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- Title
Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country.
- Authors
Ting, Chuo Yew; Teh, Guan Chou; Yu, Kong Leong; Alias, Haridah; Tan, Hui Meng; Wong, Li Ping
- Abstract
<bold>Purpose: </bold>This study examined the prevalence of financial toxicity (FT) and associated factors among urologic cancer patients. The association between FT and health-related quality of life (HRQoL) was also investigated.<bold>Methods: </bold>A total of 429 respondents diagnosed with urologic cancers (prostate cancer, bladder and renal cancer) from Sarawak General Hospital and Subang Jaya Medical Centre in Malaysia were interviewed using a structured questionnaire. Objective and subjective FT were measured by catastrophic health expenditure (healthcare-cost-to-income ratio greater than 40%) and the Personal Financial Well-being Scale, respectively. HRQoL was measured with the Functional Assessment of Cancer Therapy - General 7 Items scale.<bold>Results: </bold>Objective and subjective FT were experienced by 16.1 and 47.3% of the respondents, respectively. Respondents who sought treatment at a private hospital and had out-of-pocket health expenditures were more likely to experience objective FT, after adjustment for covariates. Respondents who were female and had a monthly household income less than MYR 5000 were more likely to experience average to high subjective FT. Greater objective FT (OR = 2.75, 95% CI 1.09-6.95) and subjective FT (OR = 4.68, 95% CI 2.63-8.30) were associated with poor HRQoL.<bold>Conclusions: </bold>The significant association between both objective and subjective FT and HRQoL highlights the importance of reducing FT among urologic cancer patients. Subjective FT was found to have a greater negative impact on HRQoL.
- Subjects
MALAYSIA; SARAWAK; QUALITY of life; MIDDLE-income countries; CANCER patients; RENAL cancer; BLADDER cancer
- Publication
Supportive Care in Cancer, 2020, Vol 28, Issue 4, p1703
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-019-04975-y