Financial Toxicity: A Review of the Literature and Nursing Opportunities

Thomas, Teresa Hagan; Hughes, Therese; Mady, Leila J.; Belcher, Sarah M.

doi:10.1188/19.cjon.s2.5-13

Cited by 19 publications

(19 citation statements)

References 44 publications

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“…Perceptions from some GPs that people from affluent areas did not have financial concerns related to cancer are not consistent with the literature. Numerous studies have identified that often patients, who at the onset of a cancer diagnosis, can afford cancer care may still experience FT relating to decreases in savings and assets, and an inability to return to work after treatment [9,15,25]. It is important that up-to-date data about service wait times and outcomes are clear, so GPs can facilitate patients' informed treatment decision-making.…”

Section: Discussionmentioning

confidence: 99%

Exploring the role of general practitioners in addressing financial toxicity in cancer patients

Thamm

Fox

Hart

et al. 2021

Support Care Cancer

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Purpose Financial toxicity (FT) describes financial distress or hardship as an outcome of cancer and its treatment. Minimising the impact of FT requires early assessment and intervention. General practice plays a significant role in the support of a person with cancer and may have an important role in the management of FT. The purpose of this study was to understand perspectives of general practitioners (GP) on addressing FT in the primary care setting, which may then help inform strategies to further support collaborative efforts to address FT. Methods A qualitative interpretive approach was utilised for this study. GPs were recruited through a GP conference and other professional networks using purposive, snowballing sampling techniques. Data collection continued until sufficient rich data had been obtained. Interviews were recorded and transcribed verbatim. The data were analysed using inductive analysis techniques. Results Twenty (n = 20) GPs participated in semi-structured in-depth telephone interviews. GPs identified that their role positions them well to provide some FT support, but there are limitations. Perceptions and philosophies about cancer management were drivers of referrals and financial conversations. Priorities for care of FT by GPs included improved cost information provision and accessible support. Conclusion GPs can play an important role in helping to address FT associated with cancer and its treatments if supported with the right information.

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Section: Discussionmentioning

confidence: 99%

Exploring the role of general practitioners in addressing financial toxicity in cancer patients

Thamm

Fox

Hart

et al. 2021

Support Care Cancer

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“…Personal financial strain has been identified as a relevant stressor across diverse caregiving context, including late-life frailty (Kang, 2020), dementia (Liu et al, 2019), cancer (Thomas et al, 2019) and TBI (Sabella & Suchan, 2019). Yet, there is limited empirical research to support a tendency for use of personal rather than social resourcefulness.…”

Section: Discussionmentioning

confidence: 99%

Caregivers’ Use of Personal and Social Resourcefulness: Differences by Care Recipient Condition

et al. 2021

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Although family caregivers who use both the personal and social resourcefulness skills have the best health outcomes, it is unknown whether their tendency toward personal or social resourcefulness varies by their care recipient’s condition. This cross-sectional study of existing data from 234 caregivers of persons with various conditions examined five item pairs from the Resourcefulness Scale© with responses capturing personal and social resourcefulness in relation to anxiety, anger, sadness, indecision, and financial distress. Caregivers were categorized by the recipient’s condition (amyotrophic lateral sclerosis, cancer, dementia, mental illness, Parkinson’s disease, stroke, traumatic brain injury, other, or multiple conditions). Findings showed that across most groups, caregivers used both personal and social resourcefulness when angry, sad, or indecisive and personal resourcefulness when anxious or managing money. Caregivers of persons with cancer, traumatic brain injury, stroke, and mental illness differed. The findings provide a basis for future clinical trials across diverse caregiver groups.

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“…The author has termed this activity developing therapeutic alliances [52,114]. Quality specialists, nurse educators, oncology navigators, nurse practitioners, physician assistants, and dietitians with oncology experience are especially skilled at facilitating therapeutic alliances and family-centered care [13,[53][54][55][56]96,114,115]. Table 6 illustrates some aspects of developing therapeutic alliances to anticipate and ameliorate chemotherapy and radiation toxicity and improve the journey of receiving cancer therapy.…”

Section: Improved Informationmentioning

confidence: 99%

“…The proliferation of internet information (and some misinformation) along with very common use of dietary supplements shows how patient and caregivers perceive the life-or-death nature of cancer not only as very serious, but also quite worthy of extra time and effort to improve wellbeing. Furthermore, patient/caregiver time away from work or school coupled with high costs of cancer therapy also make cancer emotionally and financially toxic [5][6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Strategies to Mitigate Chemotherapy and Radiation Toxicities That Affect Eating

et al. 2021

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Background: Cancer and its therapy is commonly associated with a variety of side effects that impact eating behaviors that reduce nutritional intake. This review will outline potential causes of chemotherapy and radiation damage as well as approaches for the amelioration of the side effects of cancer during therapy. Methods: Information for clinicians, patients, and their caregivers about toxicity mitigation including nausea reduction, damage to epithelial structures such as skin and mucosa, organ toxicity, and education is reviewed. Results: How to anticipate, reduce, and prevent some toxicities encountered during chemotherapy and radiation is detailed with the goal to improve eating behaviors. Strategies for health care professionals, caregivers, and patients to consider include (a) the reduction in nausea and vomiting, (b) decreasing damage to the mucosa, (c) avoiding a catabolic state and muscle wasting (sarcopenia), and (d) developing therapeutic alliances with patients, caregivers, and oncologists. Conclusions: Although the reduction of side effects involves anticipatory guidance and proactive team effort (e.g., forward observation, electronic interactions, patient reported outcomes), toxicity reduction can be satisfying for not only the patient, but everyone involved in cancer care.

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Financial Toxicity: A Review of the Literature and Nursing Opportunities

Cited by 19 publications

References 44 publications

Exploring the role of general practitioners in addressing financial toxicity in cancer patients

Exploring the role of general practitioners in addressing financial toxicity in cancer patients

Caregivers’ Use of Personal and Social Resourcefulness: Differences by Care Recipient Condition

Strategies to Mitigate Chemotherapy and Radiation Toxicities That Affect Eating

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