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<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Dealing with the financial burden of cancer: perspectives of older breast cancer survivors</title>
<author>
<name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name>
<affiliation>
<nlm:aff id="A1">Division of Preventive Medicine and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Martin, Michelle Y" sort="Martin, Michelle Y" uniqKey="Martin M" first="Michelle Y." last="Martin">Michelle Y. Martin</name>
<affiliation>
<nlm:aff id="A1">Division of Preventive Medicine and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shewchuk, Richard" sort="Shewchuk, Richard" uniqKey="Shewchuk R" first="Richard" last="Shewchuk">Richard Shewchuk</name>
<affiliation>
<nlm:aff id="A2">Department of Health Services Administration, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name>
<affiliation>
<nlm:aff id="A3">School of Nursing and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">24912858</idno>
<idno type="pmc">4184916</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4184916</idno>
<idno type="RBID">PMC:4184916</idno>
<idno type="doi">10.1007/s00520-014-2298-9</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">003948</idno>
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<title xml:lang="en" level="a" type="main">Dealing with the financial burden of cancer: perspectives of older breast cancer survivors</title>
<author>
<name sortKey="Pisu, Maria" sort="Pisu, Maria" uniqKey="Pisu M" first="Maria" last="Pisu">Maria Pisu</name>
<affiliation>
<nlm:aff id="A1">Division of Preventive Medicine and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Martin, Michelle Y" sort="Martin, Michelle Y" uniqKey="Martin M" first="Michelle Y." last="Martin">Michelle Y. Martin</name>
<affiliation>
<nlm:aff id="A1">Division of Preventive Medicine and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shewchuk, Richard" sort="Shewchuk, Richard" uniqKey="Shewchuk R" first="Richard" last="Shewchuk">Richard Shewchuk</name>
<affiliation>
<nlm:aff id="A2">Department of Health Services Administration, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Meneses, Karen" sort="Meneses, Karen" uniqKey="Meneses K" first="Karen" last="Meneses">Karen Meneses</name>
<affiliation>
<nlm:aff id="A3">School of Nursing and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title>
<idno type="ISSN">0941-4355</idno>
<idno type="eISSN">1433-7339</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Purpose</title>
<p id="P1">Financial burden among cancer survivors is often overlooked in survivorship care planning. Cancer survivors with limited incomes may be particularly affected. Yet, little data are available to address financial issues among them. Eliciting the survivors’ perspectives on how to deal with this financial burden is a first crucial step to identifying the means to provide this supportive care.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this pilot study, three Nominal Group Technique (NGT) sessions were conducted with a convenience sample of 23 older breast cancer survivors (age 52 to 83) recruited from a county safety net hospital and a Comprehensive Cancer Center. One single NGT question was posed in these sessions, namely “
<italic>What could help women deal with the financial burden that cancer brings to them and their families?”</italic>
Survivors responded in an iterative fashion and then ranked the most relevant responses.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The most relevant responses addressed the: (1) need for affordable insurance; (2) need to have prompt information on treatment costs patients will face, insurance coverage, and agencies or programs that provide needed products and services; and (3) need to access social workers, navigators, support groups, or others knowledgeable about available resources. Survivors also suggested that physicians become aware of cancer costs and financial issues faced by patients, and consider costs in their treatment plans.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Older survivors face financial challenges for which there are few available resources. They suggested several avenues to address cancer-related financial issues that may be considered in developing supportive interventions.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9302957</journal-id>
<journal-id journal-id-type="pubmed-jr-id">8479</journal-id>
<journal-id journal-id-type="nlm-ta">Support Care Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Support Care Cancer</journal-id>
<journal-title-group>
<journal-title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</journal-title>
</journal-title-group>
<issn pub-type="ppub">0941-4355</issn>
<issn pub-type="epub">1433-7339</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24912858</article-id>
<article-id pub-id-type="pmc">4184916</article-id>
<article-id pub-id-type="doi">10.1007/s00520-014-2298-9</article-id>
<article-id pub-id-type="manuscript">NIHMS603653</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Dealing with the financial burden of cancer: perspectives of older breast cancer survivors</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pisu</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martin</surname>
<given-names>Michelle Y.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shewchuk</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meneses</surname>
<given-names>Karen</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Division of Preventive Medicine and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</aff>
<aff id="A2">
<label>2</label>
Department of Health Services Administration, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</aff>
<aff id="A3">
<label>3</label>
School of Nursing and Comprehensive Cancer Center, University of Alabama at Birmingham, 1720 2
<sup>nd</sup>
Avenue South, Birmingham, AL 35294</aff>
<author-notes>
<corresp id="cor1">Corresponding author: Maria Pisu, PhD, 1720 2nd Avenue South, MT 636, Birmingham, AL 35294-4410, Telephone: 205-934-8960, Fax number: 205-934-7959,
<email>mpisu@uab.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>29</day>
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>11</month>
<year>2015</year>
</pub-date>
<volume>22</volume>
<issue>11</issue>
<fpage>3045</fpage>
<lpage>3052</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s00520-014-2298-9</pmc-comment>
<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">Financial burden among cancer survivors is often overlooked in survivorship care planning. Cancer survivors with limited incomes may be particularly affected. Yet, little data are available to address financial issues among them. Eliciting the survivors’ perspectives on how to deal with this financial burden is a first crucial step to identifying the means to provide this supportive care.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">In this pilot study, three Nominal Group Technique (NGT) sessions were conducted with a convenience sample of 23 older breast cancer survivors (age 52 to 83) recruited from a county safety net hospital and a Comprehensive Cancer Center. One single NGT question was posed in these sessions, namely “
<italic>What could help women deal with the financial burden that cancer brings to them and their families?”</italic>
Survivors responded in an iterative fashion and then ranked the most relevant responses.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The most relevant responses addressed the: (1) need for affordable insurance; (2) need to have prompt information on treatment costs patients will face, insurance coverage, and agencies or programs that provide needed products and services; and (3) need to access social workers, navigators, support groups, or others knowledgeable about available resources. Survivors also suggested that physicians become aware of cancer costs and financial issues faced by patients, and consider costs in their treatment plans.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Older survivors face financial challenges for which there are few available resources. They suggested several avenues to address cancer-related financial issues that may be considered in developing supportive interventions.</p>
</sec>
</abstract>
<kwd-group>
<kwd>survivorship</kwd>
<kwd>breast cancer</kwd>
<kwd>financial burden</kwd>
<kwd>financial toxicity</kwd>
<kwd>older women</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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