{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T10:33:24Z","timestamp":1793529204626,"version":"4.5.0"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007659","name":"Tilburg University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007659","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Financial toxicity has traditionally been attributed to the rising costs of cancer care. As ability to work impacts one\u2019s financial situation, limited employment and reduced income may also contribute to financial toxicity. We examined evidence of the association between financial toxicity and employment status in cancer survivors.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A systematic literature review was performed via PubMed, Web of Science, CINAHL, and PsycINFO with search terms including \u201cCancer,\u201d \u201cFinancial toxicity,\u201d and \u201cEmployment\u201d on September 25, 2019.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Thirty-one papers met eligibility criteria. Thirteen studies were rated as having high quality, 16 as adequate, and two as low. Being actively treated for cancer had serious negative consequences on employment and medical expenditures. Unemployment, changed or reduced employment, lost days at work, poor work ability, and changes to employment were associated with a higher risk of financial toxicity. Patients who were younger, non-white, unmarried, of low education, living with dependents, residing in non-metropolitan service areas, with lower income, and of low socioeconomic status were more at risk of financial toxicity. Other variables associated with financial toxicity included having a mortgage\/personal loan, higher out of pocket costs and household bills, limited health insurance, more severely ill, on active treatment, and lower functioning or quality of life.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Cancer negatively affects employment, and these changes are significant contributors to financial toxicity. Researchers, healthcare professionals, and patients themselves should all cooperate to tackle these complex issues.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00520-020-05719-z","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T08:07:05Z","timestamp":1598861225000},"page":"5693-5708","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":155,"title":["Financial toxicity and employment status in cancer survivors. A systematic literature review"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0818-2913","authenticated-orcid":false,"given":"Floortje","family":"Mols","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Tomalin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5690-9542","authenticated-orcid":false,"given":"Alison","family":"Pearce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-3404","authenticated-orcid":false,"given":"Billingsley","family":"Kaambwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1201-1642","authenticated-orcid":false,"given":"Bogda","family":"Koczwara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"issue":"5","key":"5719_CR1","doi-asserted-by":"publisher","first-page":"djv370","DOI":"10.1093\/jnci\/djv370","volume":"108","author":"SY Zafar","year":"2016","unstructured":"Zafar SY (2016) Financial toxicity of cancer care: It\u2019s time to intervene. J Natl Cancer Inst 108(5):djv370. https:\/\/doi.org\/10.1093\/jnci\/djv370","journal-title":"J Natl Cancer Inst"},{"key":"5719_CR2","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s40271-016-0204-x","volume":"10","author":"L Gordon","year":"2016","unstructured":"Gordon L, Merollini KM, Lowe A, Chan RJ (2016) A systematic review of financial toxicity among cancer survivors: we can\u2019t pay the co-pay. Patient 