Key clinical point: Survey results suggest that metastatic breast cancer care is a bigger financial burden for uninsured patients vs insured patients, though the insured have more financial distress related to that care.
Major finding: Overall, 68% of respondents said they worried about cancer-related financial problems, and significantly more insured individuals reported this worry (P less than .001).
Study details: Analysis of survey responses from 1,054 members of the Metastatic Breast Cancer Network, of whom about 30% were uninsured.
Disclosures: Funding for the project was provided from the National Comprehensive Cancer Network and Pfizer Independent Grants for Learning & Change.
Wheeler SB et al. Quality Care Symposium, Abstract 32
This Week's Must Reads
Intensity modulated radiation therapy may be preferable in children with extremity nonrhabdomyosarcoma soft-tissue sarcomas, Source: Rao A et al. Intl J Rad Oncology*Biology*Physics; Jan. 2019, 38-44. https://doi.org/10.1016/j.ijrobp.2018.09.005
Thrombolysis for acute ischemic stroke safe in GI malignancy, Inohara T et al. Circulation. 2018 Nov 6;138[suppl 1], Abstract A12291
Ten years of anastrozole boosts disease-free survival, Ohtani S et al. SABCS 2018, Abstract GS3-04
Outcomes better in TNBC with adjuvant chemotherapy within 30 days of surgery, Morante Z et al., SABCS 2018 Abstract GS2-05
TAO: Nonwhite ethnicity, limb infection predict poor prognosis, Le Joncour A et al. Arthritis Rheumatol. 2018;70(Suppl 10): Abstract 1885
Must Reads in Practice Management
Physician burnout linked to EHRs, Gardner R et al. J Am Med Inform Assoc. doi: 10.1093/jamia/ocy145.
Most physicians do not use telemedicine, Kane C et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05077
Health care spending slowed but fewer insured, Martin A et al. Health Affairs. 2018. doi: 10.1377/hlthaff.2018.05085
Open enrollment surge doubles plans selected , Centers for Medicare & Medicaid Services
Residents get less parental leave than faculty physicians, Magudia K et al. JAMA. 2018 Dec 11;320[22)]:2372-4; Varda B et al. JAMA. 2018 Dec 11;320:2374-7