The experience of financial toxicity among advanced melanoma patients treated with immunotherapy.
J Psychosoc Oncol
; 39(2): 285-293, 2021.
Article
em En
| MEDLINE
| ID: mdl-33103948
ABSTRACT
Purpose To measure financial toxicity and explore its association with quality of life (QOL) in an emerging population of survivors advanced melanoma patients treated with immunotherapy. Design Cross-sectional survey and medical record review. Sample 106 survivors (39% response). Median time since start of immunotherapy was 36.4 months (range 14.2-133.9). Methods The Comprehensive Score for Financial Toxicity measured financial toxicity, and the EORTC-QLQ30 assessed QOL and functioning across five domains. Data were collected online, by phone, or in clinic. Findings:
Younger patients (<65 years) reported higher financial toxicity (p < .001) than older patients. Controlling for age, financial toxicity was correlated with QOL (p < .001), financial difficulties (p < .001), and EORTC-QLQ30 functioning subscales. Conclusions Given the demonstrated association between financial toxicity and QOL, our study highlights the importance of addressing financial toxicity, particularly among patients receiving high-cost treatments. Implications for Psychosocial Providers Providers should educate patients and their caregivers about cost-management techniques, link them with available resources, and provide psychosocial counseling to alleviate related distress.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Estresse Financeiro
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Imunoterapia
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Melanoma
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
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Prevalence_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Psychosoc Oncol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos