Objective and subjective financial burden and its associations with health-related quality of life among lung cancer patients

Chen, Jieling Elaine; Lou, VW; Hong, Jian; Zhou, Zhen; Yan, Meiqiong; Zhu, Jingfen; Li, Guohong; He, Yan

doi:10.1007/s00520-017-3949-4

Cited by 55 publications

(71 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recently published Chinese study of 227 lung cancer patients aged ≥ 18 years old evaluated the association between both objective (healthcare cost to income ratio of over 40%) and subjective financial burden (perceived financial difficulty) and HRQoL. This found a significant lower level of emotional well‐being and overall HRQoL among patients with a high level of objective/subjective financial burden . In a US study of 2108 patients aged ≥ 18 years with all cancer types selected from the National Health Interview Survey, patients with “a lot” of perceived financial problems carried a four‐fold decrease in the likelihood of reporting a QoL of “good” or better (odds ratio 0.24, 95% CI 0.14‐0.40) .…”

Section: Discussionmentioning

confidence: 89%

“…Following recommendations, some recent studies discriminate cancer‐related financial hardship into material/objective hardship (financial stress, which incorporates both medical and nonmedical financial stressors for the household due to cancer) and psychological/subjective hardship (financial strain, which is individual‐perceived financial difficulties experienced because of cancer including worries about expenses for cancer care/daily living) . Most previous studies included patients with either all cancers combined or the most common cancers; little is known about cancer‐related financial stress and strain among HNC survivors.…”

Section: Introductionmentioning

confidence: 99%

“…Associations between financial hardship and various health outcomes, including health‐related quality of life (HRQoL), psychological well‐being, and mortality, have been reported. A possible circular relation between poorer health, financial strain, and poorer HRQoL has been hypothesized .…”

Section: Introductionmentioning

confidence: 99%

“…A possible circular relation between poorer health, financial strain, and poorer HRQoL has been hypothesized . Survivors with financial hardship may more often delay, discontinue, or forgo medical care and consequently have reduced HRQoL . Meanwhile, poor HRQoL may increase healthcare need, resulting in increased costs, and hence greater financial hardship .…”

Section: Introductionmentioning

confidence: 99%

“…11 Survivors with financial hardship may more often delay, discontinue, or forgo medical care 15 and consequently have reduced HRQoL. 9,16 Meanwhile, poor HRQoL may increase healthcare need, resulting in increased costs, and hence greater financial hardship. 11 A single previous HNC study tentatively suggested a positive association between patient-perceived financial burden and poor QoL.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

O’Sullivan

Sharp

2019

Psycho-Oncology

View full text Add to dashboard Cite

Objective Cancer survivors are susceptible to financial hardship. In head and neck cancer (HNC) survivors, we investigated (a) predictors for cancer‐related financial hardship and (b) associations between financial hardship and health‐related quality of life (HRQoL). Methods We conducted a cross‐sectional study in HNC survivors identified from the National Cancer Registry Ireland. HRQoL was based on the Functional Assessment for Cancer Therapy General (FACT‐G) plus Head and Neck Module (FACT‐HN). Objective cancer‐related financial hardship (financial stress) was assessed as household ability to make ends meet due to cancer and subjective financial hardship (financial strain) as feelings about household financial situation due to cancer. Modified Poisson regression was used to identify predictors for financial hardship. Bootstrap linear regression was used to estimate associations between hardship and FACT domain scores. Results Pre‐diagnosis retirement (relative risk [RR] 0.50, 95% confidence interval [CI] 0.37‐0.67), pre‐diagnosis financial stress (RR 1.85, 95% CI 1.58‐2.15), and treatment were significantly associated with objective financial hardship. Predictors of subjective financial hardship were similar: aged greater than or equal to 65 years, pre‐diagnosis financial stress, and treatment. Participants with objective financial hardship reported significantly lower physical (coefficient −3.45, 95% CI −4.39 to −2.44), emotional (−2.01, 95% CI −2.83 to −1.24), functional (−2.56, 95% CI −3.77 to −1.33) and HN‐specific HRQoL (−3.55, 95% CI −5.04 to −2.23). Physical, emotional, and functional HN‐specific HRQoL were also significantly lower in participants with subjective financial hardship. Conclusion Cancer‐related financial hardship is common and associated with worse HRQoL among HNC survivors. This supports the need for services and supports to address financial concerns among HNC survivors.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

