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Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak

Background: Patient’s financial ability is always the most critical imputes to treatment choice and adherence; as it translates into health outcomes such as survival rate and quality of life. Cancer care is likely to affect the patient’s financial well-being, putting huge financial pressure to the f...

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Main Authors: Yap, Shee Ling, Wong, Shirly Siew Ling, Chew, Keng Sheng, Kueh, Jerome Swee Hui, Siew, Ke Lin
Format: Article
Language:English
Published: 2020
Subjects:
HG Finance
Online Access:http://ir.unimas.my/id/eprint/32694/1/shee.pdf
http://ir.unimas.my/id/eprint/32694/
http://journal.waocp.org/article_89322.html
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spelling my.unimas.ir.326942021-03-30T04:26:23Z http://ir.unimas.my/id/eprint/32694/ Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak Yap, Shee Ling Wong, Shirly Siew Ling Chew, Keng Sheng Kueh, Jerome Swee Hui Siew, Ke Lin HG Finance Background: Patient’s financial ability is always the most critical imputes to treatment choice and adherence; as it translates into health outcomes such as survival rate and quality of life. Cancer care is likely to affect the patient’s financial well-being, putting huge financial pressure to the families. Therefore, it is imperative to understand the confounding factors of financial toxicity among cancer survivors along the course of survivorship. Methods: This study was designed in the form of cross-sectional analysis, in which, cancer survivors were recruited from the Sarawak General Hospital, the largest tertiary and referral public hospital in Sarawak. To capture the financial toxicity of the cancer survivors, the Comprehensive Score for Financial Toxicity (COST) instrument in its validated form was adopted. Multivariable logistic regression analysis was applied to determine the relationship between financial toxicity (FT) and its predictors. Results: The median age of the 461 cancer survivors was 56 while the median score of COST was 22.0. Besides, finding from multivariable logistic regression revealed that low income households (OR: 6.893, 95% CI, 3.109-15.281) were susceptible to higher risk of financial toxicity, while elderly survivors above 50 years old reported a lower risk in financial toxicity. Also, survivors with secondary schooling (OR:0.240; 95%CI, 0.110-0.519) and above [College or university (OR: 0.242; 95% CI, 0.090-0.646)] suffer a lower risk of FT. Conclusion: Financial toxicity was found to be associated with survivors age, household income and educational level. In the context of cancer treatment within public health facility, younger survivors, households from B40 group and individual with educational attainment below the first level schooling in the Malaysian system of education are prone to greater financial toxicity. Therefore, it is crucial for healthcare policymakers and clinicians to deliberate the plausible risk of financial toxicity borne by the patient amidst the treatment process. 2020 Article PeerReviewed text en http://ir.unimas.my/id/eprint/32694/1/shee.pdf Yap, Shee Ling and Wong, Shirly Siew Ling and Chew, Keng Sheng and Kueh, Jerome Swee Hui and Siew, Ke Lin (2020) Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak. Asian Pacific Journal of Cancer Prevention, 21 (10). pp. 3077-3083. http://journal.waocp.org/article_89322.html 10.31557/APJCP.2020.21.10.3077
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic HG Finance
spellingShingle HG Finance
Yap, Shee Ling
Wong, Shirly Siew Ling
Chew, Keng Sheng
Kueh, Jerome Swee Hui
Siew, Ke Lin
Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
description Background: Patient’s financial ability is always the most critical imputes to treatment choice and adherence; as it translates into health outcomes such as survival rate and quality of life. Cancer care is likely to affect the patient’s financial well-being, putting huge financial pressure to the families. Therefore, it is imperative to understand the confounding factors of financial toxicity among cancer survivors along the course of survivorship. Methods: This study was designed in the form of cross-sectional analysis, in which, cancer survivors were recruited from the Sarawak General Hospital, the largest tertiary and referral public hospital in Sarawak. To capture the financial toxicity of the cancer survivors, the Comprehensive Score for Financial Toxicity (COST) instrument in its validated form was adopted. Multivariable logistic regression analysis was applied to determine the relationship between financial toxicity (FT) and its predictors. Results: The median age of the 461 cancer survivors was 56 while the median score of COST was 22.0. Besides, finding from multivariable logistic regression revealed that low income households (OR: 6.893, 95% CI, 3.109-15.281) were susceptible to higher risk of financial toxicity, while elderly survivors above 50 years old reported a lower risk in financial toxicity. Also, survivors with secondary schooling (OR:0.240; 95%CI, 0.110-0.519) and above [College or university (OR: 0.242; 95% CI, 0.090-0.646)] suffer a lower risk of FT. Conclusion: Financial toxicity was found to be associated with survivors age, household income and educational level. In the context of cancer treatment within public health facility, younger survivors, households from B40 group and individual with educational attainment below the first level schooling in the Malaysian system of education are prone to greater financial toxicity. Therefore, it is crucial for healthcare policymakers and clinicians to deliberate the plausible risk of financial toxicity borne by the patient amidst the treatment process.
format Article
author Yap, Shee Ling
Wong, Shirly Siew Ling
Chew, Keng Sheng
Kueh, Jerome Swee Hui
Siew, Ke Lin
author_facet Yap, Shee Ling
Wong, Shirly Siew Ling
Chew, Keng Sheng
Kueh, Jerome Swee Hui
Siew, Ke Lin
author_sort Yap, Shee Ling
title Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
title_short Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
title_full Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
title_fullStr Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
title_full_unstemmed Assessing the Relationship between Socio-demographic, Clinical Profile and Financial Toxicity: Evidence from Cancer Survivors in Sarawak
title_sort assessing the relationship between socio-demographic, clinical profile and financial toxicity: evidence from cancer survivors in sarawak
publishDate 2020
url http://ir.unimas.my/id/eprint/32694/1/shee.pdf
http://ir.unimas.my/id/eprint/32694/
http://journal.waocp.org/article_89322.html
_version_ 1696979530076389376
score 13.211869

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