nach oben

Supportive Care in Cancer

Erschienen in:

01.02.2016 | Original Article

Pre-diagnosis employment status and financial circumstances predict cancer-related financial stress and strain among breast and prostate cancer survivors

verfasst von: Linda Sharp, Aileen Timmons

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Cancer may have a significant financial impact on patients, but the characteristics that predispose patients to cancer-related financial hardship are poorly understood. We investigated factors associated with cancer-related financial stress and strain in breast and prostate cancer survivors in Ireland, which has a complex mixed public-private healthcare system.

Methods

Postal questionnaires were distributed to 1373 people diagnosed with cancer 3–24 months previously identified from the National Cancer Registry Ireland. Outcomes were cancer-related financial stress (impact of cancer diagnosis on household ability to make ends meet) and financial strain (concerns about household financial situation since cancer diagnosis). Modified Poisson regression was used to estimate relative risks (RR) for factors associated with cancer-related financial stress and strain.

Results

Seven hundred forty survivors participated (response rate = 54 %). Of the respondents, 48 % reported cancer-related financial stress and 32 % cancer-related financial strain. Compared to those employed at diagnosis, risk of cancer-related financial stress was significantly lower in those not working (RR = 0.71, 95 % CI 0.58–0.86) or retired (RR = 0.48, 95 % CI 0.34–0.68). It was significantly higher in those who had dependents; experienced financial stress pre-diagnosis; had a mortgage/personal loans; had higher direct medical out-of-pocket costs; and had increased household bills post-diagnosis. For cancer-related financial strain, significant associations were found with dependents, pre-diagnosis employment status and pre-diagnosis financial stress; risk was lower in those with higher direct medical out-of-pocket costs.

Conclusions

Cancer-related financial stress and strain are common. Pre-diagnosis employment status and financial circumstances are important predictors of post-diagnosis financial wellbeing. These findings could inform development of tools to identify patients/survivors most in need of financial advice and support.

Nur mit Berechtigung zugänglich

Longo CJ, Deber R, Fitch M, Williams AP, D’Souza D (2007) An examination of cancer patients’ monthly’out-of-pocket’ costs in Ontaria, Canada. Eur J Cancer Care 16:500–507CrossRef

Lauzier S, Maunsell E, Drolet M, Coyle D, Hebert-Croteau N, Brisson J, Masse B, Abdous B, Robidoux A, Roberts J (2008) Wage losses in the year after breast cancer: extent and determinants among Canadian women. J Natl Canser Inst 100:332

Pisu M, Azuero A, McNees P, Burkhardt J, Benz R, Meneses K (2010) The out of pocket cost of breast cancer survivors: a review. J Cancer Surviv 4:202–209PubMedPubMedCentralCrossRef

Lauzier S, Levesque P, Drolet M, Coyle D, Brisson J, Mâsse B, Robidoux A, Robert J, Maunsell E (2011) Out-of-pocket costs for accessing adjuvant radiotherapy among Canadian women with breast cancer. J Clin Oncol 29:4007–4013PubMedCrossRef

Longo CJ, Bereza BG (2011) A comparative analysis of monthly out-of-pocket costs for patients with breast cancer as compared with other common cancers in Ontario, Canada. Curr Oncol 18:e1–e8PubMedPubMedCentralCrossRef

Housser E, Mathews M, Lemessurier J, Young S, Hawboldt J, West R (2013) Responses by breast and prostate cancer patients to out-of-pocket costs in Newfoundland and Labrador. Curr Oncol 20:158–165PubMedPubMedCentralCrossRef

Lauzier S, Levesque P, Mondor M, Drolet M, Coyle D, Brisson J, Masse B, Provencher L, Robidoux A, Maunsell E (2013) Out-of-pocket costs in the year after early breast cancer among Canadian women and spouses. J Natl Cancer Inst 105:280–292PubMedCrossRef

Timmons A, Gooberman-Hill R, Sharp L (2013) The multidimensional nature of the financial and economic burden of a cancer diagnosis on patients and their families: qualitative findings from a country with a mixed public-private healthcare system. Support Care Cancer 21:107–117PubMedCrossRef

Longo CJ, Fitch M, Deber RB, Williams AP (2006) Financial and family burden associated with cancer treatment in Ontario, Canada. Support Care Cancer 14:1077–1085PubMedCrossRef

10.

