review.

Arrianna Marie Planey, Lisa P Spees, Caitlin B Biddell, Austin Waters, Emily P Jones, Hillary K Hecht, Donald Rosenstein, Stephanie B Wheeler

Registry-linked trialAbstract readScoping Review
In one paragraph

Article in JNCI cancer spectrum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04931251 (Addressing Cancer-Related Financial Toxicity in Rural North Carolina Oncology Care Settings), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

NCT04931251 nacompletednot on this map

Addressing Cancer-Related Financial Toxicity in Rural North Carolina Oncology Care Settings

TypeinterventionalSponsorUNC Lineberger Comprehensive Cancer CenterRan2021 to 2025Enrolled258ConditionsNeoplasms, CarcinomaArmsFinancial Navigation
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Financial toxicity among families of children with cancer: a qualitative systematic review and meta-aggregation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  13. Associations between Insurance Status, Financial Hardship, and Rurality on Receipt of Guideline-Concordant Mammography.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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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

8 authors.

Arrianna Marie PlaneyDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, United States.ORCID 0000-0003-4739-090X
Lisa P SpeesLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0002-5680-9330
Caitlin B BiddellDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, United States.ORCID 0000-0002-1644-7187
Austin WatersDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, United States.ORCID 0000-0002-9947-8535
Emily P JonesHealth Sciences Library, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0002-4294-7564
Hillary K HechtDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, United States.ORCID 0000-0001-8749-6843
Donald RosensteinLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0002-8611-8012
Stephanie B WheelerDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, United States.ORCID 0000-0002-3399-9047

Funding

From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
Examining the Relationship Between Spatial Accessibility to Care, FT, and HRQoL Among Rural Cancer SurvivorsR01CA240092 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROSENSTEIN, DONALD L, WHEELER, STEPHANIE BROOKE · 2019 to 2022
$2.2M
NCI NIH HHS R01 CA240092NICHD NIH HHS T32 HD091058
6 · The paper itself

Abstract

backgroundIn addition to greater delays in cancer screening and greater financial hardship, rural-dwelling cancer patients experience greater costs associated with accessing cancer care, including higher cumulative travel costs. This study aimed to identify and synthesize peer-reviewed research on the cumulative and overlapping costs associated with care access and utilization.

methodsA scoping review was conducted to identify relevant studies published after 1995 by searching 5 electronic databases: PubMed, Scopus, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PsycInfo, and Healthcare Administration. Eligibility was determined using the PEO (Population, Exposure, and Outcomes) method, with clearly defined populations (cancer patients), exposures (financial hardship, toxicity, or distress; travel-related burdens), and outcomes (treatment access, treatment outcomes, health-related quality of life, and survival/mortality). Study characteristics, methods, and findings were extracted and summarized.

resultsDatabase searches yielded 6439 results, of which 3366 were unique citations. Of those, 141 were eligible for full-text review, and 98 studies at the intersection of cancer-related travel burdens and financial hardship were included. Five themes emerged as we extracted from the full texts of the included articles: 1) Cancer treatment choices, 2) Receipt of guideline-concordant care, 3) Cancer treatment outcomes, 4) Health-related quality of life, and 5) Propensity to participate in clinical trials.

conclusionsThis scoping review identifies and summarizes available research at the intersection of cancer care-related travel burdens and financial hardship. This review will inform the development of future interventions aimed at reducing the negative effects of cancer-care related costs on patient outcomes and quality of life.

Indexed as

Cost of IllnessFinancial StressHealth Services AccessibilityNeoplasmsQuality of LifeTravelHumansRural Population

Identifiers

PMID39361410
PMCPMC11519048

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.