Cancer’s Lasting Financial Burden: Evidence From a Longitudinal Assessment
| Autor: | Ya-Chen Tina Shih, Kelsey M Owsley, Lauren Hersch Nicholas, K Robin Yabroff, Cathy J Bradley |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | J Natl Cancer Inst |
| ISSN: | 1460-2105 0027-8874 2002-2018 |
| DOI: | 10.1093/jnci/djac064 |
| Popis: | Background The purpose of this study was to conduct a longitudinal analysis of out-of-pocket expenditure (OOPE) trajectories for the assessment of cancer’s lasting financial impact. Methods We identified newly diagnosed cancer patients and constructed matched control group of noncancer participants from the 2002-2018 Health and Retirement Study. Outcomes included monthly OOPE for prescription drugs (RX-OOPE_MONTHLY) and OOPE for medical services other than drugs in the past 2 years (non–RX-OOPE_2YR), consumer debt, and new individual retirement account (IRA) withdrawals. Generalized linear models were used to compare OOPEs between cancer and matched control groups. Logistic regressions were used to compare household-level consumer debt or early IRA withdrawal. Subgroup analysis stratified patients by age, health status, and household income, with the low-income group stratified by Medicaid coverage. All statistical tests were 2-sided. Results The study cohort included 2022 cancer patients and 10 110 participants in the matched noncancer control group. Mean non–RX-OOPE_2YR of cancer patients was similar to that of participants in the matched control group before diagnosis but statistically significantly higher at diagnosis ($1157, P Conclusions Policies to reduce costs and expand insurance coverage options while reducing cost-sharing are needed. |
| Databáze: | OpenAIRE |
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