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Financial hardship experience in middle- and older-aged patients with advanced lung cancer
Purpose Advancements in medical treatments have resulted in increased medical costs for cancer patients. More than half of the patients with advanced lung cancer reported unmet financial needs. The purpose of this study is to examine the differences in the prevalence and correlates of financial hard...
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| Published in: | Supportive care in cancer 2024-06, Vol.32 (6), p.372, Article 372 |
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| container_issue | 6 |
| container_start_page | 372 |
| container_title | Supportive care in cancer |
| container_volume | 32 |
| creator | Takemura, Naomi Jia, Shumin Lin, Chia-Chin |
| description | Purpose
Advancements in medical treatments have resulted in increased medical costs for cancer patients. More than half of the patients with advanced lung cancer reported unmet financial needs. The purpose of this study is to examine the differences in the prevalence and correlates of financial hardship between middle- and older-aged patients with advanced lung cancer, and its impact on multiple health-related outcomes.
Methods
This study presents a cross-sectional analysis involving 226 patients with advanced lung cancer, who were enrolled in a randomized controlled trial conducted between 2018 and 2020. Data collection was performed through self-reported questionnaires and electronic medical records. Multivariable logistic and linear regression models were adopted for analysis.
Results
58.0% reported experiencing financial hardships. Middle-aged participants who were single and had a lower education level were more likely to experience financial difficulties. However, males and higher performance status were associated with a lower likelihood of experiencing financial difficulties among older-aged participants. Financial hardship was significantly associated with anxiety (
p
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| doi_str_mv | 10.1007/s00520-024-08571-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11111556</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3058336446</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-24d487ba912ed2255a6e16ca9a3e957d02a4aba1bd5d1734066c9d70383f11a73</originalsourceid><addsrcrecordid>eNp9kT9vFDEQxS1ERI6DL0ARWaKhceL_3q0iFCWAFCkNNDTWnO27c7Tn3di7gXx7vLkQkhS48cjz85t5egh9YPSYUWpOCqWKU0K5JLRRhhHzCi2YFIIYIdrXaEFbyYgUSh2it6VcU8qMUfwNOhRNLVrWLNDPi5gguQgd3kL2ZRsHHH4PIceQXMAx4V30vgsEQ_K473zIBDbB4wHGiowF_4rjFoO_rSr1uZvSBru5zu_QwRq6Et4_3Ev04-L8-9lXcnn15dvZ50viJNcj4dLLxqygZTx4zpUCHZh20IIIrTKecpCwArbyyjMjJNXatd5Q0Yg1Y2DEEp3udYdptQve1a0ydHbIcQf5zvYQ7fNOilu76W8tm49Suip8elDI_c0Uymh3sbjQdZBCPxUrqGq00KKOXKKPL9Drfsqp-runhNBSzoJ8T7ncl5LD-nEbRu2cnd1nZ2t29j47O_s4eurj8cvfsCog9kCprbQJ-d_s_8j-AYo4pNg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3058336446</pqid></control><display><type>article</type><title>Financial hardship experience in middle- and older-aged patients with advanced lung cancer</title><source>Springer Link</source><creator>Takemura, Naomi ; Jia, Shumin ; Lin, Chia-Chin</creator><creatorcontrib>Takemura, Naomi ; Jia, Shumin ; Lin, Chia-Chin</creatorcontrib><description><![CDATA[Purpose
Advancements in medical treatments have resulted in increased medical costs for cancer patients. More than half of the patients with advanced lung cancer reported unmet financial needs. The purpose of this study is to examine the differences in the prevalence and correlates of financial hardship between middle- and older-aged patients with advanced lung cancer, and its impact on multiple health-related outcomes.
Methods
This study presents a cross-sectional analysis involving 226 patients with advanced lung cancer, who were enrolled in a randomized controlled trial conducted between 2018 and 2020. Data collection was performed through self-reported questionnaires and electronic medical records. Multivariable logistic and linear regression models were adopted for analysis.