Pisu M, Azuero A, Meneses K, Burkhardt J, McNees P (2011) Out of pocket cost comparison between Caucasian and minority breast cancer survivors in the Breast Cancer Education Intervention (BCEI). Breast Cancer Res Treat 127:521–529PubMedPubMedCentralCrossRef

11.

de Oliveira C, Bremner KE, Ni A, Alibhai SM, Laporte A, Krahn MD (2014) Patient time and out-of-pocket costs for long-term prostate cancer survivors in Ontario, Canada. J Cancer Surviv 8:9–20PubMedCrossRef

12.

Bradley CJ (2012) Financial hardship: a consequence of survivorship? J Clin Oncol 30:1579–1580PubMedCrossRef

13.

de Souza JA, Wong YN (2013) Financial distress in cancer patients. J Med Person 11:10.1007CrossRef

14.

Valtorta NK, Hanratty B (2013) Socioeconomic variation in the financial consequences of ill health for older people with chronic diseases: a systematic review. Maturitas 74:313–333PubMedCrossRef

15.

Kent EE, Forsythe LP, Yabroff KR, Weaver KE, de Moor JS, Rodriguez JL, Rowland JH (2013) Are survivors who report cancer-related financial problems more likely to forgo or delay medical care? Cancer 119:3710–3717PubMedPubMedCentralCrossRef

16.

Zucca A, Boyes A, Newling G, Hall A, Girgis A (2011) Travelling all over the countryside: travel-related burden and financial difficulties reported by cancer patients in New South Wales and Victoria. Aust J Rural Health 19:298–305PubMedCrossRef

17.

Shankaran V, Jolly S, Blough D, Ramsey SD (2012) Risk factors for financial hardship in patients receiving adjuvant chemotherapy for colon cancer: a population-based exploratory analysis. J Clin Oncol 30:1608–1614PubMedCrossRef

18.

Francoeur RB (2005) Cumulative financial stress and strain in palliative radiation outpatients: the role of age and disability. Acta Oncol 44:369–381PubMedPubMedCentralCrossRef

19.

Hanratty B, Holland P, Jacoby A, Whitehead M (2007) Financial stress and strain associated with terminal cancer-a review of the evidence. Palliat Med 21:595–607PubMedCrossRef

20.

Lipscomb J, Gotay CC, Snyder CF (2007) Patient-reported outcomes in cancer: a review of recent research and policy initiatives. CA Cancer J Clin 57:278–300PubMedCrossRef

21.

Maddams J, Brewster D, Gavin A, Steward J, Elliott J, Utley M, Møller H (2009) Cancer prevalence in the United Kingdom: estimates for 2008. Br J Cancer 101:541–547PubMedPubMedCentralCrossRef

22.

Siegel R, DeSantis C, Virgo K, Stein K, Mariotto A, Smith T, Cooper D, Gansler T, Lerro C, Fedewa S, Lin C, Leach C, Cannady RS, Cho H, Scoppa S, Hachey M, Kirch R, Jemal A, Ward E (2012) Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin 62:220–241PubMedCrossRef

23.

Sharp L, Deady S, Gallagher P, Molcho M, Pearce A, Thomas AA, Timmons A, Comber H (2014) The magnitude and characteristics of the population of cancer survivors: using population-based estimates of cancer prevalence to inform service planning for survivorship care. BMC Cancer 14:767PubMedPubMedCentralCrossRef

24.

Smith S, Normand C (2011) Equity in health care: the Irish perspective. Health Econ Policy Law 6:205–217PubMedCrossRef

25.

Timmons A, Gooberman-Hill R, Sharp L (2013) “It’s a time in your life when you are most vulnerable”: a qualitative exploration of the financial impact of a cancer diagnosis and implications for financial protection in health. PLoS One 8(11):1–11CrossRef

26.

