Financial toxicity is more than costs of care

The relationship between employment and financial toxicity in long-term cancer survivors

A. Pearce*, B. Tomalin, B. Kaambwa, N.J.E. Horevoorts, S. Duijts, F. Mols, L.V. van der Poll-Franse, B. Koczwara

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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%, p < 0.001), 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
Original languageEnglish
Pages (from-to)10-20
JournalJournal of Cancer Survivorship
Volume13
Issue number1
DOIs
Publication statusPublished - 2019

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Survivors
Neoplasms
Unemployment
Survival Rate
Logistic Models
Education

Keywords

  • BURDEN
  • Cancer
  • Cost
  • Employment
  • Financial toxicity
  • QUALITY-OF-LIFE
  • RETURN
  • Survivorship
  • WORK
  • Work

Cite this

@article{1087485c1a4640bbb7d61df08167aec3,
title = "Financial toxicity is more than costs of care: The relationship between employment and financial toxicity in long-term cancer survivors",
abstract = "PurposeThe 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.MethodsWe 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.ResultsA 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{\%}, p < 0.001), 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.ConclusionsThis research confirms that unemployment is significantly associated with financial toxicity and that those with limited financial resources are most at risk",
keywords = "BURDEN, Cancer, Cost, Employment, Financial toxicity, QUALITY-OF-LIFE, RETURN, Survivorship, WORK, Work",
author = "A. Pearce and B. Tomalin and B. Kaambwa and N.J.E. Horevoorts and S. Duijts and F. Mols and {van der Poll-Franse}, L.V. and B. Koczwara",
year = "2019",
doi = "10.1007/s11764-018-0723-7",
language = "English",
volume = "13",
pages = "10--20",
journal = "Journal of Cancer Survivorship",
issn = "1932-2259",
publisher = "Springer New York",
number = "1",

}

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.

In: Journal of Cancer Survivorship, Vol. 13, No. 1, 2019, p. 10-20.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Financial toxicity is more than costs of care

T2 - The relationship between employment and financial toxicity in long-term cancer survivors

AU - Pearce, A.

AU - Tomalin, B.

AU - Kaambwa, B.

AU - Horevoorts, N.J.E.

AU - Duijts, S.

AU - Mols, F.

AU - van der Poll-Franse, L.V.

AU - Koczwara, B.

PY - 2019

Y1 - 2019

N2 - PurposeThe 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.MethodsWe 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.ResultsA 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%, p < 0.001), 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.ConclusionsThis research confirms that unemployment is significantly associated with financial toxicity and that those with limited financial resources are most at risk

AB - PurposeThe 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.MethodsWe 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.ResultsA 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%, p < 0.001), 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.ConclusionsThis research confirms that unemployment is significantly associated with financial toxicity and that those with limited financial resources are most at risk

KW - BURDEN

KW - Cancer

KW - Cost

KW - Employment

KW - Financial toxicity

KW - QUALITY-OF-LIFE

KW - RETURN

KW - Survivorship

KW - WORK

KW - Work

U2 - 10.1007/s11764-018-0723-7

DO - 10.1007/s11764-018-0723-7

M3 - Article

VL - 13

SP - 10

EP - 20

JO - Journal of Cancer Survivorship

JF - Journal of Cancer Survivorship

SN - 1932-2259

IS - 1

ER -