Financial Toxicity Is Common in Patients After Tibia Fracture

Abstract

Setting: Level I trauma center.Patients: All patients within 4 years after tibial shaft fracture (open, closed, or fracture that required flap reconstruction).Intervention: Injury-related financial distress.Main Outcome Measurements: Financial distress related to the injury, as reported by the patient in a binary question. Financial toxicity using the LIMB-Q, scored from 0 to 100, with higher scores indicating more financial toxicity.Results: Data were collected from 142 patients after tibial shaft fracture [44% closed (n = 62), 41% open (n = 58), and 15% flap (n = 22)]. The mean age was 44 years (SD 17), 61% were men, and the mean time from injury was 15 months. Financial distress was reported by 64% of patients (95% confidence interval, 56% to 72%). Financial toxicity did not differ by fracture severity (P = 0.12). Medical complications were associated with a 14-point increase in financial toxicity (P = 0.04). Age older than 65 years (215 points, P = 0.03

Financial toxicity in patients with chronic kidney disease undergoing peritoneal dialysis

“…The nancial toxicity of patients with PD-related complications was higher than that of patients without PD-related complications. Lily R. Mundy [31] investigated nancial toxicity in 142 patients with tibial shaft fractures and found that medical complications were associated with increased nancial toxicity, similar to the results of this study. PD-associated peritonitis is the most common infectious complication of PD and is associated with several negative clinical consequences, including hospitalization, increased health care utilization and costs, associated mortality and peritoneal changes [32].…”

Factors that Promote and Protect Against Financial Toxicity after Orthopaedic Trauma: A Qualitative Study

“…The high prevalence of financial distress after injury has been previously reported. 21,25 However, some pa-tients described how they were largely protected from financial toxicity after their injury. Based on our analyses, avoiding financial distress after an injury is likely attributable to one of three different scenarios.…”

“…The interview guide was informed by an extensive literature review to provide the basic direction. 6,7,[16][17][18][19][20][21][22][23][24][25][26] The questions explored the participants' current experience with financial distress, its effect on their postoperative recovery decisions, and the support they had sought or received to mitigate this financial distress (Supplemental Appendix, Interview Questions, http://links.lww.com/ JAAOS/B25).…”