scholarly journals Out-of-Pocket Costs and Perceived Financial Burden Associated with Prostate Cancer Treatment in a Quebec Remote Area: A Cross-Sectional Study

2020 ◽  
Vol 28 (1) ◽  
pp. 26-39
Author(s):  
Abir El-Haouly ◽  
Anais Lacasse ◽  
Hares El-Rami ◽  
Frederic Liandier ◽  
Alice Dragomir
Keyword(s):  
Prostate Cancer ◽  
Cancer Patients ◽  
Financial Burden ◽  
Cross Sectional Study ◽  
University Education ◽  
School Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perceived Burden ◽  
Out Of Pocket Costs

Background: In publicly funded healthcare systems, patients do not pay for medical visits but can experience costs stemming from travel or over-the-counter drugs. We lack information about the extent of this burden in Canadian remote regions. This study aimed to: (1) describe prostate cancer-related out-of-pocket costs and perceived financial burden, and (2) identify factors associated with such a perceived burden among prostate cancer patients living in a remote region of the province of Quebec (Canada). Methods: A cross-sectional study was conducted among 171 prostate cancer patients who consulted at the outpatient clinic of the Centre Hospitalier de Rouyn-Noranda. Results: The majority of patients (83%) had incurred out-of-pocket costs for their cancer care. The mean total cost incurred in the last three months was $517 and 22.3% reported a moderate, considerable or unsustainable burden. Multivariable analysis revealed that having incurred higher cancer-related out-of-pocket costs (OR: 1.001; 95%CI: 1.001–1.002) private drug insurance (vs. public, OR: 5.23; 95%CI: 1.13–24.17) was associated with a greater perceived financial burden. Having better physical health-related quality of life (OR: 0.95; 95%CI: 0.913–0.997), a university education (vs. elementary/high school level, OR: 0.03; 95%CI: 0.00–0.79), and an income between $40,000 and $79,999 (vs. ≤ $39,999, OR: 0.15; 95%CI: 0.03–0.69) were associated with a lower perceived burden. Conclusion: Prostate cancer patients incur out-of-pocket costs even if they were diagnosed many years ago and the perceived burden is significant. Greater attention should be paid to the development of services to help patients manage this burden.

scholarly journals Fear of Recurrence in Prostate Cancer Patients: A Cross-sectional Study After Radical Prostatectomy or Active Surveillance

2021 ◽  
Vol 25 ◽  
pp. 44-51
Author(s):  
Rasmus Nilsson ◽  
Thomas F. Næss-Andresen ◽  
Tor Åge Myklebust ◽  
Tomm Bernklev ◽  
Hege Kersten ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Active Surveillance ◽  
Cross Sectional Study ◽  
Fear Of Recurrence ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Resilience, Self-Perceived Burden, Social Support and Their Correlation in Cancer Patients – A Cross-Sectional Study in China

2020 ◽  
Author(s):  
Zhifu Yu ◽  
Tingting Zuo ◽  
Guichun Jiang ◽  
Qiang Zhang ◽  
Shuang Jiang ◽  
...  
Keyword(s):  
Social Support ◽  
Cancer Patients ◽  
Household Income ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Full Time ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perceived Burden ◽  
Treatment Type

Abstract Objective: The aim of this study was to explore resilience, self-perceived burden, social support and their correlation in patients with malignant tumors and provide evidence for clinical intervention.Methods: A multi-center cross-sectional study was performed in China. All the participants completed a questionnaire including sociodemographic information. Resilience, patients’ perceptions of burden on their caregivers and the level of social support were evaluated. Results: A total of 439 cancer patients were analyzed in our study. The level of resilience differed significantly by education grade, employment status, insurance type, household income per year, and treatment type. Patients with no job, rural residents, those with lower household income and those holding new rural cooperative medical scheme (NRCMS) insurance had higher SPB score, with statistical significance. Patients who underwent higher education, those with a full-time job, were married, with higher household income and urban employee's basic medical insurance (UEBMI) had higher social support. Social support was found to be highly related to resilience. Resilience was negatively correlated with emotional burden, and the emotional and physical burden and social support strongly influenced resilience. Path analysis found that social support played an intermediary role in the process of SPB affecting resilience.Conclusion: The resilience status of cancer patients was low and was affected by the self-burden level through social support. The study reminded us that improving the resilience level by education to improve the social support of cancer patients will improve the quality of life patients.

Mental distress and need for psychosocial support in prostate cancer patients: An observational cross-sectional study

2020 ◽  
Vol 56 (1) ◽  
pp. 51-63
Author(s):  
Naomi Baba ◽  
Theresa Schrage ◽  
Armin Hartmann ◽  
Kenji Baba ◽  
Alexander Wuensch ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Patients ◽  
Mental Distress ◽  
Psychosocial Support ◽  
Cross Sectional Study ◽  
Coping Resources ◽  
Disease Stage ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional

Objective Prostate cancer is the most common cancer in German men and associated with various physical and psychosocial problems. This study investigated the association between mental distress and the subjective need for psychosocial support comparing subgroups of patients with different treatments and disease stages. Method We performed an observational, cross-sectional study including patients with four medical conditions: Active Surveillance, radical prostatectomy, biochemical relapse, metastasized disease. Mental distress (NCCN Distress-Thermometer), symptoms of depression and anxiety (PHQ-9, GAD-7), psychosocial needs and coping resources (self-designed questionnaire) were assessed. Results N = 130 patients were included. 33.3% showed distress, 16.5% symptoms of moderate depression and 13% symptoms of moderate anxiety. We found no significant differences between the four groups. An association was present between distress and wish for psychosocial support ( χ2 = 4.3; p < 0.05; ϕ = 0.19). Almost 90% lived with a partner, which represents a resource. Conclusions Prostate cancer patients showed low levels of mental distress, depression and anxiety with no difference in terms of disease stage and treatment modality. Therefore, careful psychosocial screening of all patients is essential to identify those in need for support. Distressed patients express a need for psychosocial support more often. Interpersonal relationships, most often wives and children, represent important coping resources.

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