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Cited by 536

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Financial Toxicity of Cancer Care: It’s Time to Intervene

Open access
Yousuf Zafar, S.·2016·Journal of the National Cancer Institute

Abstract

Evidence suggests that a considerably large proportion of cancer patients are affected by treatment-related financial harm. As medical debt grows for some with cancer, the downstream effects can be catastrophic, with a recent study suggesting a link between extreme financial distress and worse mortality. At least three factors might explain the relationship between extreme financial distress and greater risk of mortality: 1) overall poorer well-being, 2) impaired health-related quality of life, and 3) sub-par quality of care. While research has described the financial harm associated with cancer treatment, little has been done to effectively intervene on the problem. Long-term solutions must focus on policy changes to reduce unsustainable drug prices and promote innovative insurance models. In the mean time, patients continue to struggle with high out-of-pocket costs. For more immediate solutions, we should look to the oncologist and patient. Oncologists should focus on the value of care delivered, encourage patient engagement on the topic of costs, and be better educated on financial resources available to patients. For their part, patients need improved cost-related health literacy so they are aware of potential costs and resources, and research should focus on how patients define high-value care. With a growing list of financial side effects induced by cancer treatment, the time has come to intervene on the "financial toxicity" of cancer care.

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Metadata

Authors
Yousuf Zafar, S.
Venue
Journal of the National Cancer Institute
Published
2015-12-11
Volume
108
Issue
5
Pages
djv370
ISSN
  • 0027-8874 (ISSN-L)
  • 1460-2105
OpenAlex
W2323881126
Cited by
536
References
33
FWCI
65.67
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Financial Toxicity of Cancer Care: It’s Time to Intervene. https://app.cochat.ai/papers/10.1093/jnci/djv370
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Yousuf Zafar, S. (2016). Financial Toxicity of Cancer Care: It’s Time to Intervene. Journal of the National Cancer Institute. https://doi.org/10.1093/jnci/djv370

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