McDevitt J, Sharp L, MacDonald D, Dwane F, Comber H (2013) Factors affecting receipt of a medical card in a cohort of colorectal cancer patients, 2002–2006. Ir Med J 106:110–113PubMed

27.

Sharp L, Timmons A (2010) The financial impact of a cancer diagnosis. National Cancer Registry Ireland. Available at URL: http://www.ncri.ie/pubs/pubfiles/Financial%20impact%20of%20a%20cancer%20diagnosis.pdf. [Accessed 22 Dec 2014]

28.

O’Brien K, Comber H, Sharp L (2014) Completeness of case ascertainment at the Irish National Cancer Registry. Ir J Med Sci 183(2):219–224PubMedCrossRef

29.

Zou G (2004) A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol 159:702–706PubMedCrossRef

30.

Organisation for Economic Cooperation and Development Data. Household accounts. Household disposable income. Organisation for Economic Cooperation and Development. Available at URL: http://data.oecd.org/hha/household-disposable-income.htm [Accessed 22 Dec 2014]

31.

Pukkala E, Weiderpass E (1999) Time trends in socio-economic differences in incidence rates of cancers of the breast and female genital organs (Finland, 1971–1995). Int J Cancer 81:56–61PubMedCrossRef

32.

National Cancer Intelligence Network Cancer Incidence by Deprivation England, 1995–2004. Available at URL: http://www.ncin.org.uk/analyses/NCIN_Incidence_by_Deprivation_95_04.pdf 2009. [Accessed 22 Dec 2014]

33.

Azzani M, Roslani AC, Su TT (2015) The perceived cancer-related financial hardship among patients and their families: a systematic review. Support Care Cancer 23:889–898PubMedCrossRef

34.

Zafar SY, Peppercorn JM, Schrag D, Taylor DH, Goetzinger AM, Zhong X, Abernethy AP (2013) The financial toxicity of cancer treatment: a pilot study assessing out-of-pocket expenses and the insured cancer patient’s experience. Oncologist 18:381–390PubMedPubMedCentralCrossRef

35.

Carp F, Carp A (1982) Test of a model of domain satisfaction and well-being. Equity considerations. Res Aging 4:503–522CrossRef

36.

Fletcher C, Lorenz F (1985) Structural influences on the relationship between objective and subjective indicators of economic well-being. Soc Indic Res 16:333–345CrossRef

37.

Moore KA (1999) Breast cancer patients’ out-of-pocket expenses. Cancer Nurs 22:389–396PubMedCrossRef

38.

Arozullah AM, Calhoun EA, Wolf M, Finley DK, Fitzner KA, Heckinger EA, Gorby NS, Schumock GT, Bennett CL (2004) The financial burden of cancer: estimates from a study of insured women with breast cancer. J Support Oncol 2:271–278PubMed

39.

Baider L, Andritsch E, Uziely B, Ever-Hadani P, Goldzweig G, Hoffman G, Samonigg H (2003) Do different cultural settings affect the psychological distress of women with breast cancer? A randomized study. Eur J Cancer Care 12:263–273CrossRef

40.

Ell K, Xie B, Wells A, Nedjat-Haiem F, Lee PJ, Vourlekis B (2008) Economic stress among low-income women with cancer: effects on quality of life. Cancer 112:616–625PubMedCrossRef

41.

Markman M, Luce R (2010) Impact of the cost of cancer treatment: an internet-based survey. J Oncol Pract 6:69–73PubMedPubMedCentralCrossRef

42.

Lee MK, Park S, Lee ES, Ro J, Kang HS, Shin KH, Lee KS, Chung KW, Kim SW, Yun YH (2010) Social support and depressive mood 1 year after diagnosis of breast cancer compared with the general female population: a prospective cohort study. Support Cancer Care 2011; 19:1379–92

43.

Ceilleachair AO, Costello L, Finn C, Timmons A, Fitzpatrick P, Kapur K, Staines A, Sharp L (2012) Inter-relationships between the economic and emotional consequences of colorectal cancer for patients and their families: a qualitative study. BMC Gastroenterol 12:62PubMedCrossRef

44.

