{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:45:40Z","timestamp":1777484740793,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["HRC-154127"],"award-info":[{"award-number":["HRC-154127"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Financial hardship during cancer treatment is common in privatised healthcare systems and has been extensively studied in cancer survivorship groups. The experience of financial concerns by people living with advanced, incurable cancer has been less frequently explored. This paper sought to describe the proportion of patients experiencing financial worry longitudinally, in a cohort with advanced colorectal cancer, in a publicly funded healthcare system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis of a prospective, observational cohort study \u2018Palliative Care Early and Systematic (PaCES)\u2019 project, analysed data from 131 patients with advanced colorectal cancer, from Alberta\u2019s two tertiary cancer centres, treated between January 2018 - December 2020. Rates of self-reported financial concerns were obtained from the Canadian Problem Checklist, completed monthly for 10\u00a0months and 3 monthly thereafter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty-seven patients (43%) affirmed at least once that they had worried about their finances in the preceding month. Of those who reported they had \u201cno\u02ee financial concerns at enrolment, 41 (35%) subsequently answered \u201cyes\u02ee. The proportion of patients experiencing financial worry at any given time point fluctuated but the mean proportion was 18%. Multivariable analysis confirmed younger age (&lt;65) was associated with more financial worry (\n                      <jats:italic>P<\/jats:italic>\n                      -value &lt;0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Financial worry is a common and often recurrent concern for patients with advanced colorectal cancer, particularly for younger patients. Serial screening is important to detect persisting or de novo worry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748251384361","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T23:38:48Z","timestamp":1759966728000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Prevalence of Financial Worry in a Cohort of Patients with Advanced Colorectal Cancer: A Secondary Observational Cohort Study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7050-0508","authenticated-orcid":false,"given":"Hannah","family":"Douglass-Molloy","sequence":"first","affiliation":[{"name":"Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Akude","sequence":"additional","affiliation":[{"name":"Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7967-159X","authenticated-orcid":false,"given":"Aynharan","family":"Sinnarajah","sequence":"additional","affiliation":[{"name":"Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"},{"name":"Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"},{"name":"Department of Medicine, Queen\u2019s University, Kingston, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"},{"name":"Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"},{"name":"Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djw205"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol29040202"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.04.018"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibab091"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/15384047.2019.1632132"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05907-x"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.230677"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol29040223"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.53.0956"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djab210"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2024.04.024"},{"key":"e_1_3_5_13_2","unstructured":"Calgary Uo. The palliative care early and systematic (PaCES) project. https:\/\/cumming.ucalgary.ca\/research\/paces-project"},{"key":"e_1_3_5_14_2","unstructured":"Portfolio CJ. Screening for distress the 6th vital sign: a guide to implementing best practices in person-centred care. 2012. https:\/\/www.virtualhospice.ca\/Assets\/Distress-\/20CPAC\/20150713161546.pdf"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-19-0460"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.7305"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30369"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2012-0279"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.31967"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.50844"},{"key":"e_1_3_5_22_2","first-page":"607","article-title":"The utility of cost discussions between patients with cancer and oncologists","volume":"21","author":"Zafar SY","year":"2015","unstructured":"Zafar SY, Chino F, Ubel PA, et al. 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