Age-Related Differences in Financial Toxicity and Unmet Resource Needs Among Adolescent and Young Adult Cancer Patients

Kaddas, Heydon K.; Pannier, Samantha T.; Mann, Karely; Waters, Austin R.; Salmon, Sara; Tsukamoto, Tomoko; Warner, Echo L.; Fowler, Brynn; Lewis, Mark A.; Fair, Douglas; Kirchhoff, Anne C.

doi:10.1089/jayao.2019.0051

Cited by 47 publications

(44 citation statements)

References 20 publications

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“…Moreover, patients who diagnosed with cancer at younger ages (50 years old below) reported greater financial toxicity than elderly survivors (above 50 years old). This is consistent with past studies such as Ramsey et al (2013) and Kaddas et al (2020). Younger cancer survivors are 2 to 5 times higher in bankruptcy rate and prone to greater financial toxicity compared to cancer patients aged 65 or older.…”

Section: The Inference Of Socio-demographic and Clinical Differences supporting

confidence: 92%

Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak

Yap

Wong

Chew

et al. 2020

Asian Pac J Cancer Prev

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Cancer is a chronic disease that exhibits a huge global health concern. According to World Health Organization (2018), cancer accounts for 9.6 million global deaths. It is estimated that one in six deaths is due to cancer. Common cancers worldwide include lung, breast, colorectal, prostate and stomach cancers. In Malaysia, it is estimated that one in four Malaysian is suffering from cancer (Akhtari-Zavare et al., 2018).The five most common cancers include breast, colorectal, lung, lymphoma and nasopharyngeal cancer as reported in the Malaysian National Cancer Registry Report 2012-2016 (Azizah et al., 2019). In that period of time, there was 11.3% increase (or 103,507 new cases) in the incidence of cancer (Azizah et al., 2019). Besides that, out-of-pocket expenditure will cause the

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Section: The Inference Of Socio-demographic and Clinical Differences supporting

confidence: 92%

Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak

Yap

Wong

Chew

et al. 2020

Asian Pac J Cancer Prev

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“…For younger adults and adolescents who were still financially dependent on parents, this occupational disruption is likely to have been experienced differently. 26 These early work-related setbacks could start a cascade toward reduced occupational opportunities and persistent financial distress that has been reported elsewhere. 8,15,27 Our findings, however, should be interpreted in light of several limitations.…”

Section: Discussionmentioning

confidence: 84%

Impact of cancer on school, work, and financial independence among adolescents and young adults

Sisk

Fasciano

Block

et al. 2020

Cancer

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Background For adolescents and young adults (AYAs), the diagnosis of cancer can impede social development, especially with respect to education, employment, and financial independence. However, there are limited quantitative data on the extent and trajectory of life disruptions during cancer treatment for AYA patients. Methods This was a longitudinal, prospective, questionnaire‐based cohort study of 145 AYA patients with cancer aged 15 to 29 years who were treated at a large academic cancer center. Questionnaires were administered shortly after diagnosis and 4 and 12 months after diagnosis. Results Although half of the participants lived with their parents 6 months before diagnosis, 61% lived with their parents after diagnosis (P = .0002 vs 6 months before diagnosis), with a similar proportion reported to be living with their parents 4 months after diagnosis (61%; P = .001) and 55% doing so 12 months after diagnosis (P = .07). Before diagnosis, 38% of the patients were not attending school. After diagnosis, that proportion rose to 61% (P < .0001), with a similar proportion 4 months after diagnosis (61%; P < .0001); 54% were not in school at 12 months (P = .001). Patients experienced similar decrements in employment (30% not working before diagnosis vs 49% not working after diagnosis; P < .0001) and financial independence (37% with complete financial independence before diagnosis vs 31% after diagnosis; P = .02). Overall, 65% of the patients (94 of 145) had not returned to their precancer baseline in at least 1 of these 4 social domains by 12 months after diagnosis. Conclusions For many AYA patients, cancer leads to less engagement with school and work activities and decreased financial independence from parents. Clinicians should engage in early and ongoing discussions with patients about the potential impact of cancer on their lives.

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“…Some authors [ 22 ] studied samples with different ages to verify the COST score in samples with different characteristics and observed an average score of 24.84 among individuals aged 15 to 25 years old, and 18.22 among those in the age range 26 to 39 years old. We can conclude with the study that younger people have greater financial toxicity in that sample.…”

Section: Discussionmentioning

confidence: 99%

Validation of the comprehensive score for financial toxicity for Brazilian culture

Nogueira¹,

Koller²,

Marcondes³

et al. 2020

ecancer

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Financial toxicity is a side effect of cancer treatment showing the financial burden experienced by cancer patients for funding their treatment. An instrument for its evaluation can contribute towards the creation of coping strategies. In Brazil, a developing country, cancer patients certainly feel the effects of this serious adverse event, however, the discussion on the theme and research concerning these issues is scarce and an instrument for evaluation can help in the promotion of coping strategies. Thus, the study objective was to: 1) translate and adapt the COmprehensive Score for financial Toxicity (COST) questionnaire to Brazilian culture and 2) evaluate the COST psychometric properties in Brazil. Thus, a methodological study was developed in two stages. In the first stage, the translation and cross-cultural adaptation were performed, and in the second stage, two groups of participants were recruited to evaluate the psychometric properties. In the first stage, 21 individuals participated, including translators and cancer patients, and in the second stage, 126 patients participated who were undergoing cancer treatment. For validation, exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and Cronbach’s alpha coefficient were performed to verify internal consistency. For the first stage’s outcome, the pre-test Cronbach’s alpha was 0.83. The EFA and CFA carried out in the second stage of the study revealed that the COST Brazilian version measures a single construct with a value of—χ2/gl = 179.78, comparative fit index = 0.00, Parsimony goodness of fit index = 0.302, root mean square error of approximation = 1.196 and p-value of close fit = 0.000. When comparing the average of the COST score and the standard deviation of the two samples, the significance value was p = 0.001. Therefore, it is possible to confirm that the COST is a valid and reliable questionnaire to measure the financial toxicity of cancer patients in Brazil.

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Age-Related Differences in Financial Toxicity and Unmet Resource Needs Among Adolescent and Young Adult Cancer Patients

Cited by 47 publications

References 20 publications

Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak

Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak

Impact of cancer on school, work, and financial independence among adolescents and young adults

Validation of the comprehensive score for financial toxicity for Brazilian culture

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