The cost of cancer: A retrospective analysis of the financial impact of cancer on young adults

Cancer Medicine

Volumn 5, Issue 5, 2016, Pages 863-870

  Landwehr, Michelle S ^a   Watson, Samantha E ^a   Macpherson, Catherine F ^b   Novak, Katherine A ^a   Johnson, Rebecca H ^c  

^a The Samfund   (United States)

^b CHILDREN S HOSPITAL LOS ANGELES   (United States)

^c SEATTLE CHILDREN S RESEARCH INSTITUTE   (United States)

Author keywords

Cancer; Cost of illness; Financial support; Health expenditures; Young adult

Indexed keywords

ADULT; ARTICLE; CANCER REGRESSION; CANCER RESEARCH; CANCER SURVIVOR; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST OF ILLNESS; FEMALE; FUNDING; HEALTH CARE POLICY; HUMAN; MALE; NEOPLASM; PRIORITY JOURNAL; RETROSPECTIVE STUDY; YOUNG ADULT; ADOLESCENT; AGE; ECONOMICS; ETIOLOGY; FINANCIAL MANAGEMENT; HEALTH CARE COST; INCOME; MENTAL STRESS; NEOPLASMS; PSYCHOLOGY; STATISTICS AND NUMERICAL DATA; SURVIVOR; UNITED STATES;

ADOLESCENT; ADULT; AGE FACTORS; COST OF ILLNESS; FEMALE; FINANCING, ORGANIZED; HEALTH EXPENDITURES; HUMANS; INCOME; MALE; NEOPLASMS; RETROSPECTIVE STUDIES; STRESS, PSYCHOLOGICAL; SURVIVORS; UNITED STATES; YOUNG ADULT;

EID: 85006219340     PISSN: None     EISSN: 20457634     Source Type: Journal    
DOI: 10.1002/cam4.657     Document Type: Article

References (33)

