Financial toxicity in sarcoma patients and survivors in Germany: results from the multicenter PROSa study
| Autor: | Stephan Richter, Leopold Hentschel, Martin Bornhäuser, Daniel Pink, Kathy Taylor, Matthias Büttner, Martin Eichler, Bernd Kasper, Markus K. Schuler, Jochen Schmitt, Karin Arndt, Dimosthenis Andreou, Susanne Singer, Peter Hohenberger |
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| Rok vydání: | 2021 |
| Předmět: |
Population
Financial Stress Burden Financial difficulties Logistic regression Financial toxicity Odds 03 medical and health sciences 0302 clinical medicine Quality of life Germany Surveys and Questionnaires Humans Medicine Prospective Studies Survivors 030212 general & internal medicine education Prospective cohort study Cancer Finance education.field_of_study business.industry Sarcoma Middle Aged Disability pension Oncology 030220 oncology & carcinogenesis Sick leave Toxicity Quality of Life Original Article business |
| Zdroj: | Supportive Care in Cancer |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-021-06406-3 |
| Popis: | Purpose Cancer patients have been shown to frequently suffer from financial burden before, during, and after treatment. However, the financial toxicity of patients with sarcoma has seldom been assessed. Therefore, the aim of this study was to evaluate whether financial toxicity is a problem for sarcoma patients in Germany and identify associated risk factors. Methods Patients for this analysis were obtained from a multicenter prospective cohort study conducted in Germany. Using the financial difficulties scale of the EORTC QLQ-C30, financial toxicity was considered to be present if the score exceeded a pre-defined threshold for clinical importance. Comparisons to an age- and sex-matched norm population were performed. A multivariate logistic regression using stepwise backward selection was used to identify factors associated with financial toxicity. Results We included 1103 sarcoma patients treated in 39 centers and clinics; 498 (44.7%) patients reported financial toxicity. Sarcoma patients had 2.5 times the odds of reporting financial difficulties compared to an age- and sex-matched norm population. Patient age 52.5 years, higher education status, higher income, and disease progression (compared to patients with complete remission) were associated with lower odds of reporting financial toxicity. Receiving a disability pension, being currently on sick leave, and having a disability pass were statistically significantly associated with higher odds of reporting financial toxicity. Conclusion Financial toxicity is present in about half of German sarcoma patients, making it a relevant quality of life topic for patients and decision-makers. |
| Databáze: | OpenAIRE |
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