Financial toxicity is more than costs of care: The relationship between employment and financial toxicity in long-term cancer survivors
Pearce,A. Tomalin,B. Kaambwa,B. Horevoorts,N.J.E. Duijts,S. Mols,F. van der Poll-Franse,L.V. Koczwara,B.
Pearce,A.
Tomalin,B.
Kaambwa,B.
Horevoorts,N.J.E.
Duijts,S.
Mols,F.
van der Poll-Franse,L.V.
Koczwara,B.
Abstract
Purpose The aim of this study was to examine the relationship between employment and financial toxicity by examining the prevalence of, and factors associated with, financial toxicity among cancer survivors. Methods We conducted a secondary analysis of a sub-sample from the Dutch Patient Reported Outcomes Following Initial Treatment and Long-term Evaluation of Survivorship (PROFILES) registry. Descriptive statistics, bivariate analysis and logistic regression were used. Results A total of 2931 participants with diverse cancer types were included in the analysis with a mean age of 55 years (range 18 to 65). Nearly half (49%) of participants were employed at the time of the survey, and 22% reported financial toxicity. Those who were not employed were at greater risk of financial toxicity (27% vs 16%, pā<ā0.001), and this did not vary according to time since diagnosis. The odds of reporting financial toxicity were greater for participants who were male, younger, unmarried, with low education, low socioeconomic status, or without paid employment. Those with basal cell carcinoma had lower risk of financial toxicity, while those with haematological or colorectal cancer had highest risk of financial toxicity. Conclusions This research confirms that unemployment is significantly associated with financial toxicity and that those with limited financial resources are most at risk
Description
Date
2019
Journal Title
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Volume Title
Publisher
Research Projects
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Keywords
BURDEN, Cancer, Cost, Employment, Financial toxicity, QUALITY-OF-LIFE, RETURN, Survivorship, WORK, Work, SDG 3 - Good Health and Well-being
Citation
Pearce, A, Tomalin, B, Kaambwa, B, Horevoorts, N J E, Duijts, S, Mols, F, van der Poll-Franse, L V & Koczwara, B 2019, 'Financial toxicity is more than costs of care : The relationship between employment and financial toxicity in long-term cancer survivors', Journal of Cancer Survivorship, vol. 13, no. 1, pp. 10-20. https://doi.org/10.1007/s11764-018-0723-7