2023-09-28 14:46:10 +00:00
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abstract: 'Little is known about out-of-pocket (OOP) costs incurred for medical and
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health needs by rural breast cancer survivors and what factors may be
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associated with higher OOP costs and the associated economic burden.
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Data were examined for 432 survivors participating in the Rural Breast
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Cancer Survivor Intervention trial. OOP costs were collected using the
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Work and Finances Inventory survey at baseline and four assessments
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every 3 months. Mean and median OOP costs and burden (percent of monthly
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income spent on OOP costs) were reported and factors associated with OOP
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costs and burden identified with generalized linear models fitted with
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over-dispersed gamma distributions and logarithmic links (OOP costs) and
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with beta distributions with logit link (OOP burden). OOP costs per
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month since the end of treatment were on average \$232.7 (median
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\$95.6), declined at the next assessment point to \$186.5 (median
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\$89.1), and thereafter remained at that level. Mean OOP burden was 9\%
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at baseline and between 7\% and 8\% at the next assessments. Factors
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suggestive of contributing to higher OOP costs and OOP burden were the
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following: younger age, lower income, time in survivorship from
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diagnosis, and use of supportive services. OOP costs burden rural breast
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cancer survivors, particularly those who are younger and low income.
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Research should investigate the impact of OOP costs and interventions to
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reduce economic burden.'
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affiliation: 'Pisu, M (Corresponding Author), Univ Alabama Birmingham, Sch Med, 1720
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2nd Ave S,MT 636, Birmingham, AL 35294 USA.
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Pisu, Maria, Univ Alabama Birmingham, Sch Med, Div Prevent Med, Birmingham, AL USA.
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Pisu, Maria; Azuero, Andres; McNees, Patrick; Meneses, Karen, Univ Alabama Birmingham,
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Ctr Comprehens Canc, Birmingham, AL 35294 USA.
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Azuero, Andres; Benz, Rachel; Meneses, Karen, Univ Alabama Birmingham, Sch Nursing,
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Birmingham, AL USA.
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McNees, Patrick, Univ Alabama Birmingham, Sch Hlth Profess, Birmingham, AL USA.
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McNees, Patrick, Kirchner Grp, Birmingham, AL USA.'
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author: Pisu, Maria and Azuero, Andres and Benz, Rachel and McNees, Patrick and Meneses,
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Karen
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author-email: mpisu@uab.edu
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author_list:
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- family: Pisu
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given: Maria
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- family: Azuero
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given: Andres
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- family: Benz
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given: Rachel
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- family: McNees
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given: Patrick
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- family: Meneses
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given: Karen
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da: '2023-09-28'
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doi: 10.1002/cam4.1017
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files: []
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issn: 2045-7634
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journal: CANCER MEDICINE
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keywords: 'Burden; Cancer; costs; economics; out-of-pocket costs; rural;
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survivorship'
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keywords-plus: 'CARE EXPENDITURE BURDEN; FINANCIAL BURDEN; HEALTH-CARE; ECONOMIC BURDEN;
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RESIDENCE; HARDSHIP; URBAN; LIFE; EXPERIENCES; DISPARITIES'
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '50'
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pages: 572-581
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papis_id: 6daefcdf36e5619dd51d6979fbd8dd5d
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ref: Pisu2017outofpocketcosts
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times-cited: '41'
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title: Out-of-pocket costs and burden among rural breast cancer survivors
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000397854900009
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usage-count-last-180-days: '1'
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usage-count-since-2013: '9'
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volume: '6'
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web-of-science-categories: Oncology
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year: '2017'
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