Influence of financial burden on withdrawal or change of cancer treatment in Japan: results of a bereavement survey
Influence of financial burden on withdrawal or change of cancer treatment in Japan: results of a bereavement survey
复制标题
日本经济负担对退出或改变癌症治疗的影响：丧亲调查结果
DOI：
10.1007/s00520-022-06933-7
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发表时间：
2022
影响因子：
3.1
通讯作者：
M.
中科院分区：
文献类型：
--
作者：
Sasaki;T.;Aoyama;M.;Igarashi;N.;...Shima;Y.;Miyashita;M.
PurposeThis study aims to examine the effect of the financial burden of cancer treatment from diagnosis to end of life on treatment withdraw or change in Japanes.MethodsThis study was part of a nationwide survey of beared family members of cancer patients in Japan（J-HOPE 2016 study）.询问了关于癌症治疗的退出或改变的问题（根据治疗是由医生推荐还是基于患者的要求进行分层），应对癌症治疗费用的经济困难以及参与者的社会经济背景。进行描述性分析，并采用Logistic回归分析，以检查相关因素的退出或改变cancer treatment.ResultsIn的总数，510（60%）的问卷调查返回。大约7.5%的参与者报告因经济原因退出或改变癌症治疗。应付癌症治疗费用的经济困难，例如用尽全部或部分积蓄（OR = 2.14，95%CI = 1.14- 4.04，p = 0.018/ OR = 3.45，95%CI = 1.52- 7.81，p = 0.003）（OR = 2.54，95%CI = 1.25- 5.14，p = 0.010/OR = 3.89，95%CI = 1.68- 9.00，p = 0.002）（由医生推荐/基于患者要求）。结论与以前的研究相比，较少的参与者报告了癌症治疗的撤回或改变，这可能反映了日本医疗保健系统的特点。然而，日本也有患者因经济原因而退出或改变癌症治疗。医务人员应将经济毒性视为严重的副作用，并在考虑患者社会经济背景的同时，协助患者做出治疗决策。
PurposeThis study aimed to examine the effect of financial burden of cancer treatment from diagnosis to end-of-life on treatment withdrawal or change in Japan.MethodsThis study was part of a nationwide survey of bereaved family members of cancer patients in Japan (J-HOPE2016 study). Questions regarding withdrawal or change of cancer treatment (stratified according to whether the treatment was recommended by physicians or based on the patients’ request), financial difficulties in coping with cancer treatment expenses, and the participants’ socioeconomic background were asked. Descriptive analyses were performed, and logistic regression was used to examine the factors related to withdrawal or change of cancer treatment.ResultsIn total, 510 (60%) questionnaires were returned. Approximately 7.5% of participants reported withdrawal or change of cancer treatment for financial reasons. Financial difficulties in coping with cancer treatment expenses such as using up all or a portion of one’s savings (OR = 2.14, 95% CI = 1.14–4.04,p= 0.018/ OR = 3.45, 95% CI = 1.52–7.81,p= 0.003) and subjective financial burden (OR = 2.54, 95% CI = 1.25–5.14,p= 0.010/OR = 3.89, 95% CI = 1.68–9.00,p= 0.002) were significantly related to withdrawal or change of cancer treatment (recommended by physicians/based on patient request).ConclusionFewer participants reported withdrawal or change of cancer treatment than in previous studies, which might reflect the characteristics of the Japanese healthcare system. However, there are patients in Japan who withdraw or change cancer treatment for financial reasons. Medical staff should consider financial toxicity as a serious side effect and assist patients in their decision-making regarding treatment while taking into account their socioeconomic backgrounds.
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