10:295\u2013309. https:\/\/doi.org\/10.1007\/s40271-016-0204-x","journal-title":"Patient"},{"issue":"8","key":"5719_CR3","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1002\/cncr.29206","volume":"121","author":"M Pisu","year":"2015","unstructured":"Pisu M, Kenzik KM, Oster RA, Drentea P, Ashing KT, Fouad M, Martin MY (2015) Economic hardship of minority and non-minority cancer survivors 1 year after diagnosis: another long-term effect of cancer? Cancer 121(8):1257\u20131264. https:\/\/doi.org\/10.1002\/cncr.29206","journal-title":"Cancer"},{"issue":"4","key":"5719_CR4","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1634\/theoncologist.2012-0279","volume":"18","author":"SY Zafar","year":"2013","unstructured":"Zafar SY, Peppercorn JM, Schrag D, Taylor DH, Goetzinger AM, Zhong X, Abernethy AP (2013) The financial toxicity of cancer treatment: a pilot study assessing out-of-pocket expenses and the insured cancer patient\u2019s experience. Oncologist 18(4):381\u2013390","journal-title":"Oncologist"},{"issue":"3","key":"5719_CR5","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1007\/s11899-015-0266-1","volume":"10","author":"J McNulty","year":"2015","unstructured":"McNulty J, Khera N (2015) Financial hardship\u2014an unwanted consequence of cancer treatment. Curr Hematol Malign Rep 10(3):205\u2013212. https:\/\/doi.org\/10.1007\/s11899-015-0266-1","journal-title":"Curr Hematol Malign Rep"},{"issue":"9","key":"5719_CR6","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1200\/JCO.2015.64.6620","volume":"34","author":"SD Ramsey","year":"2016","unstructured":"Ramsey SD, Bansal A, Fedorenko CR, Blough DK, Overstreet KA, Shankaran V, Newcomb P (2016) Financial insolvency as a risk factor for early mortality among patients with Cancer. J Clin Oncol 34(9):980\u2013986. https:\/\/doi.org\/10.1200\/JCO.2015.64.6620","journal-title":"J Clin Oncol"},{"key":"5719_CR7","doi-asserted-by":"publisher","unstructured":"Knight TG, Deal AM, Dusetzina SB, Muss HB, Choi SK, Bensen JT, Williams GR (2018) Financial toxicity in adults with cancer: adverse outcomes and noncompliance. J Oncol Pract:JOP1800120. https:\/\/doi.org\/10.1200\/JOP.18.00120","DOI":"10.1200\/JOP.18.00120"},{"issue":"30","key":"5719_CR8","doi-asserted-by":"publisher","first-page":"3749","DOI":"10.1200\/JCO.2013.49.1241","volume":"31","author":"GP Guy Jr","year":"2013","unstructured":"Guy GP Jr, Ekwueme DU, Yabroff KR, Dowling EC, Li C, Rodriguez JL, de Moor JS, Virgo KS (2013) Economic burden of cancer survivorship among adults in the United States. J Clin Oncol 31(30):3749\u20133757. https:\/\/doi.org\/10.1200\/JCO.2013.49.1241","journal-title":"J Clin Oncol"},{"issue":"2","key":"5719_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jnci\/djw205","volume":"109","author":"CK Altice","year":"2017","unstructured":"Altice CK, Banegas MP, Tucker-Seeley RD, Yabroff KR (2017) Financial hardships experienced by cancer survivors: a systematic review. J Natl Cancer Inst 109(2):1\u201317. https:\/\/doi.org\/10.1093\/jnci\/djw205","journal-title":"J Natl Cancer Inst"},{"issue":"3","key":"5719_CR10","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1016\/j.jpainsymman.2018.12.003","volume":"57","author":"RJ Chan","year":"2019","unstructured":"Chan RJ, Gordon LG, Tan CJ, Chan A, Bradford NK, Yates P, Agbejule OA, Miaskowski C (2019) Relationships between financial toxicity and symptom burden in cancer survivors: a systematic review. J Pain Symptom Manag 57(3):646\u2013660 e641. https:\/\/doi.org\/10.1016\/j.jpainsymman.2018.12.003","journal-title":"J Pain Symptom Manag"},{"issue":"11","key":"5719_CR11","doi-asserted-by":"publisher","first-page":"397","DOI":"10.5694\/mja16.00182","volume":"204","author":"D Currow","year":"2016","unstructured":"Currow D, Aranda S (2016) Financial toxicity in clinical care today: a \u201cmenu without prices\u201d1. Med J Aust 204(11):397. https:\/\/doi.org\/10.5694\/mja16.00182","journal-title":"Med