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 accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Wilson, I. B. (1995) · JAMA · doi:10.1001/jama.1995.03520250075037 · Cited by 3,027
Zafar, S. Y., Peppercorn, J. M., Schrag, D., Taylor, D. H., Goetzinger, A. M., Zhong, X., & Abernethy, A. P. (2013) · The Oncologist · doi:10.1634/theoncologist.2012-0279 · Cited by 1,130
White, S., Bennett, I., Cordell, T., & Baxter, S. L. (2007) · PsycEXTRA Dataset · doi:10.1037/e530912012-001 · Cited by 1,060
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis
Levit, L. A., Balogh, E. P., Nass, S. J., & Ganz, P. A. (2014) · Cited by 956
Schnipper, L. E., Davidson, N. E., Wollins, D. S., Tyne, C., Blayney, D. W., Blum, D., Dicker, A. P., Ganz, P. A., Hoverman, J. R., Langdon, R., et al. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2015.61.6706 · Cited by 912
Hershman, D. L., Shao, T., Kushi, L. H., Buono, D., Tsai, W. Y., Fehrenbacher, L., Kwan, M., Gomez, S. L., & Neugut, A. I. (2011) · Breast Cancer Research and Treatment · doi:10.1007/s10549-010-1132-4 · Cited by 870
The Health Literacy of American Adults:Results from the 2003 National Assessment of Adult Literacy.
Kutner, M. A., Greenberg, E., Ye, J., & Paulsen, C. A. (2006) · Cited by 772
Cost Sharing and Adherence to Tyrosine Kinase Inhibitors for Patients With Chronic Myeloid Leukemia
Dusetzina, S. B., Winn, A. N., Abel, G. A., Huskamp, H. A., & Keating, N. L. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.52.9123 · Cited by 500
Impact of Financial Burden of Cancer on Survivors' Quality of Life
Fenn, K. M., Evans, S. B., McCorkle, R., DiGiovanna, M. P., Pusztai, L., Sanft, T., Hofstatter, E. W., Killelea, B. K., Knobf, M. T., Lannin, D. R., et al. (2014) · Journal of Oncology Practice · doi:10.1200/jop.2013.001322 · Cited by 471
Bending the Cost Curve in Cancer Care
Smith, T. J., & Hillner, B. E. (2011) · New England Journal of Medicine · doi:10.1056/nejmsb1013826 · Cited by 391
Cited by
Financial Hardships Experienced by Cancer Survivors: A Systematic Review
Altice, C. K., Banegas, M. P., Tucker-Seeley, R. D., & Yabroff, K. R. (2017) · Journal of the National Cancer Institute · doi:10.1093/jnci/djw205 · Cited by 864
Wind, T. T., Gacesa, R., Vich Vila, A., de Haan, J. J., Jalving, M., Weersma, R. K., & Hospers, G. A. P. (2020) · Melanoma Research · doi:10.1097/cmr.0000000000000656 · Cited by 73
Alternative payment and care‐delivery models in oncology: A systematic review
Aviki, E. M., Schleicher, S. M., Mullangi, S., Matsoukas, K., & Korenstein, D. (2018) · Cancer · doi:10.1002/cncr.31367 · Cited by 60
Ver Hoeve, E. S., Simon, M. A., Danner, S. M., Washington, A. J., Coples, S. D., Percac‐Lima, S., Whited, E. C., Paskett, E. D., Naughton, M. J., Gray, D. M., et al. (2022) · Cancer · doi:10.1002/cncr.34251 · Cited by 27
Financial distress and its associated burden in couples coping with an advanced cancer
Kroll, J. L., Kim, S., Cho, D., Weathers, S.-P., Chen, A. B., Smith, G., Bruera, E., & Milbury, K. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-021-06758-w · Cited by 26
Metadata
- Authors
- Yousuf Zafar, S.
- Venue
- Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Financial Toxicity of Cancer Care: It’s Time to Intervene. https://app.cochat.ai/papers/10.1093/jnci/djv370
- The paper
- 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
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.