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  • Characteristics associated with inter-individual variability in financial distress in patients with breast cancer prior to and for 12 months following surgery

    Author(s)
    Chan, Raymond Javan
    Cooper, Bruce
    Koczwara, Bogda
    Chan, Alexandre
    Tan, Chia Jie
    Gordon, Louisa
    Paul, Steven M
    Dunn, Laura B
    Conley, Yvette P
    Kober, Kord M
    Abrams, Gary
    Levine, Jon D
    Miaskowski, Christine
    Griffith University Author(s)
    Chan, Ray
    Year published
    2021
    Metadata
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    Abstract
    PURPOSE: To evaluate for inter-individual differences in financial distress and identify demographic, clinical, and symptom characteristics associated with higher levels of financial distress. METHODS: Patients (n = 387) were enrolled prior to breast cancer surgery and followed for 12 months. Financial distress was measured using a 0 (no problem) to 10 (severe problem) numeric rating scale. Hierarchical linear modeling was used to evaluate for inter-individual differences in trajectories of financial distress and characteristics associated with financial distress at enrollment and over 12 months. RESULTS: Patients' mean age ...
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    PURPOSE: To evaluate for inter-individual differences in financial distress and identify demographic, clinical, and symptom characteristics associated with higher levels of financial distress. METHODS: Patients (n = 387) were enrolled prior to breast cancer surgery and followed for 12 months. Financial distress was measured using a 0 (no problem) to 10 (severe problem) numeric rating scale. Hierarchical linear modeling was used to evaluate for inter-individual differences in trajectories of financial distress and characteristics associated with financial distress at enrollment and over 12 months. RESULTS: Patients' mean age was 55.0 (± 11.7) years and the majority underwent breast conservation surgery (80.6%). Mean financial distress score prior to surgery was 3.3 (± 3.4; range 0 to 10). Unconditional model for financial distress demonstrated no significant changes over time (-0.006/month). Younger age, lower income, receipt of an axillary lymph node dissection and adjuvant chemotherapy, and lower attentional function were associated with higher preoperative levels of financial distress. CONCLUSION: Risk factors identified in this study can be used to inform clinicians regarding the need to initiate financial discussions and social work referrals for some patients. Additional clinical or system level interventions should be considered for vulnerable groups with these risk factors.
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    Journal Title
    Support Care Cancer
    DOI
    https://doi.org/10.1007/s00520-021-06524-y
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Health sciences
    Breast cancer
    Financial burden
    Financial distress
    Financial toxicity
    Hierarchical linear modeling
    Publication URI
    http://hdl.handle.net/10072/407730
    Collection
    • Journal articles

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