J Aust"},{"issue":"9","key":"5719_CR12","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1136\/oem.2009.050070","volume":"67","author":"SJ Tamminga","year":"2010","unstructured":"Tamminga SJ, de Boer AGEM, Verbeek JHAM, Frings-Dresen MHW (2010) Return-to-work interventions integrated into cancer care: a systematic review. Occup Environ Med 67(9):639\u2013648","journal-title":"Occup Environ Med"},{"issue":"2","key":"5719_CR13","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.critrevonc.2010.01.004","volume":"77","author":"A Mehnert","year":"2011","unstructured":"Mehnert A (2011) Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol 77(2):109\u2013130. https:\/\/doi.org\/10.1016\/j.critrevonc.2010.01.004","journal-title":"Crit Rev Oncol Hematol"},{"issue":"7","key":"5719_CR14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000100","volume":"6","author":"A Liberati","year":"2009","unstructured":"Liberati A, Altman DG, Tetzlaff J, Mulrow C, G\u00f8tzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6(7):e1000100. https:\/\/doi.org\/10.1371\/journal.pmed.1000100","journal-title":"PLoS Med"},{"issue":"17","key":"5719_CR15","doi-asserted-by":"publisher","first-page":"2613","DOI":"10.1016\/j.ejca.2005.05.017","volume":"41","author":"F Mols","year":"2005","unstructured":"Mols F, Vingerhoets AJ, Coebergh JW, van de Poll-Franse LV (2005) Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer 41(17):2613\u20132619","journal-title":"Eur J Cancer"},{"issue":"7","key":"5719_CR16","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1007\/s00520-014-2242-z","volume":"22","author":"AJ Beijers","year":"2014","unstructured":"Beijers AJ, Mols F, Vreugdenhil G (2014) A systematic review on chronic oxaliplatin-induced peripheral neuropathy and the relation with oxaliplatin administration. Support Care Cancer 22(7):1999\u20132007. https:\/\/doi.org\/10.1007\/s00520-014-2242-z","journal-title":"Support Care Cancer"},{"issue":"7","key":"5719_CR17","doi-asserted-by":"publisher","first-page":"1835","DOI":"10.1007\/s11136-019-02150-8","volume":"28","author":"R Albelda","year":"2019","unstructured":"Albelda R, Wiemers E, Hahn T, Khera N, Salas Coronado DY, Abel GA (2019) Relationship between paid leave, financial burden, and patient-reported outcomes among employed patients who have undergone bone marrow transplantation. Qual Life Res 28(7):1835\u20131847. https:\/\/doi.org\/10.1007\/s11136-019-02150-8","journal-title":"Qual Life Res"},{"issue":"5","key":"5719_CR18","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1080\/0284186X.2018.1557341","volume":"58","author":"V Arndt","year":"2019","unstructured":"Arndt V, Koch-Gallenkamp L, Bertram H, Eberle A, Holleczek B, Pritzkuleit R, Waldeyer-Sauerland M, Waldmann A, Zeissig SR, Doege D, Thong MSY, Brenner H (2019) Return to work after cancer. A multi-regional population-based study from Germany. Acta Oncol 58(5):811\u2013818. https:\/\/doi.org\/10.1080\/0284186X.2018.1557341","journal-title":"Acta Oncol"},{"issue":"5","key":"5719_CR19","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.1007\/s00520-018-4418-4","volume":"27","author":"LT Dean","year":"2019","unstructured":"Dean LT, Moss SL, Ransome Y, Frasso-Jaramillo L, Zhang Y, Visvanathan K, Nicholas LH, Schmitz KH (2019) \u201cit still affects our economic situation\u201d: long-term economic burden of breast cancer and lymphedema. Support Care Cancer 27(5):1697\u20131708. https:\/\/doi.org\/10.1007\/s00520-018-4418-4","journal-title":"Support Care Cancer"},{"issue":"11","key":"5719_CR20","first-page":"801","volume":"15","author":"EA Finkelstein","year":"2009","unstructured":"Finkelstein EA, Tangka FK, Trogdon JG, Sabatino SA, Richardson LC (2009) The personal financial burden of cancer for the working-aged population. Am J Manag Care 