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@ARTICLE{Thong:177019,
      author       = {M. Thong$^*$ and D. Doege$^*$ and L. Weißer$^*$ and L.
                      Koch-Gallenkamp$^*$ and H. Bertram and A. Eberle and B.
                      Holleczek and A. Nennecke and A. Waldmann and S. R. Zeissig
                      and R. Pritzkuleit and M. Schlander$^*$ and H. Brenner$^*$
                      and V. Arndt$^*$},
      title        = {{H}ealth and life insurance-related problems in very
                      long-term cancer survivors in {G}ermany: a population-based
                      study.},
      journal      = {Journal of cancer research and clinical oncology},
      volume       = {148},
      number       = {1},
      issn         = {0171-5216},
      address      = {Heidelberg},
      publisher    = {Springer},
      reportid     = {DKFZ-2021-02249},
      pages        = {155-162},
      year         = {2022},
      note         = {#EA:C071#LA:C071# / 2022 Jan;148(1):155-162},
      abstract     = {Limited research suggests that cancer survivors have
                      problems with insurance. Our study aimed to gain insight
                      into the proportion of very long-term (14-24 years
                      post-diagnosis) survivors of breast, colorectal, and
                      prostate cancers who had problems with health (HI) and life
                      (LI) insurance.We used data from CAESAR (CAncEr
                      Survivorship-A multi-Regional population-based study).
                      Participants completed questions on change in insurance
                      providers since cancer diagnosis, problems with requesting
                      (additional) HI or LI, and how potential problems were
                      resolved. We conducted logistic regression to determine
                      factors associated with change in statutory HI.Of the 2714
                      respondents, 174 $(6\%)$ reported having changed HI
                      providers. Most switched between different statutory HI
                      providers $(86\%),$ $9\%$ from statutory to private, and
                      $5\%$ from private to statutory. Respondents who changed
                      statutory HI providers were more likely to be prostate
                      cancer survivors (OR 2.79, $95\%$ CI 1.01-7.68) while being
                      ≥ 65 years at time of diagnosis (OR 0.58, $95\%$ CI
                      0.35-0.96) and having ≥ 2 comorbid conditions (OR 0.61,
                      $95\%$ CI 0.40-0.92) were associated with reduced odds for
                      change. Problems in changing HI were minimal and were
                      resolved with additional contribution. Of the 310
                      respondents who tried to get LI, 25 respondents reported
                      having difficulties, of whom the majority had their request
                      rejected.Most cancer survivors did not change their HI nor
                      tried to buy LI after cancer diagnosis. Problems with
                      changing statutory HI were generally resolved with
                      additional contribution while the main problem encountered
                      when buying LI was rejection of request.},
      keywords     = {Cancer survivors (Other) / Financial toxicity (Other) /
                      Insurance problems (Other) / Population-based (Other)},
      cin          = {C071 / C070 / C100 / C120 / HD01},
      ddc          = {610},
      cid          = {I:(DE-He78)C071-20160331 / I:(DE-He78)C070-20160331 /
                      I:(DE-He78)C100-20160331 / I:(DE-He78)C120-20160331 /
                      I:(DE-He78)HD01-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:34642793},
      doi          = {10.1007/s00432-021-03825-x},
      url          = {https://inrepo02.dkfz.de/record/177019},
}