Financial burden of thyroid cancer in the United States: An estimate of economic and psychological hardship among thyroid cancer survivors

Barrows, Courtney E.; Belle, Janeil; Fleishman, Aaron; Lubitz, Carrie C.; James, Benjamin C.

doi:10.1016/j.surg.2019.09.010

Cited by 37 publications

(61 citation statements)

References 32 publications

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“…34 Another study of thyroid cancer survivors showed that only younger age and a lack of health insurance coverage were independently associated with psychological financial hardship. 35 Our previous studies indicated that younger patients and their families were more likely to receive treatments in high-level hospitals and to spend more on cancer care than older patients. [36][37][38] Our results showed that age did have an impact on disparities in borrowing money or going into debt among patients with cancer.…”

Section: Discussionmentioning

confidence: 99%

Financial hardship in Chinese cancer survivors

Lao

Zhang

et al. 2020

Cancer

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BACKGROUND: The purpose of this study was to estimate the proportion of Chinese cancer survivors experiencing financial hardship and then examine the relationship between material and behavioral financial hardship. METHODS: This study surveyed 964 cancer survivors who were 30 to 64 years old and 644 survivors who were 65 years old or older during 2015-2016 (1608 survivors in all). Material financial hardship was measured by whether they had borrowed money because of cancer, its treatment, or the lasting effects of treatment, and behavioral financial hardship was measured by whether they had forgone some cancer-related medical care because of cost. Multivariable logistic regression models were used to examine factors associated with material financial hardship by age group. RESULTS: Approximately 44% of the cancer survivors who were 65 years old or older borrowed money or went into debt because of cancer, and 54% of younger patients (P < .01) reported cancer-related debts. Among these survivors with cancer care debt, survivors aged 65 years old or older had a lower proportion of borrowing more than 50,000 Chinese yuan (CNY; approximately US $7700) than survivors aged 30 to 64 years (14% vs 20%). In both age groups, approximately 10% of cancer survivors reported that they had experienced behavioral financial hardship. After adjustments for covariates, cancer survivors who reported material financial problems were more likely to report behavioral financial hardship (odds ratio [OR] for those aged 30-64 years, 3.72; 95% confidence interval [CI], 2.13-6.50; OR for those aged 65 years or older, 5.48; 95% CI, 2.69-11.15). CONCLUSIONS: Older cancer survivors in China experience significant material financial hardship, but it is not as noticeable as younger patients' hardship. The results highlight the importance of identifying cancer survivors who are more likely to experience financial hardship and improving the affordability of cancer care in China.

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Section: Discussionmentioning

confidence: 99%

Financial hardship in Chinese cancer survivors

Lao

Zhang

et al. 2020

Cancer

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“…Other studies have attempted to estimate the costs of cancer on a population level but these were either for the short term [9,55,56] and/or focused on selected type/s of cancer [8,[57][58][59][60][61][62][63][64]. For example, Luengo-Fernandez et al [55] performed a population-based cost analysis for breast, colorectal, lung and prostate cancer across the European Union (27 countries) from a societal perspective, including healthcare costs, informal care costs and productivity losses.…”

Section: Discussionmentioning

confidence: 99%

Lifetime Costs of Surviving Cancer—A Queensland Study (COS-Q): Protocol of a Large Healthcare Data Linkage Study

Merollini

Gordon

Aitken

et al. 2020

IJERPH

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Australia-wide, there are currently more than one million cancer survivors. There are over 32 million world-wide. A trend of increasing cancer incidence, medical innovations and extended survival places growing pressure on healthcare systems to manage the ongoing and late effects of cancer treatment. There are no published studies of the long-term health service use and cost of cancer survivorship on a population basis in Australia. All residents of the state of Queensland, Australia, diagnosed with a first primary malignancy from 1997–2015 formed the cohort of interest. State and national healthcare databases are linked with cancer registry records to capture all health service utilization and healthcare costs for 20 years (or death, if this occurs first), starting from the date of cancer diagnosis, including hospital admissions, emergency presentations, healthcare costing data, Medicare services and pharmaceuticals. Data analyses include regression and economic modeling. We capture the whole journey of health service contact and estimate long-term costs of all cancer patients diagnosed and treated in Queensland by linking routinely collected state and national healthcare data. Our results may improve the understanding of lifetime health effects faced by cancer survivors and estimate related healthcare costs. Research outcomes may inform policy and facilitate future planning for the allocation of healthcare resources according to the burden of disease.

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“…Prior studies have shown that financial burden and distress are prevalent in thyroid cancer survivors (3,4,8). In a recent study by Barrows et al,(8) using the 2011 Medical Expenditure Panel Survey Experiences with Cancer database, it was demonstrated that thyroid cancer survivors (n = 470,772) reported psychological financial burden more frequently than non-thyroid cancer survivors in the United States (n = 7,064,295; P = 0.04). Additionally, thyroid cancer survivors were twice as likely to report debt than patients with the other cancer types evaluated in Barrows et al's study.…”

Section: Commentarymentioning

confidence: 96%

Financial Toxicity Is Associated with Poorer Quality of Life in Thyroid Cancer Survivors

Papaleontiou

2020

Clinical Thyroidology

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Background More than 50,000 Americans are diagnosed with thyroid cancer each year (1). Owing to excellent survival rates, with a 5-year survival rate reaching 98%, it is estimated that more than 750,000 thyroid cancer survivors are living in the United States (1,2). In view of the fact that thyroid cancer mostly affects younger individuals, the majority of thyroid cancer patients are working-age adults who do not yet qualify for government health insurance benefits. Prior studies have indicated that thyroid cancer patients are at risk for financial burden and have high rates of bankruptcy (3,4). Additionally, it has been shown that severe financial distress, a state that may require bankruptcy protection after a cancer diagnosis, appears to be a risk factor for mortality (4). Despite evidence that financial burden and distress are common in thyroid cancer survivors, their impact on quality of life in this population is understudied. The main objective of this study (5) was to evaluate the magnitude of financial burden among thyroid cancer survivors and the impact of that burden on health-related quality of life (HRQOL).

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Financial burden of thyroid cancer in the United States: An estimate of economic and psychological hardship among thyroid cancer survivors

Cited by 37 publications

References 32 publications

Financial hardship in Chinese cancer survivors

Financial hardship in Chinese cancer survivors

Lifetime Costs of Surviving Cancer—A Queensland Study (COS-Q): Protocol of a Large Healthcare Data Linkage Study

Financial Toxicity Is Associated with Poorer Quality of Life in Thyroid Cancer Survivors

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