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Notice of Special Interest (NOSI): Addressing Cancer-Related Financial Hardship to Improve Patient Outcomes

The purpose of this Notice of Special Interest (NOSI) is to promote intervention research through investigator-initiated applications that aim to study ways to mitigate financial hardship for individuals impacted by a cancer diagnosis, including patients receiving cancer treatment, survivors, and caregivers.

Background

The 2021 Annual Report to the Nation on the Status of Cancer estimated the annual patient economic burden of cancer care to be $21 billion in 2019. Part of that burden is felt as financial hardship for patients. Financial hardship refers to the collective impact of out-of-pocket costs and lost income, psychological worry about finances, and behavioral coping responses that include delaying or foregoing recommended care and other necessities to save money. Cancer-related financial hardship is the product of varied risk factors,

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