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Financial toxicity in patients with cancer: a cross-sectional study at an oncology hospital in central Vietnam.
Tran, Binh Thang; Tran, Thi Tao; Dac, Quynh Anh Nguyen; Nguyen, Hoang Lan; Nguyen, Thanh Xuan; Nguyen, Nhan P T; Nguyen, Thanh Gia; Le, Dinh Duong; Nguyen, Minh Tu.
Afiliação
  • Tran BT; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam. tranbinhthang@hueuni.edu.vn.
  • Tran TT; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
  • Dac QAN; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
  • Nguyen HL; Faculty of Medicine, University of Medicine and Pharmacy, Duy Tan University, Da Nang City, Vietnam.
  • Nguyen TX; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
  • Nguyen NPT; Department of Abdominal Emergency and Pediatric Surgery, Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam.
  • Nguyen TG; Da Nang Oncology Hospital, Da Nang City, Vietnam.
  • Le DD; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
  • Nguyen MT; Faculty of Public Health, University of Medicine and Pharmacy, Hue University, Hue City, Thua Thien Hue, Vietnam.
Support Care Cancer ; 32(9): 581, 2024 Aug 09.
Article em En | MEDLINE | ID: mdl-39120733
ABSTRACT

PURPOSE:

Cancer imposes a substantial financial burden on patients because of the high out-of-pocket expenses and the significant hardships. Financial toxicity describes the impact of cancer care costs at the patient level. Although the financial impact of cancer has been recognized, understanding the extent and determinants of financial toxicity in specific contexts is crucial. This study investigated the level of financial toxicity and its associated factors among patients with cancer at an oncology hospital in central Vietnam.

METHODS:

This cross-sectional study included 334 patients with cancer. Direct interviews and medical record reviews were used for data collection. Financial toxicity was assessed using the 11-item Comprehensive Score for financial Toxicity (COST). A logistic regression model was used to determine factors associated with financial toxicity.

RESULTS:

A notable 87.7% of patients experienced financial toxicity due to cancer cost, with 37.7% experiencing mild financial toxicity and 49.7% suffering from moderate financial toxicity, 0.3% reporting severe financial toxicity. Individuals with low household income exhibited a higher proportion of financial toxicity compared to that of those with higher income (odds ratio (OR) = 5.78, 95% confidence interval (CI) 1.29-25.68). Compared with that of participants in the early stages, a higher burden was found in patients with advanced-stage cancer (OR = 3.88, 95% CI 1.36-11.11).

CONCLUSION:

Our study indicates that patients with cancer in Vietnam facefinancial toxicity. It is thus necessary for interventions to mitigate the financial burden on patients with cancer, focusing on vulnerable individuals and patients in the advanced stages.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Efeitos Psicossociais da Doença / Neoplasias Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: Asia Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Efeitos Psicossociais da Doença / Neoplasias Limite: Adult / Aged / Female / Humans / Male / Middle aged País como assunto: Asia Idioma: En Ano de publicação: 2024 Tipo de documento: Article