{"id":"https://openalex.org/W2778096494","doi":"https://doi.org/10.1200/jco.2017.74.5091","title":"Association of Patient Out-of-Pocket Costs With Prescription Abandonment and Delay in Fills of Novel Oral Anticancer Agents","display_name":"Association of Patient Out-of-Pocket Costs With Prescription Abandonment and Delay in Fills of Novel Oral Anticancer Agents","publication_year":2017,"publication_date":"2017-12-20","ids":{"openalex":"https://openalex.org/W2778096494","doi":"https://doi.org/10.1200/jco.2017.74.5091","mag":"2778096494","pmid":"https://pubmed.ncbi.nlm.nih.gov/29261440"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2017.74.5091","doi":"https://doi.org/10.1200/jco.2017.74.5091","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2017.74.5091","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://repository.upenn.edu/handle/20.500.14332/38253","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065207720","display_name":"Jalpa A. Doshi","orcid":"https://orcid.org/0000-0002-3263-4337","observed_orcids":["https://orcid.org/0000-0002-3263-4337","https://orcid.org/0000-0001-7824-8688"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jalpa A. Doshi","raw_affiliation_strings":["Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104668889","display_name":"Pengxiang Li","orcid":"https://orcid.org/0000-0002-0795-6684","observed_orcids":["https://orcid.org/0000-0002-0795-6684"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pengxiang Li","raw_affiliation_strings":["Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112577594","display_name":"Hairong Huo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hairong Huo","raw_affiliation_strings":["Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025358523","display_name":"Amy R. Pettit","orcid":"https://orcid.org/0009-0008-0115-8412","observed_orcids":["https://orcid.org/0009-0008-0115-8412"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy R. Pettit","raw_affiliation_strings":["Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050539242","display_name":"Katrina Armstrong","orcid":"https://orcid.org/0000-0001-5781-5970","observed_orcids":["https://orcid.org/0000-0001-5781-5970"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Katrina A. Armstrong","raw_affiliation_strings":["Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jalpa A. Doshi, Pengxiang Li, Hairong Huo, and Amy R. Pettit, University of Pennsylvania, Philadelphia, PA; and Katrina A. Armstrong, Massachusetts General Hospital, Boston, MA","institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":19.8267,"has_fulltext":false,"cited_by_count":158,"citation_normalized_percentile":{"value":0.99256849,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"36","issue":"5","first_page":"476","last_page":"482"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12708","display_name":"Economic and Financial Impacts of Cancer","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11792","display_name":"Pharmaceutical Economics and Policy","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/out-of-pocket-costs","display_name":"out-of-pocket costs","score":0.9100000262260437},{"id":"https://openalex.org/keywords/treatment-initiation-delay","display_name":"delayed treatment initiation","score":0.9190000295639038},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.45100000500679016},{"id":"https://openalex.org/keywords/private-insurance","display_name":"private insurance","score":0.8700000047683716},{"id":"https://openalex.org/keywords/types-of-insurance","display_name":"insurance type","score":0.3630000054836273},{"id":"https://openalex.org/keywords/pharmacy-type","display_name":"pharmacy type","score":0.7009999752044678}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.887628436088562},{"id":"https://openalex.org/C2779816988","wikidata":"https://www.wikidata.org/wiki/Q305418","display_name":"Abandonment (legal)","level":2,"score":0.7846195697784424},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.7396783232688904},{"id":"https://openalex.org/C204434341","wikidata":"https://www.wikidata.org/wiki/Q357789","display_name":"Adjudication","level":2,"score":0.4913770258426666},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4454892575740814},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.19872558116912842},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000284","descriptor_name":"Administration, Oral","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000970","descriptor_name":"Antineoplastic Agents","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D000970","descriptor_name":"Antineoplastic Agents","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D000970","descriptor_name":"Antineoplastic Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005102","descriptor_name":"Health Expenditures","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D009369","descriptor_name":"Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016903","descriptor_name":"Drug Monitoring","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D061665","descriptor_name":"Time-to-Treatment","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1200/jco.2017.74.5091","doi":"https://doi.org/10.1200/jco.2017.74.5091","is_oa":false,"landing_page_url":"https://doi.org/10.1200/jco.2017.74.5091","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},{"id":"pmid:29261440","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29261440","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical oncology : official journal of the American Society of Clinical Oncology","raw_type":"Journal