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Post-surgery financial toxicity and its influencing factors in colorectal cancer care: A cross-sectional study
Journal article   Open access   Peer reviewed

Post-surgery financial toxicity and its influencing factors in colorectal cancer care: A cross-sectional study

Mengwei Shao, Liqun Yao, Menghan Zhang, Huiyue Zhou, Yangqing Ding, Lin Bai, Bin Ma, Ting Li, Shengjie Guo, Changying Chen, …
European journal of oncology nursing : the official journal of European Oncology Nursing Society, Vol.68, 102518
2024
DOI: https://doi.org/10.1016/j.ejon.2024.102518
PMID: 38309254
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Published539.85 kBDownloadView
CC BY V4.0,  Open Access

Abstract

Financial toxicity Family resilience Colorectal cancer Self-perceived burden Social support
This study aimed to investigate the influence factors of financial toxicity experienced by colorectal cancer patients after surgery. The results will provide deep insights for developing effective intervention strategies to address this common issue of colorectal cancer care. In this cross-sectional study, we recruited 213 postoperative patients with colorectal cancer from February 2023 to July 2023 in two major public hospitals. Patients completed the General Information Questionnaire, Comprehensive Scores for Financial Toxicity (COST), Self-perceived Burden Scale (SPBS), Family Resilience Questionnaire (FaREQ), and Social Support Rating Scale (SSRS). A multiple linear regression model was used to investigate the influence factors of financial toxicity. The mean score of financial toxicity was medium (18.91 ± 7.90) in this study. Financial toxicity score was negatively correlated with self-perceived burden (r = -0.333, P < 0.01) and positively associated with family resilience (r = 0.365, P < 0.01) and social support (r = 0.388, P < 0.01). Via multiple linear regression analysis, we identified seven significant factors associated with financial toxicity, including family income [(95 %CI: 1.075-3.123); P = 0.000], self-perceived burden [(95 %CI: 0.300∼-0.038); P = 0.012], stoma [(95 %CI: 5.309∼-1.682); P = 0.000], social support [(95 %CI:0.058-0.407); P = 0.009], cancer stage [(95 %CI: 2.178∼-0.170); P = 0.022], postoperative duration [(95 %CI: 1.900∼-0.332); P = 0.005], and family resilience [(95 %CI: 0.028-0.203); P = 0.010]. Financial toxicity was prevalent among postoperative colorectal cancer patients. Additional support and early interventions should be given to high-risk patients, including those with stomas, advanced disease stages, or experiencing longer postoperative duration. Apart from demographic factors, we identified that self-perceived burden, family resilience, and social support were also associated with financial toxicity, providing a new perspective for developing effective strategies against financial toxicity.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.112 Palliative Care
1.112.297 Cancer Survivors
Web Of Science research areas
Nursing
Oncology
ESI research areas
Clinical Medicine
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