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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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643
Financial Navigation for People Newly Diagnosed With Cancer: Primary Outcomes From the Cancer Financial Experience
Nora B Henrikson1, Melissa L Anderson1, John Dickerson2
1Kaiser Permanente Washington Health Research Institute, Seattle, WA.
JCO Oncology Practice
|October 10, 2025
Summary
Financial navigation did not improve financial hardship or quality of life for newly diagnosed cancer patients. Further research is needed to address cancer-related financial distress.
Area of Science:
- Oncology
- Health Services Research
- Patient Navigation
Background:
- Cancer-related financial hardship is a significant burden for patients.
- Financial navigation interventions aim to mitigate this hardship.
- Real-world effectiveness of financial navigation for cancer patients remains understudied.
Purpose of the Study:
- To evaluate the effectiveness of a proactive, personalized financial navigation intervention.
- To assess the impact on financial hardship and quality of life in newly diagnosed cancer patients.
Main Methods:
- A randomized controlled trial was conducted at two integrated health systems.
- Participants were randomized to brief intervention, extended intervention, or enhanced usual care.
- Primary outcomes included financial hardship and cancer-related quality of life assessed at 12 months.
Main Results:
- 371 participants were randomized; 283 completed the 12-month follow-up.
- No significant differences in financial hardship or quality of life were observed between the intervention groups and enhanced usual care.
- Adjusted P-values for financial hardship and quality of life were .73 and .17, respectively.
Conclusions:
- Financial navigation did not demonstrate improved outcomes compared to enhanced usual care.
- The study highlights the need for continued research into effective strategies for managing cancer-related financial hardship.
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