Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country.
Purpose: This study examined the prevalence of financial toxicity (FT) and associated factors among urologic cancer patients. The association between FT and health-related quality of life (HRQoL) was also investigated.Methods: A total of 429 respondents diagnosed with urologic cancers (prostate canc...
| Publicado en: | Supportive Care in Cancer Vol. 28; no. 4; pp. 1703 - 1716 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Apr2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141881611&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141881611 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Apr2020 vid: 28 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141881611 141881611 NLM31292755 10.1007/s00520-019-04975-y NLM31292755 141881611 ppf: 1703 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country. aug: au: Ting, Chuo Yew Teh, Guan Chou Yu, Kong Leong Alias, Haridah Tan, Hui Meng Wong, Li Ping affil: Centre for Epidemiology and Evidence-Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia sug: subj: Urologic Neoplasms Economics Health Care Costs Statistics and Numerical Data Economic Aspects of Illness Quality of Life Psychosocial Factors Prostatic Neoplasms Economics Male Urologic Neoplasms Drug Therapy Middle Age Cross Sectional Studies Malaysia Aged Prostatic Neoplasms Drug Therapy Poverty Psychosocial Factors Female Adult Income Clinical Assessment Tools Scales Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Male Female ab: Purpose: This study examined the prevalence of financial toxicity (FT) and associated factors among urologic cancer patients. The association between FT and health-related quality of life (HRQoL) was also investigated.Methods: A total of 429 respondents diagnosed with urologic cancers (prostate cancer, bladder and renal cancer) from Sarawak General Hospital and Subang Jaya Medical Centre in Malaysia were interviewed using a structured questionnaire. Objective and subjective FT were measured by catastrophic health expenditure (healthcare-cost-to-income ratio greater than 40%) and the Personal Financial Well-being Scale, respectively. HRQoL was measured with the Functional Assessment of Cancer Therapy - General 7 Items scale.Results: Objective and subjective FT were experienced by 16.1 and 47.3% of the respondents, respectively. Respondents who sought treatment at a private hospital and had out-of-pocket health expenditures were more likely to experience objective FT, after adjustment for covariates. Respondents who were female and had a monthly household income less than MYR 5000 were more likely to experience average to high subjective FT. Greater objective FT (OR = 2.75, 95% CI 1.09-6.95) and subjective FT (OR = 4.68, 95% CI 2.63-8.30) were associated with poor HRQoL.Conclusions: The significant association between both objective and subjective FT and HRQoL highlights the importance of reducing FT among urologic cancer patients. Subjective FT was found to have a greater negative impact on HRQoL. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|