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  1. Article ; Online: Access To Oncology Services In Rural Areas: Influence Of The 340B Drug Pricing Program.

    Owsley, Kelsey M / Bradley, Cathy J

    Health affairs (Project Hope)

    2023  Volume 42, Issue 6, Page(s) 785–794

    Abstract: Rural-urban cancer disparities, including greater mortality rates, are partially attributable to the limited availability of oncology services in rural communities. Without these services, rural residents may experience delays in timely treatment and may ...

    Abstract Rural-urban cancer disparities, including greater mortality rates, are partially attributable to the limited availability of oncology services in rural communities. Without these services, rural residents may experience delays in timely treatment and may be less likely to complete recommended care. The 340B Drug Pricing Program allows eligible not-for-profit and public hospitals to purchase covered outpatient drugs, including high-cost oncology drugs, at discounted prices. Using 2011-20 data, we evaluated the relationship between new enrollment in the 340B program and oncology services initiation in rural general acute care hospitals that lacked oncology services in 2011. Compared with hospitals that remained unenrolled in the 340B program through 2020, hospitals that enrolled during 2012-18 were 8.3 percentage points more likely to have added oncology services as of 2020. The newly participating hospitals that added oncology services were disproportionately located in Medicaid expansion states and in counties with lower uninsurance rates. These findings suggest that the 340B program facilitates expanded access to oncology services in some rural communities, but opportunities remain to address disparities in the most disadvantaged service areas.
    MeSH term(s) United States ; Humans ; Drug Costs ; Medicaid ; Neoplasms/drug therapy ; Medical Oncology ; Hospitals, Public
    Language English
    Publishing date 2023-06-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.2022.01640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Clinic-based interventions for improving access to care: a good start.

    Bradley, Cathy J / Yabroff, K Robin / Shih, Ya-Chen Tina

    Journal of the National Cancer Institute

    2024  

    Language English
    Publishing date 2024-04-11
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2992-0
    ISSN 1460-2105 ; 0027-8874 ; 0198-0157
    ISSN (online) 1460-2105
    ISSN 0027-8874 ; 0198-0157
    DOI 10.1093/jnci/djae068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Long-Term Cancer Survival: New Insights From Health Professional Cohorts.

    Samet, Jonathan M / Bradley, Cathy J

    JNCI cancer spectrum

    2022  Volume 6, Issue 2

    MeSH term(s) Health Personnel ; Humans ; Neoplasms/therapy
    Language English
    Publishing date 2022-05-22
    Publishing country England
    Document type Journal Article ; Comment
    ISSN 2515-5091
    ISSN (online) 2515-5091
    DOI 10.1093/jncics/pkac022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: An ounce of prevention: Medicaid's role in reducing the burden of cancer in men with HIV.

    Bradley, Cathy J / Sabik, Lindsay M

    Cancer

    2022  Volume 128, Issue 10, Page(s) 1900–1903

    MeSH term(s) Bisexuality ; HIV Infections/complications ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; Homosexuality, Male ; Humans ; Male ; Medicaid ; Neoplasms/epidemiology ; Neoplasms/prevention & control ; United States/epidemiology
    Language English
    Publishing date 2022-03-14
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 1429-1
    ISSN 1097-0142 ; 0008-543X ; 1934-662X
    ISSN (online) 1097-0142
    ISSN 0008-543X ; 1934-662X
    DOI 10.1002/cncr.34167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Retirement behavior of cancer survivors: role of health insurance.

    Bradley, Cathy J / Owsley, Kelsey M

    Journal of cancer survivorship : research and practice

    2022  Volume 18, Issue 2, Page(s) 499–508

    Abstract: Purpose: Workers who rely on employment for health insurance may be unable to reduce work during and following treatment for a serious health condition, potentially harming their health in retirement. In this study, we examine the influence of retiree ... ...

