Financial toxicity is more than costs of care: the relationship between employment and financial toxicity in long-term cancer survivors

2018 ◽  
Vol 13 (1) ◽  
pp. 10-20 ◽  
Author(s):  
Alison Pearce ◽  
Bianca Tomalin ◽  
Billingsley Kaambwa ◽  
Nicole Horevoorts ◽  
Saskia Duijts ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Financial Toxicity ◽  
Costs Of Care ◽  
The Relationship

scholarly journals Surgery and Financial Toxicity are Risk Factors for Distress in Cancer Survivors: A Cross-sectional Study

2020 ◽  
Author(s):  
Huihui Yu ◽  
Tingting Zuo ◽  
Xue Bi ◽  
Hui Li ◽  
Haiyang Xing ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychological Distress ◽  
Cancer Survivors ◽  
Cross Sectional Study ◽  
Disease Stage ◽  
Financial Toxicity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients With Cancer ◽  
The Relationship

Abstract Background: Patients with cancer often face some level of distress, regardless of disease stage. Distress in cancer survivors has a negative impact on their quality of life. The goal of this study was to identify risk factors for distress, under­stand how treatment associated with distress and reveal the relationship between the psychological and financial distress. Methods: This was a multi-center cross-sectional study of patients with cancer requiring surgery or chemotherapy. Patients completed questionnaires regarding their demographics, disease characteristics, psychological distress, and financial toxicity. A multivariable logistic regression model was used to examine factors associated with distress in surgical versus chemotherapy treatment groups.Results: A total of 409 patients participated in the study. Patients treated with surgery (n = 172) were more likely to be female, unemployed, early stage compared with patients undergoing chemotherapy (n = 237). Multivariable analysis revealed that surgical patients tended to have a higher risk of distress compared with patients receiving chemotherapy (OR, 95% CI: 3.086, 1.854–5.137) due to higher rates of nervousness, pain, and difficulty with bathing/dressing, and patients with high financial toxicity had a higher risk of distress compared with those with low financial toxicity (OR, 95% CI: 2.000, 1.278–3.130). The relationship between financial toxicity and psychological distress was stronger in the chemotherapy group, with the correction coefficient -0.294 and slope -1.196. Conclusion: Patients who underwent surgery and reported higher financial toxicity were more likely to experience distress. Multidimensional distress screening and psychosocial interventions should be provided pre- and post-operatively for patients.

scholarly journals Distress mediates the relationship between cognitive appraisal of medical care and benefit finding/posttraumatic growth in long‐term cancer survivors

Cancer ◽  
2021 ◽  
Author(s):  
Zhunzhun Liu ◽  
Daniela Doege ◽  
Melissa S. Y. Thong ◽  
Lena Koch‐Gallenkamp ◽  
Heike Bertram ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Medical Care ◽  
Posttraumatic Growth ◽  
Cognitive Appraisal ◽  
Benefit Finding ◽  
The Relationship

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

2020 ◽  
Vol 21 (10) ◽  
pp. 3077-3083
Author(s):  
Shee-Ling Yap ◽  
Shirly Siew-Ling Wong ◽  
Keng-Sheng Chew ◽  
Jerome Swee-Hui Kueh ◽  
Ke-Lin Siew
Keyword(s):  
Cancer Survivors ◽  
Clinical Profile ◽  
Financial Toxicity ◽  
The Relationship

scholarly journals Helping Cancer Survivors Return to Work

2021 ◽  
Vol 19 (5.5) ◽  
pp. 662-664
Author(s):  
Amye J. Tevaarwerk
Keyword(s):  
Cancer Survivors ◽  
Matched Control ◽  
Work Outcomes ◽  
Financial Toxicity ◽  
Work Limitations ◽  
Patient Navigators ◽  
Potential Impact ◽  
Personalized Approach ◽  
Matched Control Population

Work limitations due to health problems can range from mild or transient limitations to persistent, long‐term dysfunction and can lead to employment instability, underemployment, and even loss of employment. In fact, compared with a healthy matched control population, cancer survivors are 1.37 times more likely to be unemployed. Because patients with metastatic disease are particularly vulnerable, proactive discussion regarding the potential impact of treatment on employment and work outcomes may be beneficial. However, employment and financial toxicity are not topics that clinicians are necessarily trained to address. Financial counselors or patient navigators may be better able to offer a personalized approach and help survivors navigate the complex resources that are involved. Additional research into cancer‐related work outcomes is needed.

