Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country

Ting, Chuo Yew and Teh, Guan Chou and Yu, Kong Leong and Alias, Haridah and Tan, Hui Meng and Wong, Li Ping (2020) Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country. Supportive Care in Cancer, 28 (4). pp. 1703-1715. ISSN 0941-4355, DOI https://doi.org/10.1007/s00520-019-04975-y.

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Official URL: https://doi.org/10.1007/s00520-019-04975-y

Abstract

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. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Financial burden; Financial distress; Financial toxicity; Health-related quality of life; Malaysia; Urologic cancers
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 15 Jun 2020 00:33
Last Modified: 15 Jun 2020 00:33
URI: http://eprints.um.edu.my/id/eprint/24802

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