1. Mariotto, A. B., K. R. Yabroff, Y. Shao, E. J. Feuer, and M. L. Brown . 2011. Projections of the cost of cancer care in the United States: 2010-2020. J. Natl. Cancer Inst. 103:1-12. doi:10.1093/jnci/djq495.
2. Ramsey, S., D. Blough, A. Kirchhoff, et al. 2013. Washington state cancer patients found to be at greater risk for bankruptcy than people without a cancer diagnosis. Health Aff. (Millwood) 32:1143-1152. doi:10.1377/hlthaff.2012.1263.
3. MacReady, N. 2011. The climbing costs of cancer care. J. Natl. Cancer Inst. 103:1433-1435. doi:10.1093/jnci/djr402.
4. Kent, E., L. Forsythe, K. Yabroff, et al. 2013. Are survivors who report cancer-related financial problems more likely to forgo or delay medical care? Cancer 119:3710-3717. doi:10.1002/cncr.28262.
5. Weaver, K. E., J. H. Rowland, K. M. Bellizzi, and N. M. Aziz . 2010. Forgoing medical care because of cost: assessing disparities in healthcare access among cancer survivors living in the United States. Cancer 116:3493-3504.
6. Fenn, K. M., S. B. Evans, R. McCorkle, et al. 2014. Impact of financial burden of cancer on survivors' quality of life. J. Oncol. Pract. 10:332-338.
7. Ubel, P., A. Abernethy, and S. Zafar . 2013. Full disclosure - out-of-pocket costs as side effects. N. Engl. J. Med. 369:1484-1486. doi:10.1056/nejmp1306826.
8. Alexander, G. C., L. P. Casalino, and D. O. Meltzer . 2003. Patient-physician communication about out-of-pocket costs. JAMA 290:953-958.
9. National Cancer Institute. A snapshot of adolescent and young adult cancers. Available at: http://www.cancer.gov/researchandfunding/snapshots/adolescent-young-adult (accessed 17 February 2015).
10. American Cancer Society. 2014. Cancer treatment and survivorship facts & figures 2014-2015. American Cancer Society, Atlanta.
11. Weir, H., T. Thompson, A. Soman, B. Møller, and S. Leadbetter . 2015. The past, present, and future of cancer incidence in the United States: 1975 through 2020. Cancer 121:1827-1837.
12. Bleyer, A., M. O'Leary, R. Barr, L. A. G. Ries, eds. 2006. Cancer epidemiology in older adolescents and young adults 15 to 29 years of age, including SEER incidence and survival: 1975-2000. National Cancer Institute, Bethesda, MD. NIH Pub. No. 06-5767.
13. Adler, N., and J. Ostrove . 1999. Socioeconomic status and health: what we know and what we don't. Ann. N. Y. Acad. Sci. 896:3-15. doi:10.1111/j.1749-6632.1999.tb08101.x.
14. Shankaran, V., S. Jolly, D. Blough, and S. D. Ramsey . 2012. Risk factors for financial hardship in patients receiving adjuvant chemotherapy for colon cancer: a population-based exploratory analysis. J. Clin. Oncol. 30:1608-1614.
15. Levine, J., A. Canada, and C. Stern . 2010. Fertility preservation in adolescents and young adults with cancer. J. Clin. Oncol. 28:4831-4841. doi:10.1200/jco.2009.22.8312.
16. Zebrack, B., J. Mills, and T. Weitzman . 2007. Health and supportive care needs of young adult cancer patients and survivors. J. Cancer Surviv. 1:137-145.
17. Guy, G. P. Jr, K. R. Yabroff, D. U. Ekwueme, et al. 2014. Estimating the health and economic burden of cancer among those diagnosed as adolescents and young adults. Health Aff. (Millwood) 33:1024-1031.
18. Bls.gov. Employment status of the civilian noninstitutional population by age, sex, and race. Available at: http://www.bls.gov/cps/cpsaat03.htm (accessed 17 February 2015).
19. Parsons, H., L. Harlan, C. Lynch, et al. 2012. Impact of cancer on work and education among adolescent and young adult cancer survivors. J. Clin. Oncol. 30:2393-2400. doi:10.1200/jco.2011.39.6333.
20. Smith, A., H. Parsons, E. Kent, et al. 2013. Unmet support service needs and health-related quality of life among adolescents and young adults with cancer: the AYA HOPE study. Front Oncol. 3:1-11. doi:10.3389/fonc.2013.00075.
21. Collins, S. R., M. Gunja, M. M. Doty, and S. Beutel . 2015. To enroll or not to enroll? Why many Americans have gained insurance under the Affordable Care Act while others have not. Issue Brief (Commonw Fund) 28:1-13.
22. Soothill, K., S. Morris, J. Harman, B. Francis, C. Thomas, and M. McIllmurray . 2001. The significant unmet needs of cancer patients: probing psychosocial concerns. Support. Care Cancer 9:597-605. doi:10.1007/s005200100278.
23. U.S. Census Bureau. Household debt in the U.S.: 2000-2011. Available at: http://www.census.gov/people/wealth/files/Debt%20Highlights%202011.pdf (accessed 10 March 2015).
24. U.S. Census Bureau. Income, poverty, and health insurance coverage in the United States: 2013. Available at: http://www.census.gov/content/dam/Census/library/publications/2014/demo/p60-249.pdf (accessed 12 June 2015).
25. U.S. Census Bureau. Net worth and asset ownership of households: 2011. Available at: http://www.census.gov/people/wealth/files/Wealth_Tables_2011.xlsx.(accessed 10 March 2015).
26. Agency for Healthcare Research and Quality. Medical expenditure panel survey, total health services-median and mean expenses per person with expense and mean expenses by source of payment: United States, 2012. Available at: http://meps.ahrq.gov/mepsweb/data_stats/tables_compendia_hh_interactive.jsp?_SERVICE=MEPSSocket0&_PROGRAM=MEPSPGM.TC.SAS&File=HCFY2012&Table=HCFY2012_PLEXP_%40&VAR1=AGE&VAR2=SEX&VAR3=RACETH5C&VAR4=INSURCOV&VAR5=POVCAT12&VAR6=MSA&VAR7=REGION&VAR8=HEALTH&VARO1=4+17+44+64&VARO2=1&VARO3=1&VARO4=1&VARO5=1&VARO6=1&VARO7=1&VARO8=1&TCOPT1=1.1&_Debug= (accessed 10 March 2015).
27. Collins, S. R., R. Robertson, T. Garber, and M. M. Doty . 2012. Young, uninsured, and in debt: why young adults lack health insurance and how the Affordable Care Act is helping: findings from the commonwealth fund health insurance tracking survey of young adults, 2011. Issue Brief (Commonw Fund) 14:1-24.
28. Bernard, D. S., S. L. Farr, and Z. Fang . 2011. National estimates of out-of-pocket health care expenditure burdens among nonelderly adults with cancer: 2001 to 2008. J. Clin. Oncol. 29:2821-2826.
29. Zafar, S. Y., and A. P. Abernethy . 2013. Financial toxicity, part II: how can we help with the burden of treatment-related costs? Oncology (Williston Park) 27:256.
30. Berg, C., E. Stratton, N. Esiashvili, and A. Mertens . 2015. Young adult cancer survivors' experience with cancer treatment and follow-up care and perceptions of barriers to engaging in recommended care. J. Cancer Educ. doi:10.1007/s13187-015-0853-9.
31. Zafar, S. Y., J. M. Peppercorn, D. Schrag, et al. 2013. The financial toxicity of cancer treatment: a pilot study assessing out-of-pocket expenses and the insured cancer patient's experience. Oncologist 18:381-390.
32. Berkman, B. J., S. E. Sampson . 1993. Psychosocial effects of cancer economics on patients and their families. Cancer 72:2846-2849.
33. Office of The Assistant Secretary for Planning and Evaluation. Health insurance coverage and the Affordable Care Act. Available at: http://aspe.hhs.gov/sites/default/files/pdf/139211/ib_uninsured_change.pdf (accessed 19 November 2015).