Additional financial costs borne by cancer patients: A narrative review

Brooks, Joanna; Wilson, Kurt; Amir, Ziv

doi:10.1016/j.ejon.2010.10.005

Cited by 42 publications

(41 citation statements)

References 40 publications

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“…At the same time, health inequalities are growing (Maron & Mielck, 2014) and lower socioeconomic status is associated with higher mortality and morbidity, not for all but many cancers (Klein & Knesebeck, 2014). A cancer diagnosis may put patients and families at financial risk, both due to a reduction of income (Noeres et al, 2013) during the course of the disease and co-pay for home help or travel expenses (Brooks, Wilson, & Amir, 2011;Dubach, Oesch, Künzi, & Gourmand, 2009;Walther, 2011), and not all cancer patients benefit from the tremendous research advances in oncology equally well (Patel et al, 2014). Social workers in hospitals are one central resource to help compensate for these social pathologies (Craig, Bejan, & Muskat, 2013).…”

Section: Discussionmentioning

confidence: 98%

Social Service Counseling in Cancer Centers Certified by the German Cancer Society

Kowalski

Ferencz

Weis³

et al. 2015

Social Work in Health Care

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Social workers are an integral part of care provided in cancer centers that are certified according to the requirements of the German Cancer Society. This article reports on the tasks of social workers in German cancer care and on the proportion of patients that receives social service counseling (SSC) in breast, lung, colorectal, skin, gynecological, prostate, pancreas, neurological, and head and neck cancer centers based on data from 367,297 patients treated between 2009 and 2012. The highest proportions of patients (median >75%) are provided with SSC in breast and colorectal cancer centers, whereas the median is below 30% in skin cancer centers. Variation between centers and center types is high.

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Section: Discussionmentioning

confidence: 98%

Social Service Counseling in Cancer Centers Certified by the German Cancer Society

Kowalski

Ferencz

Weis³

et al. 2015

Social Work in Health Care

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“…Alternatively, it may reflect the lasting or late-onset health effects that therapeutic radiation can cause in survivors, 32 as has been shown for chemotherapy. 10,33 Recurrence or multiple cancer diagnoses present major financial challenges to survivors, often requiring additional time away from employment, added out-of-pocket expenditures, and a potential threat to their ability to maintain health insurance (possibly as a result of job loss). Although an observed lower likelihood of financial problems in longer-term survivors was evident in the current study, other studies have documented the persistence of severe financial problems (although not specifically cancer-related) well into posttreatment survivorship.…”

Section: Discussionmentioning

confidence: 99%

Are survivors who report cancer‐related financial problems more likely to forgo or delay medical care?

Kent

Forsythe

Yabroff

et al. 2013

Cancer

338

322

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BACKGROUND Financial problems caused by cancer and its treatment can substantially affect survivors and their families and create barriers to seeking health care. METHODS The authors identified cancer survivors diagnosed as adults (n = 1556) from the nationally representative 2010 National Health Interview Survey. Using multivariable logistic regression analyses, the authors report sociodemographic, clinical, and treatment-related factors associated with perceived cancer-related financial problems and the association between financial problems and forgoing or delaying health care because of cost. Adjusted percentages using the predictive marginals method are presented. RESULTS Cancer-related financial problems were reported by 31.8% (95% confidence interval, 29.3%–34.5%) of survivors. Factors found to be significantly associated with cancer-related financial problems in survivors included younger age at diagnosis, minority race/ethnicity, history of chemotherapy or radiation treatment, recurrence or multiple cancers, and shorter time from diagnosis. After adjustment for covariates, respondents who reported financial problems were more likely to report delaying (18.3% vs 7.4%) or forgoing overall medical care (13.8% vs 5.0%), prescription medications (14.2% vs 7.6%), dental care (19.8% vs 8.3%), eyeglasses (13.9% vs 5.8%), and mental health care (3.9% vs 1.6%) than their counterparts without financial problems (all P<.05). CONCLUSIONS Cancer-related financial problems are not only disproportionately represented in survivors who are younger, members of a minority group, and have a higher treatment burden, but may also contribute to survivors forgoing or delaying medical care after cancer.

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“…Associations between financial status and unmet needs have been reported ( [13], [14]) and Brooks et al [15] have demonstrated that financial hardship is common post-cancer diagnosis. Historically, this is likely to be particularly pertinent for head and neck cancer survivors, since the socio-economic distribution of this patient group suggests that many may be at risk of financial hardship.…”

Section: Introductionmentioning

confidence: 99%

Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Associations between neighbourhood support and financial burden with unmet needs in survivors of head and neck cancer. Abstract: PurposeTo assess the unmet needs of head and neck cancer survivors and investigate associated factors. In particular, to explore whether social support (family/friends and neighbours) and financial burden are associated with unmet needs of head and neck cancer (HNC) survivors. MethodsThis was a cross-sectional study of HNC survivors, with 583 respondents included in the analysis. Information was collected on unmet supportive care needs as measured by the Supportive Care Needs Survey (SCNS-SF34).Poisson regression with robust standard errors was used to examine factors associated with having one or more needs in each of the five domains (physical; psychological; sexuality; patient care and support; and health system and information). ResultsThe mean age of respondents was 62.9 years (standard deviation 11.3 years) and one third of respondents were female. The top ten unmet needs was composed exclusively of items from the physical and psychological domains. Financial strain due to cancer and finding it difficult to obtain practical help from a neighbour were both associated with unmet needs in each of the five domains, in the adjusted analyses. ConclusionWhilst in each domain, a minority of respondents have unmet needs, approximately half of respondents reported at least one unmet need, with the commonest unmet needs in the psychological domain. Providing services to people with these needs should be a priority for healthcare providers. We suggest that studies, which identify risk factors for unmet needs, could be used to develop screening tools or aid in the targeting of support.

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Additional financial costs borne by cancer patients: A narrative review

Cited by 42 publications

References 40 publications

Social Service Counseling in Cancer Centers Certified by the German Cancer Society

Social Service Counseling in Cancer Centers Certified by the German Cancer Society

Are survivors who report cancer‐related financial problems more likely to forgo or delay medical care?

Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors

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