7. FINANCIAL TOXICITY OF CANCER TREATMENT AND ITS IMPACT ON QUALITY OF LIFE IN TERTIARY CARE PUBLIC SECTOR HOSPITAL

Sadaf Chiragh, Abdur Rehman, Sufyan Ahmad, Abid Jameel

Department of Medical Oncology, Hayatabad Medical Complex, Peshawar - Pakistan

Abstract

Objective: To study the financial burden of treatment and its consequences in patients suffering from cancer.
Material and Methods: An observational, cross sectional survey was performed, based on convenience sampling,
to assess patient reported financial toxicity (FT) related to cancer treatment. FT related items were measured using
5-point Likert scale on 11-item questionnaire. Total score ranged from 0-44. Lower score indicated higher FT. Arbitrary
cut-off points were selected to differentiate between stress levels due to FT: 0-10 catastrophic stress; 11-20 moderate
stress; 21-30 mild stress; 31 and above no stress.
Results: This study was conducted on 102 patients, 75% were males and mean age of all patients was 40.5 years.
Mean monthly income was Rs.15718. Nineteen (18.6%) patients were unemployed; 19 (18.6 %) were housewives while
09 (9%) were manual laborers. All patients (100 %) were not having enough savings to cover full treatment expenses.
Seventy one percent patients were worried about financial problems while 84 % patients could not meet their monthly
expenses due to treatment costs. Eighty five percent patients were worried about losing job. Only 10% reported to be
in full control of their financial situation. Overall, catastrophic stress was reported by 53 (52 %); moderate stress by 35
(34%) ; mild stress by 10 (10 %) while no stress was reported by only 4% patients .
Conclusions: Majority of patients undergoing cancer treatment at this public sector teaching hospital were poor and
under severe stress that badly affected their quality of life.

Keywords: financial toxicity, cancer, economic burden

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