Results
58.0% reported experiencing financial hardships. Middle-aged participants who were single and had a lower education level were more likely to experience financial difficulties. However, males and higher performance status were associated with a lower likelihood of experiencing financial difficulties among older-aged participants. Financial hardship was significantly associated with anxiety (
p
< 0.001), depression (
p
< 0.001), sleep disturbances (
p
< 0.001), quality of life, global health status (
p
= 0.002), functional scale score (
p
< 0.001), symptom scale score (
p
< 0.001), and lung cancer-specific scale score (
p
< 0.001).
Conclusions
More than half of the patients with advanced lung cancer experienced financial hardships caused by cancer or its treatment, with a higher prevalence reported in middle-aged patients. Different sociodemographic and clinical variables correlated with financial hardship in middle- and older-aged participants, respectively. More attention should be paid to middle-aged patients with advanced lung cancer, particularly during routine assessments.]]></description><identifier>ISSN: 0941-4355</identifier><identifier>ISSN: 1433-7339</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-024-08571-7</identifier><identifier>PMID: 38775918</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age Factors ; Aged ; Anxiety ; Cancer therapies ; Clinical trials ; Cost of Illness ; Cross-Sectional Studies ; Female ; Financial Stress ; Global health ; Hardship ; Health care expenditures ; Humans ; Lung cancer ; Lung Neoplasms - economics ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Middle age ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Pain Medicine ; Patients ; Quality of Life ; Questionnaires ; Rehabilitation Medicine ; Sleep ; Sociodemographics ; Surveys and Questionnaires</subject><ispartof>Supportive care in cancer, 2024-06, Vol.32 (6), p.372, Article 372</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-24d487ba912ed2255a6e16ca9a3e957d02a4aba1bd5d1734066c9d70383f11a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38775918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takemura, Naomi</creatorcontrib><creatorcontrib>Jia, Shumin</creatorcontrib><creatorcontrib>Lin, Chia-Chin</creatorcontrib><title>Financial hardship experience in middle- and older-aged patients with advanced lung cancer</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description><![CDATA[Purpose
Advancements in medical treatments have resulted in increased medical costs for cancer patients. More than half of the patients with advanced lung cancer reported unmet financial needs. The purpose of this study is to examine the differences in the prevalence and correlates of financial hardship between middle- and older-aged patients with advanced lung cancer, and its impact on multiple health-related outcomes.
Methods
This study presents a cross-sectional analysis involving 226 patients with advanced lung cancer, who were enrolled in a randomized controlled trial conducted between 2018 and 2020. Data collection was performed through self-reported questionnaires and electronic medical records. Multivariable logistic and linear regression models were adopted for analysis.
Results
58.0% reported experiencing financial hardships. Middle-aged participants who were single and had a lower education level were more likely to experience financial difficulties. However, males and higher performance status were associated with a lower likelihood of experiencing financial difficulties among older-aged participants. Financial hardship was significantly associated with anxiety (
p
< 0.001), depression (
p
< 0.001), sleep disturbances (
p
< 0.001), quality of life, global health status (
p
= 0.002), functional scale score (
p
< 0.001), symptom scale score (
p
< 0.001), and lung cancer-specific scale score (
p
< 0.001).