15(11):801\u2013806","journal-title":"Am J Manag Care"},{"issue":"6","key":"5719_CR21","doi-asserted-by":"publisher","first-page":"2257","DOI":"10.7314\/apjcp.2015.16.6.2257","volume":"16","author":"M Ghasempour","year":"2015","unstructured":"Ghasempour M, Rahmani A, Davoodi A, Sheikhalipour Z, Ziaeei JE, Abri F (2015) Return to work and its relation to financial distress among Iranian cancer survivors. Asian Pac J Cancer Prev 16(6):2257\u20132261. https:\/\/doi.org\/10.7314\/apjcp.2015.16.6.2257","journal-title":"Asian Pac J Cancer Prev"},{"issue":"4","key":"5719_CR22","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1097\/NCC.0b013e3182693522","volume":"36","author":"JA Goodwin","year":"2013","unstructured":"Goodwin JA, Coleman EA, Sullivan E, Easley R, McNatt PK, Chowdhury N, Stewart CB (2013) Personal financial effects of multiple myeloma and its treatment. Cancer Nurs 36(4):301\u2013308. https:\/\/doi.org\/10.1097\/NCC.0b013e3182693522","journal-title":"Cancer Nurs"},{"issue":"1","key":"5719_CR23","doi-asserted-by":"publisher","first-page":"e12392","DOI":"10.1111\/ecc.12392","volume":"26","author":"LG Gordon","year":"2017","unstructured":"Gordon LG, Walker SM, Mervin MC, Lowe A, Smith DP, Gardiner RA, Chambers SK (2017) Financial toxicity: a potential side effect of prostate cancer treatment among Australian men. Eur J Cancer Care (Engl) 26(1):e12392. https:\/\/doi.org\/10.1111\/ecc.12392","journal-title":"Eur J Cancer Care (Engl)"},{"key":"5719_CR24","doi-asserted-by":"publisher","unstructured":"Gordon LG, Beesley VL, Mihala G, Koczwara B, Lynch BM (2017) Reduced employment and financial hardship among middle-aged individuals with colorectal cancer. Eur J Cancer Care (Engl) 26(5). https:\/\/doi.org\/10.1111\/ecc.12744","DOI":"10.1111\/ecc.12744"},{"issue":"12","key":"5719_CR25","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1002\/pon.1182","volume":"16","author":"L Gordon","year":"2007","unstructured":"Gordon L, Scuffham P, Hayes S, Newman B (2007) Exploring the economic impact of breast cancers during the 18 months following diagnosis. Psychooncology 16(12):1130\u20131139. https:\/\/doi.org\/10.1002\/pon.1182","journal-title":"Psychooncology"},{"issue":"2","key":"5719_CR26","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/0277-5379(91)90482-s","volume":"27","author":"JG Greaves-Otte","year":"1991","unstructured":"Greaves-Otte JG, Greaves J, Kruyt PM, van Leeuwen O, van der Wouden JC, van der Does E (1991) Problems at social re-integration of long-term cancer survivors. Eur J Cancer 27(2):178\u2013181. https:\/\/doi.org\/10.1016\/0277-5379(91)90482-s","journal-title":"Eur J Cancer"},{"issue":"5","key":"5719_CR27","doi-asserted-by":"publisher","first-page":"526","DOI":"10.3111\/13696998.2016.1138962","volume":"19","author":"A Guerin","year":"2016","unstructured":"Guerin A, Sasane M, Dea K, Zhang J, Culver K, Nitulescu R, Wu EQ, Macalalad AR (2016) The economic burden of brain metastasis among lung cancer patients in the United States. J Med Econ 19(5):526\u2013536. https:\/\/doi.org\/10.3111\/13696998.2016.1138962","journal-title":"J Med Econ"},{"issue":"8","key":"5719_CR28","doi-asserted-by":"publisher","first-page":"2815","DOI":"10.1007\/s00520-018-4132-2","volume":"26","author":"PJ Ho","year":"2018","unstructured":"Ho PJ, Hartman M, Gernaat SAM, Cook AR, Lee SC, Hupkens L, Verkooijen HM (2018) Associations between workability and patient-reported physical, psychological and social outcomes in breast cancer survivors: a cross-sectional study. Support Care Cancer 26(8):2815\u20132824. https:\/\/doi.org\/10.1007\/s00520-018-4132-2","journal-title":"Support Care Cancer"},{"issue":"9","key":"5719_CR29","doi-asserted-by":"publisher","first-page":"1375","DOI":"10.1016\/j.bbmt.2014.05.011","volume":"20","author":"N Khera","year":"2014","unstructured":"Khera N, Chang YH, Hashmi