O’Sullivan

Sharp

2019

Psycho-Oncology

View full text Add to dashboard Cite

show abstract

Perceived Economic Burden, Mortality, and Health Status in Patients With Heart Failure

Yu,

Liu,

Zhang

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceIn the face of an emerging heart failure (HF) epidemic, describing the association between perceived economic burden (PEB) and health care outcomes is an important step toward more equitable and achievable care.ObjectivesTo examine the association between PEB and risk of 1-year clinical outcomes and HF–specific health status in patients with acute decompensated HF.Design, Setting, and ParticipantsThis prospective, multicenter, hospital-based cohort study prospectively enrolled adult patients hospitalized for acute decompensated HF at 52 hospitals in China from August 2016 to May 2018, with 1-year follow-up. Data were analyzed on June 17, 2022.ExposurePerceived economic burden, categorized as severe (cannot undertake expenses), moderate (can almost undertake expenses), or little (can easily undertake expenses).Main Outcomes and MeasuresThe clinical outcomes of the study were 1-year all-cause death and rehospitalization for HF. Heart failure–specific health status was assessed by the 12-Item Kansas City Cardiomyopathy Questionnaire (KCCQ-12).ResultsAmong 3386 patients, median age was 67 years (IQR, 58-75 years) and 2116 (62.5%) were men. Of these patients, 404 (11.9%) had severe PEB; 2021 (59.7%), moderate PEB; and 961 (28.4%), little PEB. Compared with patients with little PEB, those with severe PEB had increased risk of 1-year mortality (hazard ratio [HR], 1.61; 95% CI, 1.21-2.13; P &lt; .001) but not 1-year HF rehospitalization (HR, 1.21; 95% CI, 0.98-1.49; P = .07). The mean (SD) adjusted KCCQ-12 score was lowest in patients with severe PEB and highest in patients with little PEB at baseline (40.0 [1.7] and 50.2 [1.0] points, respectively; P &lt; .001) and at each visit (eg, 12 months: 61.5 [1.6] and 75.5 [0.9] points respectively; P &lt; .001). Patients reporting severe PEB had a clinically significant lower 1-year KCCQ-12 score compared with those reporting little PEB (mean difference, −11.3 points; 95% CI, −14.9 to −7.6 points; P &lt; .001).Conclusions and RelevanceIn this cohort study of patients with acute decompensated HF, greater PEB was associated with higher risk of mortality and poorer health status but not with risk of HF rehospitalization. The findings suggest that PEB may serve as a convenient tool for risk estimation and as a potential target for quality-improvement interventions for patients with HF.

show abstract

The Validation of the COmprehensive Score for Financial Toxicity (COST) Scale in Greek Language

Fradelos,

Prapa,

Tsaras

et al. 2023

Advances in Experimental Medicine and Biology

View full text Add to dashboard Cite

Objective and subjective financial burden and its associations with health-related quality of life among lung cancer patients

Abstract: Health-cost-to-income ratio and perceived financial difficulty can be implied as objective and subjective indicators of financial burden to identify the patients who may need additional assistance. Communication on deciding on cost-effective treatments can be facilitated.

Cited by 55 publications

References 28 publications

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

Cancer‐related financial hardship among head and neck cancer survivors: Risk factors and associations with health‐related quality of life

Perceived Economic Burden, Mortality, and Health Status in Patients With Heart Failure

The Validation of the COmprehensive Score for Financial Toxicity (COST) Scale in Greek Language

Contact Info

Product

Resources

About