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Financial toxicity in allogeneic haematopoietic stem cell transplant patients from a social determinants of health perspective

Financial toxicity (FT) refers to the subjective perception of financial distress resulting from objective economic strain due to illness, exerting a detrimental influence on health outcomes. This study aimed to describe FT among allogeneic haematopoietic stem cell transplant (allo-HSCT) recipients...

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Published in:European journal of oncology nursing : the official journal of European Oncology Nursing Society 2024-06, Vol.70, p.102584, Article 102584
Main Authors: Navas Huerga, Rocío, Salcedo de Diego, Isabel, de Miguel Jiménez, Carlos, Muñoz Martínez, Cristina, Kwon, Mi, Pedraza García, Natalia, Calbacho, María, Royuela Vicente, Ana, Serrano Gallardo, Pilar
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Language:English
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Summary:Financial toxicity (FT) refers to the subjective perception of financial distress resulting from objective economic strain due to illness, exerting a detrimental influence on health outcomes. This study aimed to describe FT among allogeneic haematopoietic stem cell transplant (allo-HSCT) recipients within a public health framework, employing a social determinants of health approach. A multi-centre cross-sectional study involving adult allo-HSCT patients was conducted across three public hospitals in Madrid. FT was assessed using a validated COST scale (range 0–44; lower scores indicating higher FT). Patient-administered paper/online questionnaires were utilized to collect data on sociodemographic, socioeconomic, clinical, and healthcare access variables. Descriptive, non-parametric univariate statistical analysis and multiple linear regression models were performed. Sixty-six patients, with a mean age: 52.5 years (SD: 11.5), 50% women, 28.7% displaced to Madrid for HSCT, and 71.4% lacking financial support were included. The median FT score was 20 points (IQR 12–27.25). Independent factors associated with higher FT included being females (Coef = −3.26; p = 0.079), perceived income loss after HSCT (Coef = −6.81; p 2500 € (Coef = 15.75; p 
ISSN:1462-3889
1532-2122
1532-2122
DOI:10.1016/j.ejon.2024.102584