S, Slack J, Beebe T, Roy V, Noel P, Fauble V, Sproat L, Tilburt J, Leis JF, Mikhael J (2014) Financial burden in recipients of allogeneic hematopoietic cell transplantation. Biol Blood Marrow Transplant 20(9):1375\u20131381. https:\/\/doi.org\/10.1016\/j.bbmt.2014.05.011","journal-title":"Biol Blood Marrow Transplant"},{"issue":"3","key":"5719_CR30","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1001\/jamaoto.2018.3982","volume":"145","author":"ST Massa","year":"2019","unstructured":"Massa ST, Osazuwa-Peters N, Adjei Boakye E, Walker RJ, Ward GM (2019) Comparison of the financial burden of survivors of head and neck cancer with other cancer survivors. JAMA Otolaryngol Head Neck Surg 145(3):239\u2013249. https:\/\/doi.org\/10.1001\/jamaoto.2018.3982","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"6","key":"5719_CR31","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1007\/s11764-016-0554-3","volume":"10","author":"L Nekhlyudov","year":"2016","unstructured":"Nekhlyudov L, Walker R, Ziebell R, Rabin B, Nutt S, Chubak J (2016) Cancer survivors\u2019 experiences with insurance, finances, and employment: results from a multisite study. J Cancer Surviv 10(6):1104\u20131111. https:\/\/doi.org\/10.1007\/s11764-016-0554-3","journal-title":"J Cancer Surviv"},{"issue":"11","key":"5719_CR32","doi-asserted-by":"publisher","first-page":"4739","DOI":"10.1007\/s00520-016-3323-y","volume":"24","author":"C Paul","year":"2016","unstructured":"Paul C, Boyes A, Hall A, Bisquera A, Miller A, O'Brien L (2016) The impact of cancer diagnosis and treatment on employment, income, treatment decisions and financial assistance and their relationship to socioeconomic and disease factors. Support Care Cancer 24(11):4739\u20134746. https:\/\/doi.org\/10.1007\/s00520-016-3323-y","journal-title":"Support Care Cancer"},{"issue":"1","key":"5719_CR33","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1007\/s11764-018-0723-7","volume":"13","author":"A Pearce","year":"2019","unstructured":"Pearce A, Tomalin B, Kaambwa B, Horevoorts N, Duijts S, Mols F, van de Poll-Franse L, Koczwara B (2019) Financial toxicity is more than costs of care: the relationship between employment and financial toxicity in long-term cancer survivors. J Cancer Surviv 13(1):10\u201320. https:\/\/doi.org\/10.1007\/s11764-018-0723-7","journal-title":"J Cancer Surviv"},{"issue":"5","key":"5719_CR34","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/j.bjoms.2011.07.026","volume":"50","author":"SN Rogers","year":"2012","unstructured":"Rogers SN, Harvey-Woodworth CN, Hare J, Leong P, Lowe D (2012) Patients' perception of the financial impact of head and neck cancer and the relationship to health related quality of life. Br J Oral Maxillofac Surg 50(5):410\u2013416. https:\/\/doi.org\/10.1016\/j.bjoms.2011.07.026","journal-title":"Br J Oral Maxillofac Surg"},{"issue":"17","key":"5719_CR35","doi-asserted-by":"publisher","first-page":"1695","DOI":"10.1200\/JCO.2017.77.6310","volume":"36","author":"SB Wheeler","year":"2018","unstructured":"Wheeler SB, Spencer JC, Pinheiro LC, Carey LA, Olshan AF, Reeder-Hayes KE (2018) Financial impact of breast cancer in black versus white women. J Clin Oncol 36(17):1695\u20131701. https:\/\/doi.org\/10.1200\/JCO.2017.77.6310","journal-title":"J Clin Oncol"},{"issue":"2","key":"5719_CR36","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1007\/s11764-015-0470-y","volume":"10","author":"RL Whitney","year":"2016","unstructured":"Whitney RL, Bell JF, Reed SC, Lash R, Bold RJ, Kim KK, Davis A, Copenhaver D, Joseph JG (2016) Predictors of financial difficulties and work modifications among cancer survivors in the United States. J Cancer Surviv 10(2):241\u2013250. https:\/\/doi.org\/10.1007\/s11764-015-0470-y","journal-title":"J Cancer