Setting the stage for universal financial distress screening in routine cancer care

Nandita Khera, Jimmie C. Holland, Joan M. Griffin

Research output: Contribution to journalComment/debatepeer-review

18 Scopus citations


Financial burden from cancer treatment is increasingly being recognized as a threat to optimal access, quality, and outcomes of cancer care for patients. Although research in the area is moving at a fast pace, multiple questions remain unanswered, such as how to practically integrate the assessment and management of financial burden into routine health care delivery for patients with cancer. Although psychological distress screening for patients undergoing cancer treatment now is commonplace, the authors raise the provocative idea of universal screening for financial distress to identify and assist vulnerable groups of patients. Herein, the authors outline the arguments to support screening for financial burden in addition to psychological distress, examining it as an independent patient-reported outcome for all patients with cancer at various time points during their treatment. The authors describe the proximal and downstream impact of such a strategy and reflect on some challenges and potential solutions to help integrate this concept into routine cancer care delivery. Cancer 2017;123:4092–4096.

Original languageEnglish (US)
Pages (from-to)4092-4096
Number of pages5
Issue number21
StatePublished - Nov 1 2017


  • care delivery
  • financial distress
  • psychological distress
  • screening

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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