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. Author manuscript; available in PMC: 2018 May 15.
Published in final edited form as: Cancer. 2016 Nov 28;123(6):928–939. doi: 10.1002/cncr.30423

Table 3.

Summary of Articles that Examined Outcomes Associated with Cost Communication

Author (year), Country Population and Characteristics Site Sample Size Costs Discussed, % Outcome Notes
Kelly et al (2015),17 USA - Previously treated metastatic breast, lung, or colorectal cancer patients
- 51.1% annual household income > $60,000
- 100% insured
single institute 96 28% Satisfaction: 81.2% had no negative feelings or conflicts when discussing costs with providers - patients recruited through participating physicians
- patient satisfaction measured using
Satisfaction with Decision Scale
- data collected using questionnaire
Bestvina et al (2014),13 USA
Zafar et al (2015),14 USA
- adults receiving anticancer therapy
- 80% income > $60,000
- 100% insured, 56% private
1 academic cancer center+3 affiliated rural oncology clinics 300 19% Non-adherence: higher odds of non-adherence with cost discussion [OR=2.58, 95% CI, 1.14 to 5.85]
OOP costs: 57% lower costs due to cost discussions
- convenience sample from participating sites
- focused on OOP costs
- 27% nonadherence, self-reported
- data collected via in person interviews at baseline and 3-month in person or phone follow-up

NOTE: OOP: out-of-pocket; OR: odds ratio; CI: confidence interval