Article"},{"id":"pmh:oai:repository.upenn.edu:20.500.14332/38253","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/handle/20.500.14332/38253","pdf_url":null,"source":{"id":"https://openalex.org/S4306402083","display_name":"ScholarlyCommons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"published","raw_type":"Brief"},{"id":"pmh:oai:repository.upenn.edu:ldi_researchbriefs-1033","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/ldi_researchbriefs/33","pdf_url":null,"source":{"id":"https://openalex.org/S4306402083","display_name":"ScholarlyCommons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Briefs","raw_type":"text"}],"best_oa_location":{"id":"pmh:oai:repository.upenn.edu:20.500.14332/38253","doi":null,"is_oa":true,"landing_page_url":"https://repository.upenn.edu/handle/20.500.14332/38253","pdf_url":null,"source":{"id":"https://openalex.org/S4306402083","display_name":"ScholarlyCommons (University of Pennsylvania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79576946","host_organization_name":"University of Pennsylvania","host_organization_lineage":["https://openalex.org/I79576946"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"published","raw_type":"Brief"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1978094513","https://openalex.org/W2029424278","https://openalex.org/W2036247719","https://openalex.org/W2036482755","https://openalex.org/W2063223428","https://openalex.org/W2074328251","https://openalex.org/W2083585578","https://openalex.org/W2090251911","https://openalex.org/W2097767249","https://openalex.org/W2099354636","https://openalex.org/W2140959461","https://openalex.org/W2154125954","https://openalex.org/W2167325977","https://openalex.org/W2529061634","https://openalex.org/W2529430742","https://openalex.org/W2590799879","https://openalex.org/W2600684215","https://openalex.org/W2643731286","https://openalex.org/W2735183683","https://openalex.org/W4239502937"],"related_works":["https://openalex.org/W2299539799","https://openalex.org/W2590482827","https://openalex.org/W4414913193","https://openalex.org/W4412443726","https://openalex.org/W2891981939","https://openalex.org/W2129176838","https://openalex.org/W1555136641","https://openalex.org/W7162554590","https://openalex.org/W4304136338","https://openalex.org/W4379281963"],"abstract_inverted_index":{"Purpose":[0],"The":[1],"number":[2],"of":[3,59,67,81,95,149,223,280],"novel":[4],"oral":[5,61,106,281],"anticancer":[6,62,107,121,229],"agents":[7],"is":[8],"increasing,":[9],"but":[10],"financial":[11],"barriers":[12],"may":[13],"limit":[14],"access.":[15],"We":[16,64,109],"examined":[17,65,111],"associations":[18],"between":[19],"out-of-pocket":[20],"(OOP)":[21],"costs":[22,274],"and":[23,45,48,89,132,202,257,266,284],"reduced":[24],"and/or":[25],"delayed":[26,75,285],"treatment":[27,133],"initiation.":[28],"Methods":[29],"This":[30],"retrospective":[31],"claims-based":[32],"study":[33],"used":[34],"2014":[35],"to":[36,71,135,155,187,193,199,294,298],"2015":[37],"data":[38],"from":[39,153],"a":[40,53],"large,":[41],"proprietary,":[42],"integrated":[43],"database":[44],"included":[46],"Medicare":[47],"commercial":[49],"insurance":[50,261],"enrollees":[51],"with":[52,78,92,158,212,277],"new,":[54],"adjudicated":[55],"prescription":[56,282],"for":[57,103,129,179,185,191,197,204,221,237],"any":[58,115],"38":[60],"agents.":[63,230],"rates":[66,148,170,279],"claim":[68,150],"reversal":[69,151],"(failure":[70],"purchase":[72],"approved":[73],"prescription),":[74],"initiation":[76,232,286],"(reversal":[77,91],"subsequent":[79],"fill":[80,94],"same":[82,96],"agent":[83,97,122],"within":[84,98,123],"90":[85,99,124],"days":[86,100],"after":[87,101,219],"adjudication),":[88],"abandonment":[90,164,283],"no":[93],"adjudication)":[102],"the":[104,141,163],"index":[105],"agent.":[108],"also":[110,234],"whether":[112],"patients":[113],"filled":[114],"alternate":[116,224],"oral,":[117,225],"injectable,":[118,226],"or":[119,227],"infusible":[120,228],"days.":[125],"Logistic":[126],"regressions":[127],"controlled":[128],"sociodemographic,":[130],"clinical,":[131],"characteristics":[134],"estimate":[136],"adjusted":[137],"rates.":[138],"Results":[139],"Among":[140],"final":[142],"sample":[143],"(N":[144],"=":[145],"38,111),":[146],"risk-adjusted":[147,169],"ranged":[152],"13%":[154],"67%,":[156],"increasing":[157],"higher":[159,172,238,278],"OOP":[160,175,239,273],"costs.":[161],"Although":[162],"rate":[165],"was":[166,233],"18%":[167,248],"overall,":[168],"were":[171,275],"in":[173,243,249],"greater":[174],"cost":[176,240],"categories":[177,241],"(10.0%":[178],"\u2264":[180,213,244],"$10":[181,214,245],"group":[182,246],"v":[183,247],"13.5%":[184],"$50.01":[186],"$100":[188],"group,":[189,195,201],"31.7%":[190],"$100.01":[192],"$500":[194],"41.0%":[196],"$500.01":[198],"$2,000":[200,206,251],"49.4%":[203],">":[205,250],"group;":[207,252],"P":[208,253],"<":[209,254],".001":[210],"compared":[211],"group).":[215],"Rates":[216],"remained":[217],"similar":[218,269],"accounting":[220],"use":[222],"Delayed":[231],"more":[235],"frequent":[236],"(3%":[242],".001).":[255],"Sensitivity":[256],"subgroup":[258],"analyses":[259],"by":[260],"type,":[262,264],"pharmacy":[263],"sex,":[265],"indication":[267],"identified":[268],"associations.":[270],"Conclusion":[271],"Higher":[272],"associated":[276],"across":[287],"cancers.":[288],"Fiscally":[289],"sustainable":[290],"strategies":[291],"are":[292],"needed":[293],"improve":[295],"patient":[296],"access":[297],"cancer":[299],"medications.":[300]},"counts_by_year":[{"year":2026,"cited_by_count":13},{"year":2025,"cited_by_count":16},{"year":2024,"cited_by_count":24},{"year":2023,"cited_by_count":20},{"year":2022,"cited_by_count":24},{"year":2021,"cited_by_count":17},{"year":2020,"cited_by_count":15},{"year":2019,"cited_by_count":13},{"year":2018,"cited_by_count":15}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2018-01-05T00:00:00"}