Table 3.
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