Financial toxicity
The harm caused to patients by the cost of cancer care: depleted savings, debt, skipped medication and worse survival. Measured like any other side effect and, increasingly, treated like one.
Coined by Zafar and Abernethy (2013). Components: material hardship (out-of-pocket costs, income loss), psychological distress and coping behaviours (non-adherence, skipping visits). Prevalence 30-50% of US patients; associated with lower quality of life, treatment non-adherence and higher mortality (bankruptcy linked to 79% higher mortality). Measured by the COST-FACIT instrument. Drivers include drug prices, cost-sharing designs, oral-parenteral parity gaps, travel, and employment loss; higher among younger, minority, low-income and rural patients. Financial navigation, assistance programmes, cost conversations and policy (out-of-pocket caps, Medicaid expansion) reduce it.
Pages like this
not linked directly; found by shared links- TechnologyTelehealth and hospital-at-home in oncology
Shares Financial toxicity and financial navigation and the tag gap-fill.
- CollectionNICE cancer guidance and technology appraisals (UK)
Shares Health technology assessment (HTA), reimbursement and QALYs, Oncology drug pricing and price transparency and the tag gap-fill.
- TechnologyElectronic patient-reported outcome (ePRO) symptom monitoring
Shares Quality of life and patient-reported outcomes (QoL, PRO) and the tag gap-fill.
- TermOncology workforce
Shares Cancer health disparities and equity and the tag gap-fill.
- CollectionSusan G. Komen
Shares Cancer health disparities and equity and the tag gap-fill.
- TechnologySurvivorship care and late-effects surveillance
Shares Financial toxicity and financial navigation and the tag gap-fill.
- CollectionAmerican Cancer Society (ACS)
Shares Cancer health disparities and equity and the tag gap-fill.
- TechnologyGlobal oncology and access in low- and middle-income countries
Shares Philippine General Hospital, Oncology drug pricing and price transparency, Cancer health disparities and equity and the tag gap-fill.