Surviv"},{"issue":"5","key":"5719_CR37","doi-asserted-by":"publisher","first-page":"djv382","DOI":"10.1093\/jnci\/djv382","volume":"108","author":"Z Zheng","year":"2016","unstructured":"Zheng Z, Yabroff KR, Guy GP Jr, Han X, Li C, Banegas MP, Ekwueme DU, Jemal A (2016) Annual medical expenditure and productivity loss among colorectal, female breast, and prostate cancer survivors in the United States. J Natl Cancer Inst 108(5):djv382. https:\/\/doi.org\/10.1093\/jnci\/djv382","journal-title":"J Natl Cancer Inst"},{"issue":"1","key":"5719_CR38","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1377\/hlthaff.2015.0830","volume":"35","author":"MP Banegas","year":"2016","unstructured":"Banegas MP, Guy GP Jr, de Moor JS, Ekwueme DU, Virgo KS, Kent EE, Nutt S, Zheng Z, Rechis R, Yabroff KR (2016) For working-age cancer survivors, medical debt and bankruptcy create financial hardships. Health Aff (Millwood) 35(1):54\u201361. https:\/\/doi.org\/10.1377\/hlthaff.2015.0830","journal-title":"Health Aff (Millwood)"},{"issue":"5","key":"5719_CR39","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1016\/j.juro.2017.10.049","volume":"199","author":"MM Casilla-Lennon","year":"2018","unstructured":"Casilla-Lennon MM, Choi SK, Deal AM, Bensen JT, Narang G, Filippou P, McCormick B, Pruthi R, Wallen E, Tan HJ, Woods M, Nielsen M, Smith A (2018) Financial toxicity among patients with bladder cancer: reasons for delay in care and effect on quality of life. J Urol 199(5):1166\u20131173. https:\/\/doi.org\/10.1016\/j.juro.2017.10.049","journal-title":"J Urol"},{"key":"5719_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1200\/JGO.19.00003","volume":"5","author":"K Honda","year":"2019","unstructured":"Honda K, Gyawali B, Ando M, Kumanishi R, Kato K, Sugiyama K, Mitani S, Masuishi T, Narita Y, Bando H, Taniguchi H, Kadowaki S, Ura T, Muro K (2019) Prospective survey of financial toxicity measured by the comprehensive score for financial toxicity in Japanese patients with cancer. J Glob Oncol 5:1\u20138. https:\/\/doi.org\/10.1200\/JGO.19.00003","journal-title":"J Glob Oncol"},{"issue":"2","key":"5719_CR41","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1007\/s00520-015-2832-4","volume":"24","author":"L Sharp","year":"2016","unstructured":"Sharp L, Timmons A (2016) Pre-diagnosis employment status and financial circumstances predict cancer-related financial stress and strain among breast and prostate cancer survivors. Support Care Cancer 24(2):699\u2013709. https:\/\/doi.org\/10.1007\/s00520-015-2832-4","journal-title":"Support Care Cancer"},{"issue":"4","key":"5719_CR42","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1093\/jnci\/djs512","volume":"105","author":"S Lauzier","year":"2013","unstructured":"Lauzier S, Levesque P, Mondor M, Drolet M, Coyle D, Brisson J, Masse B, Provencher L, Robidoux A, Maunsell E (2013) Out-of-pocket costs in the year after early breast cancer among Canadian women and spouses. J Natl Cancer Inst 105(4):280\u2013292. https:\/\/doi.org\/10.1093\/jnci\/djs512","journal-title":"J Natl Cancer Inst"},{"issue":"3","key":"5719_CR43","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1200\/JCO.2015.62.0468","volume":"34","author":"KR Yabroff","year":"2016","unstructured":"Yabroff KR, Dowling EC, Guy GP Jr, Banegas MP, Davidoff A, Han X, Virgo KS, McNeel TS, Chawla N, Blanch-Hartigan D, Kent EE, Li C, Rodriguez JL, de Moor JS, Zheng Z, Jemal A, Ekwueme DU (2016) Financial hardship associated with cancer in the United States: findings from a population-based sample of adult cancer survivors. J Clin Oncol 34(3):259\u2013267. https:\/\/doi.org\/10.1200\/JCO.2015.62.0468","journal-title":"J Clin Oncol"},{"issue":"12","key":"5719_CR44","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1200\/JCO.2013.53.0956","volume":"32","author":"R Jagsi","year":"2014","unstructured":"Jagsi R, Pottow JA, Griffith KA, Bradley C, Hamilton