    Abstract Purpose: Workers who rely on employment for health insurance may be unable to reduce work during and following treatment for a serious health condition, potentially harming their health in retirement. In this study, we examine the influence of retiree and employment-contingent insurance on the retirement and health of workers diagnosed with cancer.
    Methods: This longitudinal cohort study used 2000-2018 Health and Retirement Study data to examine changes in employment, weekly hours worked, and health status measures following a cancer diagnosis. We selected respondents who reported a new cancer diagnosis (n = 354) and a matched, non-cancer sample (n = 1770), restricting both samples to those employed and younger than age 63.
    Results: Following a cancer diagnosis, women with retiree health insurance were 18.6 percentage points less likely to work (95% CI: - 36.3 to - 1.0; p < 0.05) relative to women with employer health insurance, but no retiree insurance. Employed women with cancer but without employment-contingent health insurance increased weekly hours worked by 34% relative to similar non-cancer controls. Men and women with a cancer diagnosis and without employment-contingent health or retiree insurance were also less likely to work (p < 0.05). Among those who stopped working, respondents with cancer and employment-contingent health insurance reported better health status than respondents without employment-contingent health insurance.
    Conclusions: Cancer survivors with employer and retiree health insurance leave the workforce earlier and report better health status when they stop working than those without equivalent insurance.
    Implications for cancer survivors: Policies to support health insurance outside of employment may allow cancer survivors to retire earlier and may have positive health benefits.
    MeSH term(s) Male ; Humans ; Female ; Middle Aged ; Retirement ; Longitudinal Studies ; Cancer Survivors ; Health Benefit Plans, Employee ; Insurance, Health ; Neoplasms
    Language English
    Publishing date 2022-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2388888-X
    ISSN 1932-2267 ; 1932-2259
    ISSN (online) 1932-2267
    ISSN 1932-2259
    DOI 10.1007/s11764-022-01248-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Economic Burden Associated with Cancer Caregiving.

    Bradley, Cathy J

    Seminars in oncology nursing

    2019  Volume 35, Issue 4, Page(s) 333–336

    Abstract: Objective: The societal value of unpaid caregiving is estimated to exceed $470 billion annually. In spite of the high value care they provide, caregivers experience significant financial burden. This paper examines the sources and impact of financial ... ...

    Abstract Objective: The societal value of unpaid caregiving is estimated to exceed $470 billion annually. In spite of the high value care they provide, caregivers experience significant financial burden. This paper examines the sources and impact of financial burden on cancer caregivers.
    Data sources: Survey of the published peer-reviewed literature complemented by Web-based sources.
    Conclusion: Caregivers for cancer patients may experience financial burden disproportionately relative to other caregivers because of the intensity of care they provide and the cost and complexity of cancer treatment. Financial burden stems from employment loss and cost of care and can continue long after the death of the patient. Few federal policy protections are available for caregivers.
    Implications for nursing practice: Oncology nurses can play an important role in recognizing the needs of caregivers and act as navigators to connect caregivers to available resources.
    MeSH term(s) Caregivers/economics ; Cost of Illness ; Financing, Personal ; Humans ; Neoplasms/nursing
    Language English
    Publishing date 2019-06-20
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 632682-1
    ISSN 1878-3449 ; 0749-2081
    ISSN (online) 1878-3449
    ISSN 0749-2081
    DOI 10.1016/j.soncn.2019.06.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Discarded Targeted Oral Anticancer Medication-A Hard Pill to Swallow?

    Bradley, Cathy J / Yabroff, K Robin / Shih, Ya-Chen Tina

    JAMA oncology

    2023  Volume 9, Issue 9, Page(s) 1202–1204

    MeSH term(s) Humans ; Medication Adherence ; Administration, Oral
    Language English
    Publishing date 2023-07-20
    Publishing country United States
    Document type Research Support, N.I.H., Extramural ; Editorial ; Comment
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2023.2226
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Working, Low Income, and Cancer Caregiving: Financial and Mental Health Impacts.

    Bradley, Cathy J / Kitchen, Sara / Owsley, Kelsey M

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2023  Volume 41, Issue 16, Page(s) 2939–2948

    Abstract: Purpose: Approximately 6 million people provide caregiving to people diagnosed with cancer. Many must remain employed to support their household and to have access to health insurance. It is unknown if caregiving for a spouse diagnosed with cancer is ... ...

    Abstract Purpose: Approximately 6 million people provide caregiving to people diagnosed with cancer. Many must remain employed to support their household and to have access to health insurance. It is unknown if caregiving for a spouse diagnosed with cancer is associated with greater financial and mental stress relative to providing care for a spouse with different conditions.
    Methods: Health and Retirement Study (2002-2020) data were used to compare employed caregivers, younger than age 65 years, caring for a spouse diagnosed with cancer (n = 103) and a matched control group caring for a spouse with other conditions (n = 515). We used logistic regression to examine a decrease in household income, increase in household debt, stopping work, and a new report of a mental health condition over a 4-year period, adjusting for socioeconomic and demographic characteristics, and health insurance status. Subanalyses stratified estimations by median household income.
    Results: Around a third of cancer caregivers reported they stopped working (35%) and had an increase in household debt (30%). Cancer caregivers in households below the median household income were more likely to report decreased income (13.4 percentage points [pp];
    Conclusion: Cancer caregivers from low-income households were more likely to increase debt and incur work loss compared with noncancer caregivers in similar households. Policies such as paid sick leave and family leave are needed for this strained and important population who have financial and employment responsibilities in addition to caregiving.
    MeSH term(s) Humans ; Aged ; Mental Health ; Income ; Employment ; Insurance, Health ; Neoplasms/therapy ; Caregivers/psychology
    Language English
    Publishing date 2023-04-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.22.02537
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Much work to do about measuring work.

