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

作者：Mengwei Shao, Li-Qun Yao, Menghan Zhang, Huiyue Zhou, Yangqing Ding, Lin Bai, Bin Ma, Ting Li, Shengjie Guo, Changying Chen, Tao Wang · 发表于：European Journal of Oncology Nursing · 年份：2024 · DOI：10.1016/j.ejon.2024.102518 · 被引用次数：21 · 研究领域：Economic and Financial Impacts of Cancer、Healthcare Policy and Management、Pancreatic and Hepatic Oncology Research

PURPOSE: 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. METHODS: 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. RESULTS: 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: 1.90...