Conclusions
More than half of the patients with advanced lung cancer experienced financial hardships caused by cancer or its treatment, with a higher prevalence reported in middle-aged patients. Different sociodemographic and clinical variables correlated with financial hardship in middle- and older-aged participants, respectively. More attention should be paid to middle-aged patients with advanced lung cancer, particularly during routine assessments.]]></description><subject>Age Factors</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Cancer therapies</subject><subject>Clinical trials</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Financial Stress</subject><subject>Global health</subject><subject>Hardship</subject><subject>Health care expenditures</subject><subject>Humans</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - economics</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Rehabilitation Medicine</subject><subject>Sleep</subject><subject>Sociodemographics</subject><subject>Surveys and Questionnaires</subject><issn>0941-4355</issn><issn>1433-7339</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kT9vFDEQxS1ERI6DL0ARWaKhceL_3q0iFCWAFCkNNDTWnO27c7Tn3di7gXx7vLkQkhS48cjz85t5egh9YPSYUWpOCqWKU0K5JLRRhhHzCi2YFIIYIdrXaEFbyYgUSh2it6VcU8qMUfwNOhRNLVrWLNDPi5gguQgd3kL2ZRsHHH4PIceQXMAx4V30vgsEQ_K473zIBDbB4wHGiowF_4rjFoO_rSr1uZvSBru5zu_QwRq6Et4_3Ev04-L8-9lXcnn15dvZ50viJNcj4dLLxqygZTx4zpUCHZh20IIIrTKecpCwArbyyjMjJNXatd5Q0Yg1Y2DEEp3udYdptQve1a0ydHbIcQf5zvYQ7fNOilu76W8tm49Suip8elDI_c0Uymh3sbjQdZBCPxUrqGq00KKOXKKPL9Drfsqp-runhNBSzoJ8T7ncl5LD-nEbRu2cnd1nZ2t29j47O_s4eurj8cvfsCog9kCprbQJ-d_s_8j-AYo4pNg</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Takemura, Naomi</creator><creator>Jia, Shumin</creator><creator>Lin, Chia-Chin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240601</creationdate><title>Financial hardship experience in middle- and older-aged patients with advanced lung cancer</title><author>Takemura, Naomi ; Jia, Shumin ; Lin, Chia-Chin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-24d487ba912ed2255a6e16ca9a3e957d02a4aba1bd5d1734066c9d70383f11a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Cancer therapies</topic><topic>Clinical trials</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Financial Stress</topic><topic>Global health</topic><topic>Hardship</topic><topic>Health care expenditures</topic><topic>Humans</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - economics</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Rehabilitation Medicine</topic><topic>Sleep</topic><topic>Sociodemographics</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takemura, Naomi</creatorcontrib><creatorcontrib>Jia, Shumin</creatorcontrib><creatorcontrib>Lin, Chia-Chin</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takemura, Naomi</au><au>Jia, Shumin</au><au>Lin, Chia-Chin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Financial hardship experience in middle- and older-aged patients with advanced lung cancer</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>32</volume><issue>6</issue><spage>372</spage><pages>372-</pages><artnum>372</artnum><issn>0941-4355</issn><issn>1433-7339</issn><eissn>1433-7339</eissn><abstract><![CDATA[Purpose
Advancements in medical treatments have resulted in increased medical costs for cancer patients. More than half of the patients with advanced lung cancer reported unmet financial needs. The purpose of this study is to examine the differences in the prevalence and correlates of financial hardship between middle- and older-aged patients with advanced lung cancer, and its impact on multiple health-related outcomes.
Methods
This study presents a cross-sectional analysis involving 226 patients with advanced lung cancer, who were enrolled in a randomized controlled trial conducted between 2018 and 2020. Data collection was performed through self-reported questionnaires and electronic medical records. Multivariable logistic and linear regression models were adopted for analysis.
Results
58.0% reported experiencing financial hardships. Middle-aged participants who were single and had a lower education level were more likely to experience financial difficulties. However, males and higher performance status were associated with a lower likelihood of experiencing financial difficulties among older-aged participants. Financial hardship was significantly associated with anxiety (
p
< 0.001), depression (
p
< 0.001), sleep disturbances (
p
< 0.001), quality of life, global health status (
p
= 0.002), functional scale score (
p
< 0.001), symptom scale score (
p
< 0.001), and lung cancer-specific scale score (
p
< 0.001).
Conclusions
More than half of the patients with advanced lung cancer experienced financial hardships caused by cancer or its treatment, with a higher prevalence reported in middle-aged patients. Different sociodemographic and clinical variables correlated with financial hardship in middle- and older-aged participants, respectively. More attention should be paid to middle-aged patients with advanced lung cancer, particularly during routine assessments.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38775918</pmid><doi>10.1007/s00520-024-08571-7</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Aged Anxiety Cancer therapies Clinical trials Cost of Illness Cross-Sectional Studies Female Financial Stress Global health Hardship Health care expenditures Humans Lung cancer Lung Neoplasms - economics Male Medical prognosis Medicine Medicine & Public Health Middle age Middle Aged Nursing Nursing Research Oncology Pain Medicine Patients Quality of Life Questionnaires Rehabilitation Medicine Sleep Sociodemographics Surveys and Questionnaires |
| title | Financial hardship experience in middle- and older-aged patients with advanced lung cancer |
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