A national cross-sectional survey of financial toxicity among bladder cancer patients

Ehlers, Mark; Bjurlin, Marc A.; Gore, John L.; Pruthi, Raj S.; Narang, Gopal; Tan, Ray; Nielsen, Matthew E.; Zhu, Anqi; Deal, Allison M.; Smith, Angela M.

doi:10.1016/j.urolonc.2020.09.030

Cited by 25 publications

(26 citation statements)

References 27 publications

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“…In this study, age and household size were associated with financial toxicity. Patients with increased age had a lower probability of having financial toxicity, which is consistent with the results of previous studies [ 22 , 41 – 43 ]. Younger adults may not have additional resources such as retirement funds or home equity to ease their financial burden [ 44 ].…”

Section: Discussionsupporting

confidence: 92%

Financial toxicity in female patients with breast cancer: a national cross-sectional study in China

Liu

Han

et al. 2022

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Purpose To quantify financial toxicity of female patients with breast cancer in China and investigate its factors and patients’ coping strategies. Methods The Comprehensive Score for Financial Toxicity (COST) is defined by using a structured questionnaire containing 12 items measuring perceived affordability of healthcare services, with the range of scoring of which being from 0 to 44 (higher score indicates lower financial toxicity). From January to March 2021, a total of 664 female patients diagnosed with stage 0–IV breast cancer were recruited from 33 public tertiary cancer hospitals located in 31 provinces of China. Multivariate linear regression models were used. Results The median age of patients was 48 years (range: 26–84 years), and 62.04% lived in urban areas. The median COST score was 21.00 (interquartile range: 15–26). Older age, higher household income, and better self-reported health status were associated with lower financial toxicity, while a bigger household size, being retired or unemployed, stage IV cancer, and a history of targeted therapy were associated with higher financial toxicity (all P < 0.05). Nearly half of the patients reported using at least one coping strategy, including considering quitting treatment, delaying treatment, and failing to take medicine or attend medical visits as instructed. The people with increased financial toxicity seem to adopt more coping strategies. Conclusions Financial toxicity and coping strategies are common among Chinese women with breast cancer. An understanding of the factors regarding financial toxicity may help oncologists and policy-makers identify at-risk patients and develop targeted interventions.

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Section: Discussionsupporting

confidence: 92%

Financial toxicity in female patients with breast cancer: a national cross-sectional study in China

Liu

Han

et al. 2022

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“…31 Furthermore, health utilities were estimated in 3 of 5 studies that measured HRQOL using EQ-5D instruments. [59][60][61] Findings of these studies suggest that there is a significant association between financial toxicity and utility loss, and therefore, it may be possible that the mitigation of financial toxicity improves quality-adjusted life-year gains in patients with cancer and survivors.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Score for Financial Toxicity and Health-Related Quality of Life in Patients With Cancer and Survivors: A Systematic Review and Meta-Analysis

Pangestu

Rencz²

2023

Value in Health

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“… 25 Additionally, patients with lung cancer in China and worldwide had higher FT compared with that for other cancer types, such as breast, bladder, and localized prostate cancers. 6 , 33 , 34 Although Universal Healthcare Coverage has existed in China since 2009, the proportion of out‐of‐pocket costs in total health expenditure is more than 25%. 35 Furthermore, with the development of innovative treatments for lung cancer such as immune and targeted therapy, treatment‐related costs continue to increase.…”

Section: Discussionmentioning

confidence: 99%

Financial toxicity of patients with lung cancer in China: Results from a National Survey Study

2022

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Financial toxicity (FT) refers to the subjective financial distress and objective financial burden of medical care expenditures. 1 An increasing amount of attention has been paid to FT in patients with cancer, in large part due to the rising costs of cancer diagnosis and treatment. 2 Previous studies of FT in cancer patients have examined the prevalence of FT among subgroups of patients with different cancer types, 3-6 cancer stages, 5,7,8 treatment schemes, 5,9 healthcare coverage systems, [10][11][12] or other subgroups as well as related factors of FT. These studies indicated

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A national cross-sectional survey of financial toxicity among bladder cancer patients

Cited by 25 publications

References 27 publications

Financial toxicity in female patients with breast cancer: a national cross-sectional study in China

Financial toxicity in female patients with breast cancer: a national cross-sectional study in China

Comprehensive Score for Financial Toxicity and Health-Related Quality of Life in Patients With Cancer and Survivors: A Systematic Review and Meta-Analysis

Financial toxicity of patients with lung cancer in China: Results from a National Survey Study

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