AS, Graff J, Katz SJ, Hawley ST (2014) Long-term financial burden of breast cancer: experiences of a diverse cohort of survivors identified through population-based registries. J Clin Oncol 32(12):1269\u20131276. https:\/\/doi.org\/10.1200\/JCO.2013.53.0956","journal-title":"J Clin Oncol"},{"issue":"10","key":"5719_CR45","doi-asserted-by":"publisher","first-page":"e408","DOI":"10.1016\/S2352-3026(15)00151-9","volume":"2","author":"SF Huntington","year":"2015","unstructured":"Huntington SF, Weiss BM, Vogl DT, Cohen AD, Garfall AL, Mangan PA, Doshi JA, Stadtmauer EA (2015) Financial toxicity in insured patients with multiple myeloma: a cross-sectional pilot study. Lancet Haematol 2(10):e408\u2013e416. https:\/\/doi.org\/10.1016\/S2352-3026(15)00151-9","journal-title":"Lancet Haematol"},{"issue":"14","key":"5719_CR46","doi-asserted-by":"publisher","first-page":"1608","DOI":"10.1200\/JCO.2011.37.9511","volume":"30","author":"V Shankaran","year":"2012","unstructured":"Shankaran V, Jolly S, Blough D, Ramsey SD (2012) Risk factors for financial hardship in patients receiving adjuvant chemotherapy for colon cancer: a population-based exploratory analysis. J Clin Oncol 30(14):1608\u20131614. https:\/\/doi.org\/10.1200\/JCO.2011.37.9511","journal-title":"J Clin Oncol"},{"issue":"18","key":"5719_CR47","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1200\/jco.2016.71.9716","volume":"35","author":"GP Guy Jr","year":"2017","unstructured":"Guy GP Jr, Yabroff KR, Ekwueme DU, Rim SH, Li R, Richardson LC (2017) Economic burden of chronic conditions among survivors of cancer in the United States. J Clin Oncol 35(18):2053\u20132061. https:\/\/doi.org\/10.1200\/jco.2016.71.9716","journal-title":"J Clin Oncol"},{"issue":"6 Suppl 5","key":"5719_CR48","doi-asserted-by":"publisher","first-page":"S489","DOI":"10.1016\/j.amepre.2015.09.002","volume":"49","author":"GP Guy Jr","year":"2015","unstructured":"Guy GP Jr, Yabroff KR, Ekwueme DU, Virgo KS, Han X, Banegas MP, Soni A, Zheng Z, Chawla N, Geiger AM (2015) Healthcare expenditure burden among non-elderly cancer survivors, 2008-2012. Am J Prev Med 49(6 Suppl 5):S489\u2013S497. https:\/\/doi.org\/10.1016\/j.amepre.2015.09.002","journal-title":"Am J Prev Med"},{"issue":"5","key":"5719_CR49","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/j.bjoms.2011.07.020","volume":"50","author":"SN Rogers","year":"2012","unstructured":"Rogers SN, Harvey-Woodworth CN, Lowe D (2012) Patients\u2019 perspective of financial benefits following head and neck cancer in Merseyside and Cheshire. Br J Oral Maxillofac Surg 50(5):404\u2013409. https:\/\/doi.org\/10.1016\/j.bjoms.2011.07.020","journal-title":"Br J Oral Maxillofac Surg"},{"issue":"4","key":"5719_CR50","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1016\/0167-6296(92)90013-Q","volume":"11","author":"E van Doorslaer","year":"1992","unstructured":"van Doorslaer E, Wagstaff A (1992) Equity in the delivery of health care: some international comparisons. J Health Econ 11(4):389\u2013411. https:\/\/doi.org\/10.1016\/0167-6296(92)90013-Q","journal-title":"J Health Econ"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-020-05719-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-020-05719-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-020-05719-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T23:34:39Z","timestamp":1630366479000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-020-05719-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,31]]},"references-count":50,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["5719"],"URL":"https:\/\/doi.org\/10.1007\/s00520-020-05719-z","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,31]]},"assertion":[{"value":"16 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 August 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}