Examining the relationship between social cognitive processing and depressive symptoms in long-term breast cancer survivors and their partners.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 191-191
Author(s):  
Andrea A Cohee ◽  
Victoria Champion
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Cancer Survivors ◽  
Cognitive Processing ◽  
Breast Cancer Survivors ◽  
Social Cognitive ◽  
Social Constraints ◽  
Social Cognitive Processing ◽  
The Relationship

191 Background: Breast cancer survivors (BCS) and their partners frequently report distress, including depressive symptoms after diagnosis and treatment for breast cancer. The Social Cognitive Processing Theory (SCPT) has been useful in identifying predictors of both BCS and partner distress, although most studies have occurred early in survivorship. Relationships between SCPT variables and depressive symptoms in long-term BCS and their partners have not been well explored. The purpose of this study is to test relationships between SCPT variables and depressive symptoms in long-term BCS and their partners. Methods: In a large cross-sectional study, BCS (N = 222), who were 3-8 years from diagnosis, and their partners completed a survey assessing demographic characteristics, social constraints, cognitive processing (intrusive thoughts and cognitive avoidance), and depressive symptoms. Mediation analyses were conducted for survivors and partners separately to determine if cognitive processing would mediate the relationship between social constraints and depressive symptoms. Results: Cognitive processing mediated the relationship between social constraints and depressive symptoms both for BCS [F(5,209) = 16.373, R2= .281, p < .001] and partners [F(4, 216) = 8.281, R2= .133, p < .001), controlling for age, education, and survivors’ time since diagnosis. Although included in the model, demographic variables did not significantly predict depressive symptoms. Conclusions: Relationships in the SCPT were confirmed; cognitive processing mediated the relationship between social constraints and depressive symptoms for both long-term BCS and their partners. Results expand the utility of the SCPT in long-term survivors and their partners by supporting its use in intervention design.

The relationship of APOE genotype to neuropsychological performance in long-term cancer survivors treated with standard dose chemotherapy

2003 ◽  
Vol 12 (6) ◽  
pp. 612-619 ◽  
Author(s):  
Tim A. Ahles ◽  
Andrew J. Saykin ◽  
Walter W. Noll ◽  
Charlotte T. Furstenberg ◽  
Stephen Guerin ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Standard Dose ◽  
Apoe Genotype ◽  
Neuropsychological Performance ◽  
Relationship Of ◽  
The Relationship

Predictors of SF-6D scores among long-term colorectal cancer survivors

2010 ◽  
Author(s):  
Mark C. Hornbrook ◽  
Christopher S. Wendel ◽  
Stephen Joel Coons ◽  
Marcia Grant ◽  
Lisa J. Herrinton ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Survivors ◽  
Colorectal Cancer Survivors

Multi-Center Calibration of the Second Reference Material for Thromboplastin, Rabbit, Plain, Coded CRM 149R

1991 ◽  
Vol 65 (03) ◽  
pp. 263-267 ◽  
Author(s):  
A M H P van den Besselaar ◽  
R M Bertina
Keyword(s):  
Reference Material ◽  
Standard Error ◽  
Standard Errors ◽  
Sensitivity Index ◽  
Long Term Stability ◽  
Significant Bias ◽  
The Mean ◽  
The Relationship ◽  
International Sensitivity Index

SummaryIn a collaborative trial of eleven laboratories which was performed mainly within the framework of the European Community Bureau of Reference (BCR), a second reference material for thromboplastin, rabbit, plain, was calibrated against its predecessor RBT/79. This second reference material (coded CRM 149R) has a mean International Sensitivity Index (ISI) of 1.343 with a standard error of the mean of 0.035. The standard error of the ISI was determined by combination of the standard errors of the ISI of RBT/79 and the slope of the calibration line in this trial.The BCR reference material for thromboplastin, human, plain (coded BCT/099) was also included in this trial for assessment of the long-term stability of the relationship with RBT/79. The results indicated that this relationship has not changed over a period of 8 years. The interlaboratory variation of the slope of the relationship between CRM 149R and RBT/79 was significantly lower than the variation of the slope of the relationship between BCT/099 and RBT/79. In addition to the manual technique, a semi-automatic coagulometer according to Schnitger & Gross was used to determine prothrombin times with CRM 149R. The mean ISI of CRM 149R was not affected by replacement of the manual technique by this particular coagulometer.Two lyophilized plasmas were included in this trial. The mean slope of relationship between RBT/79 and CRM 149R based on the two lyophilized plasmas was the same as the corresponding slope based on fresh plasmas. Tlowever, the mean slope of relationship between RBT/79 and BCT/099 based on the two lyophilized plasmas was 4.9% higher than the mean slope based on fresh plasmas. Thus, the use of these lyophilized plasmas induced a small but significant bias in the slope of relationship between these thromboplastins of different species.

Risk Attitude and Corporate Investment under Output Market Uncertainty: Evidence from The Mekong River Delta, Vietnam

2016 ◽  
pp. 59-70
Author(s):  
Ninh Le Khuong ◽  
Nghiem Le Tan ◽  
Tho Huynh Huu
Keyword(s):  
Negative Relationship ◽  
Risk Attitude ◽  
Business Strategies ◽  
Risk Averse ◽  
Market Uncertainty ◽  
Firm Investment ◽  
Output Market ◽  
The Impact ◽  
The Relationship

This paper aims to detect the impact of firm managers’ risk attitude on the relationship between the degree of output market uncertainty and firm investment. The findings show that there is a negative relationship between these two aspects for risk-averse managers while there is a positive relationship for risk-loving ones, since they have different utility functions. Based on the findings, this paper proposes recommendations for firm managers to take into account when making investment decisions and long-term business strategies as well.

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