Financial toxicity and strain among men receiving prostate cancer care in an equal access healthcare system.
Financial toxicity and strain among men receiving prostate cancer care in an equal access healthcare system.
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DOI：
10.1002/cam4.3484
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发表时间：
2020-12
期刊：
影响因子：
4
通讯作者：
Hughes Halbert C
中科院分区：
文献类型：
--
作者：
Bauer AG;Jefferson M;Nahhas GJ;Savage S;Drake R;Lilly M;Ambrose L;Caulder S;Mahvi D;Hughes Halbert C
根据社会决定因素和临床特征，研究在平等获得医疗保健系统中男性的经济毒性和压力。在退伍军人健康管理局（VHA）机构接受前列腺癌治疗的男性（n = 49）中进行的观察性研究。财务困难包括整体财务压力和医疗费用造成的财务毒性。财务压力是通过一个项目来衡量的，这个项目询问他们在月底还剩多少钱。财务毒性用财务毒性综合评分（COST）量表衡量。参与者的财务毒性综合评分显示中度财务毒性（M = 24.4，SD = 9.9）。对于财务压力，36%的参与者表示他们在月底没有足够的钱剩余。在经济毒性方面没有种族或临床相关的差异，但种族和收入水平与经济紧张有显着相关性。应在平等获得医疗保健系统的患者中测量财务毒性和压力。研究结果表明，社会决定因素可能是重要的评估，以确定谁可能是最有可能经历的经济困难，在获得癌症护理的背景下，并实施努力，以减轻这些患者的负担。本研究的目的是研究在平等获得医疗保健系统的基础上，社会决定因素和临床特征的经济毒性和压力的男人。在经济毒性方面没有种族或临床相关的差异，但种族和收入水平与经济紧张有显着相关性。应评估社会决定因素，以确定在获得癌症护理的情况下最有可能经历经济困难的患者，以便努力减轻这些患者的负担。
To examine financial toxicity and strain among men in an equal access healthcare system based on social determinants and clinical characteristics. Observational study among men receiving prostate cancer care (n = 49) at a Veterans Health Administration (VHA) facility. Financial hardship included overall financial strain and financial toxicity due to healthcare costs. Financial strain was measured with one item asking how much money they have leftover at the end of the month. Financial toxicity was measured with the Comprehensive Score for Financial Toxicity (COST) scale. Comprehensive Score for Financial Toxicity scores among participants indicated moderate levels of financial toxicity (M = 24.4, SD = 9.9). For financial strain, 36% of participants reported that they did not have enough money left over at the end of the month. There were no racial or clinically related differences in financial toxicity, but race and income level had significant associations with financial strain. Financial toxicity and strain should be measured among patients in an equal access healthcare system. Findings suggest that social determinants may be important to assess, to identify patients who may be most likely to experience financial hardship in the context of obtaining cancer care and implement efforts to mitigate the burden for those patients. The purpose of this study was to examine financial toxicity and strain among men in an equal access healthcare system based on social determinants and clinical characteristics. There were no racial or clinically related differences in financial toxicity, but race and income level had significant associations with financial strain. Social determinants should be assessed to identify patients who may be most likely to experience financial hardship in the context of obtaining cancer care in order to implement efforts to mitigate the burden for those patients.
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影响因子：
6.2
作者：
de Souza JA;Yap BJ;Wroblewski K;Blinder V;Araújo FS;Hlubocky FJ;Nicholas LH;O'Connor JM;Brockstein B;Ratain MJ;Daugherty CK;Cella D
通讯作者：
Cella D
影响因子：
3.7
作者：
Pearce, Alison;Tomalin, Bianca;Koczwara, Bogda
通讯作者：
Koczwara, Bogda
影响因子：
45.3
作者：
Ramsey, Scott D.;Bansal, Aasthaa;Newcomb, Polly
通讯作者：
Newcomb, Polly
影响因子：
50.5
作者：
Perrone, F.;Jommi, C.;Gallo, C.
通讯作者：
Gallo, C.
影响因子：
--
作者：
Honda, Kazunori;Gyawali, Bishal;Muro, Kei
通讯作者：
Muro, Kei