    Bradley, Cathy J / Kitchen, Sara / Owsley, Kelsey M

    Journal of the National Cancer Institute

    2023  Volume 116, Issue 2, Page(s) 194–199

    Abstract: Work ability is a critical economic and well-being indicator in cancer care. Yet, work ability is understudied in clinical trials and observational research and is often undocumented in medical records. Despite agreement on the importance of work from ... ...

    Abstract Work ability is a critical economic and well-being indicator in cancer care. Yet, work ability is understudied in clinical trials and observational research and is often undocumented in medical records. Despite agreement on the importance of work from well-being, health insurance, and financial perspectives, standardized approaches for collecting, measuring, and analyzing work outcomes are lacking in the health-care setting. The necessary components for closing the gap in patient and caregiver employment research in health-care settings involve a common set of measures, including those that replace or translate generic measures of mental and physical functioning into work outcomes in observational and clinical trial research, standardized approaches to data collection and documentation, and the use of longitudinal data to understand the consequences of reduced work ability over time. We present a conceptual framework for the inclusion of work ability in outcomes research. We cover constructs for employment and work ability measurement that can be adopted in research, recorded as patient-level data, and used to guide treatment decisions. The inclusion of return to work and hours worked, productivity, and ability to perform in a similar job can support conversations that guide treatment decisions and minimize economic consequences. Our hope is that by considering impact on work ability, improved treatments will be developed, health inequities reduced, and resources directed toward aiding patients and their caregivers in balancing work and health demands.
    MeSH term(s) Humans ; Employment ; Neoplasms
    Language English
    Publishing date 2023-12-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2992-0
    ISSN 1460-2105 ; 0027-8874 ; 0198-0157
    ISSN (online) 1460-2105
    ISSN 0027-8874 ; 0198-0157
    DOI 10.1093/jnci/djad258
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Implementation science for cancer control: One center's experience addressing context, adaptation, equity, and sustainment.

    Glasgow, Russell E / Ford, Bryan S / Bradley, Cathy J

    Translational behavioral medicine

    2023  Volume 14, Issue 4, Page(s) 215–224

    Abstract: Implementation science (IS) has great potential to enhance the frequency, speed, and quality of the translation of evidence-based programs, policies, products, and guidelines into practice. Progress has been made, but with some notable exceptions, this ... ...

    Abstract Implementation science (IS) has great potential to enhance the frequency, speed, and quality of the translation of evidence-based programs, policies, products, and guidelines into practice. Progress has been made, but with some notable exceptions, this promise has not been achieved for cancer prevention and control. We discuss five interrelated but conceptually distinct, crosscutting issues important to accelerate IS for cancer prevention and control and how our Colorado Implementation Science Center in Cancer Control (COISC3) addressed these issues. These needs and opportunities include more fully addressing changing, multi-level context; guiding rapid, iterative adaptations; evaluating innovative approaches to engagement and health equity; greater attention to costs and economic issues; and sustainability. We summarize conceptual issues; evaluation needs and capacity building activities and then provide examples of how our IS center addressed these five needs for cancer prevention and control. We discuss changes made to address priorities of (i) guiding adaptations of implementation strategies to address changing context and (ii) working on issues identified and prioritized by our primary care partners rather than the research team. We conclude with discussion of lessons learned, limitations, and directions for future research and practice in IS to enhance cancer prevention and control as well as translational behavioral medicine more generally.
    MeSH term(s) Humans ; Implementation Science ; Delivery of Health Care ; Policy ; Neoplasms/prevention & control ; Needs Assessment
    Language English
    Publishing date 2023-12-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2586893-7
    ISSN 1613-9860 ; 1869-6716
    ISSN (online) 1613-9860
    ISSN 1869-6716
    DOI 10.1093/tbm/ibad078
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