Fenn KM, Evans SB, McCorkle R, DiGiovanna MP, Pusztai L, Sanft T, Hofstatter EW, Killelea BK, Knobf MT, Lannin DR, Abu-Khalaf M, Horowitz NR, Chagpar AB (2014) Impact of financial burden of cancer on survivors’ quality of life. J Oncol Pract 10:332–338PubMedCrossRef

45.

Adams J, White M, Moffatt S, Howel D, Mackintosh J (2006) A systematic review of the health, social and financial impacts of welfare rights advice delivered in healthcare settings. BMC Public Health 6:81PubMedPubMedCentralCrossRef

46.

O’Neill B, Prawitz AD, Sorhaindo B, Kim J, Garman T (2006) Changes in health, negative financial events, and financial distress/financial wellbeing for debt management program clients. Financ Couns Plann 17:46–62

47.

Rajurkar SP, Presant CA, Bosserman LD, McNatt WJ (2011) A copay foundation assistance program for patients receiving intravenous cancer therapy. J Oncol Pract 7:100–102PubMedPubMedCentralCrossRef

48.

Moffatt S, Noble E, White M (2012) Addressing the financial consequences of cancer: qualitative evaluation of a welfare rights advice service. PLoS One 7, e42979PubMedPubMedCentralCrossRef

49.

Pisu M, Martin MY, Shewchuk R, Meneses K (2014) Dealing with the financial burden of cancer: perspectives of older breast cancer survivors. Support Care Cancer 22:3045–3052PubMedPubMedCentralCrossRef

50.

Morreno-Serra R, Millett C, Smith PC (2011) Towards improved measurement of financial protection in health. PLoS Med 8:1–6CrossRef

51.

Maunsell E, Brisson C, Dubois L, Lauzier S, Fraser A (1999) Work problems after breast cancer: an exploratory qualitative study. Psychooncology 8:467–473PubMedCrossRef

52.

Steiner JF, Cavender TA, Main DS, Bradley CJ (2004) Assessing the impact of cancer on work outcomes. What are the research needs? Cancer 101:1703–1711PubMedCrossRef

53.

de Boer AG, Taskila T, Tamminga SJ, Frings-Dresen MH, Feuerstein M, Verbeek JH (2011) Interventions to enhance return-to-work for cancer patients. Cochrane Database Syst Rev 2, CD007569PubMed

Titel: Pre-diagnosis employment status and financial circumstances predict cancer-related financial stress and strain among breast and prostate cancer survivors
verfasst von: Linda Sharp
Aileen Timmons
Publikationsdatum: 01.02.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 2/2016
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-015-2832-4

Neu im Fachgebiet Onkologie

16.04.2024 | Maligne primäre ZNS-Tumoren | Nachrichten

Springer Medizin

Pre-diagnosis employment status and financial circumstances predict cancer-related financial stress and strain among breast and prostate cancer survivors

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Onkologie

Manche Gestagene können das Risiko für Meningeome erhöhen

Einladung zum PSA-Screening senkt die Krebssterblichkeit

Chemotherapie mit Hindernissen

Das Ende der vollständigen axillären Lymphknotendissektion

Update Onkologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2016

Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry

Joint symptoms and health-related quality of life in postmenopausal women with breast cancer who completed 5 years of anastrozole

Drug fever after cancer chemotherapy is most commonly observed on posttreatment days 3 and 4

Comparison between 5-day aprepitant and single-dose fosaprepitant meglumine for preventing nausea and vomiting induced by cisplatin-based chemotherapy

Comparison of effectiveness of biosimilar filgrastim (Nivestim™), reference Amgen filgrastim and pegfilgrastim in febrile neutropenia primary prevention in breast cancer patients treated with neo(adjuvant) TAC: a non-interventional cohort study

Implementation of NCCN Palliative Care Guidelines by member institutions

Neu im Fachgebiet Onkologie

Manche Gestagene können das Risiko für Meningeome erhöhen

Einladung zum PSA-Screening senkt die Krebssterblichkeit

Chemotherapie mit Hindernissen

Das Ende der vollständigen axillären Lymphknotendissektion

Update Onkologie