Financial toxicity and its associated patient and cancer factors among women with breast cancer: a single-center analysis of low-middle income region in China

Jing, Jingfeng; Ran, Feng; Zhang, Xiaojun; Li, Ming; Gao, Jinnan

doi:10.1007/s10549-020-05632-3

Cited by 43 publications

(71 citation statements)

References 35 publications

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“…The negative economic impact on survivors can be exacerbated by reduced income during care and or recovery and health services related to longterm care, as investigated in the research conducted by Mady et al 21 The correlation of low income on financial toxicity is also supported by Jing et al and Hoang et al that found low-income households have worse financial toxicity compared to those with high income. 14,15 This is an expected phenomenon as higherincome provide them with more resources and, therefore, more resilience to cancer diagnosis's financial impact in general.…”

Section: Discussionmentioning

confidence: 99%

“…More extensive treatment costs and the cost generated from the treatment's adverse effect are associated with worse financial toxicity. 14,26 In addition to the delay or disruption in treatment caused by the change in the healthcare system, the COVID-19 itself posed a great risk as patients with cancer are at a higher risk of being infected, leading to a higher mortality rate. 27 This study also found indirect expenses affected financial toxicity experienced by patients with breast cancer.…”

Section: Discussionmentioning

confidence: 99%

“…12 While some themes were consistent in financial toxicity research, varying results in which factor contributes more to worse financial distress were reported. [13][14][15] Despite the high number of researches done on breast cancer in Indonesia, a specific study for financial toxicity experienced by breast cancer patients in Indonesia numbered low compared to the high prevalence of cancer. There is a gap in knowledge of what affects financial toxicity in cancer patients in Indonesia, particularly in the population of breast cancer patients.…”

Section: Significance For Public Healthmentioning

confidence: 99%

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The Socio-Demographic Factors Correlated with Financial Toxicity among Patients with Breast Cancer in Indonesia

Susilowati

Afiyanti

2021

Journal of Public Health Research

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Background: Breast cancer is one of the major cancer types found among Indonesian women. This cancer diagnosis and its treatment causes perpetual financial burden for the women and their family. This study aims to identify the correlation between socio-demographics with financial toxicity among women with breast cancer in Indonesia.Design and methods: This study design was cross-sectional with 109 respondents of Indonesian breast cancer survivors who were recruited using consecutive sampling. Quantitative data were collected with a demographic and a Comprehensive Score for Financial Toxicity (COST) questionnaires, then analyzed using Chi-Square test and linear regression method.Results: The majority of the women were 18 to 55-years-old (75.2%), married (91.7%), employed (80.7%), and having moderate income (58.7%). Logistic regression analysis indicates that survivor’s family as a primary wage earner (p=0.042), low-high income (p=0.043), and dependents number (p=0.012) are significantly associated with financial toxicity.Conclusions: The financial toxicity among women with breast cancer was mainly correlated with the number of survivor’s dependent and the household income. This study encourage related parties to establish socio-economic safety net for women with breast cancer, including their families.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Significance For Public Healthmentioning

confidence: 99%

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The Socio-Demographic Factors Correlated with Financial Toxicity among Patients with Breast Cancer in Indonesia

Susilowati

Afiyanti

2021

Journal of Public Health Research

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“…Medical and health care team cannot ignore family support in patient management during treatment, recovery and RTW. On the other hand, our data showed that married women were less likely to RTW, which might indicate less family financial burden when family were supportive and did not put any financial stress on them [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

The assessment of returning to work following treatment and the associated personal, disease, and treatment factors among breast cancer survivors in central China

Gao

et al. 2021

Support Care Cancer

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Purpose To assess the status of returning to work (RTW) following breast cancer treatment and to explore its associated factors among female patients. Methods Four-hundred-forty-two eligible patients admitted in a tertiary hospital since 2012 were followed up in 2018. Information about working status after treatment, date of RTW or reason for not RTW was obtained during a 30-min interview. Patients’ sociodemographic, disease, and treatment characteristics were retrieved from the hospital record. Overall prevalence rate and probability of RTW during the follow-up were estimated using Kaplan–Meier method. Factors associated with RTW were identified using regression analyses. Results Three-hundred-ninety-six patients (89.6%) completed the follow-up. The median follow-up was 31 months. Among them, 141 patents (35.6%) RTW of whom 68.1% (n = 96) were back within 12 months after cancer treatment. The reported reasons for not RTW included: prolonged fatigue, low self-esteem, lack of support from family and working unit, or voluntarily quitting. Patients aged under 50 years, being single, having higher level of education, not having extensive axillary node procedure, or without any comorbidities were more likely to RTW. Conclusion The rate of RTW after cancer treatment in this cohort was lower than those reported in others. Both personal and treatment factors were associated with RTW.

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“…We found among this group of patients in central China, poor FU adherence was significantly associated with lower insurance coverage, possibly due to financial stress. Cancer-related "financial toxicity" [24] is a major obstacle for patients to have FU examination or to continue treatment after surgery as indicated from our study in patients with breast cancer from the same hospital [25]. An American survey of patients with early-stage breast cancer reported that 77% of patients had financial burden related to the disease [26], similar to another American study indicating that 44% of breast cancer patients had at least moderate economic difficulties, and up to 88% were concerned about treatment-related costs [27].…”

Section: Discussionmentioning

confidence: 99%

Adherence to post-surgery follow-up assessment and its association with sociodemographic and disease characteristics in patients with breast cancer in Central China

et al. 2020

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Background Follow-up after curative surgery is increasingly recognized as an important component of breast cancer care. Although current guideline regulates the follow-ups, there are no relevant studies on the adherence to it in China. This study investigated the post-surgery follow-up and explored its association with patients, tumor and treatment characteristics. Methods A total of 711 patients underwent surgical treatment in Shanxi Bethune Hospital from March 2012 to May 2018 were included in this study. Baseline sociodemographic, tumor, and treatment characteristics were obtained from the hospital electronic medical records. The post-surgery follow-up was reviewed and assessed from the patient’s follow-up examination record. Factors associated with the first three-year follow up was evaluated using logistic regression analysis. Results The annual follow-up rate after surgery decreased gradually from 67.1% at the 1st year, 60.2% at the 3rd year to 51.9% at the 4th year, and 43.5% at the 5th year. Loss of follow-up during the first 3 years after surgery was significantly associated with older age (> 65 years), lower medical insurance coverage, axillary lymph node dissection, and less intensity of systemic treatment. Conclusion A significant downtrend of annual follow-up rate for breast cancer survivors was confirmed in this study. Loss of follow-up within the first 3 years after surgery was associated with both patient’s characteristics and treatment. These results will provide evidence to help clinicians to develop tailored patient management after curative surgery.

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Financial toxicity and its associated patient and cancer factors among women with breast cancer: a single-center analysis of low-middle income region in China

Cited by 43 publications

References 35 publications

The Socio-Demographic Factors Correlated with Financial Toxicity among Patients with Breast Cancer in Indonesia

The Socio-Demographic Factors Correlated with Financial Toxicity among Patients with Breast Cancer in Indonesia

The assessment of returning to work following treatment and the associated personal, disease, and treatment factors among breast cancer survivors in central China

Adherence to post-surgery follow-up assessment and its association with sociodemographic and disease characteristics in patients with breast cancer in Central China

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