| Staehler et al., 2021(13) USA / Private Healthcare System |
- Quantitative Research
539 individuals with renal cell carcinoma
|
Assess the financial toxicity associated with renal cell carcinoma during the COVID-19 crisis. |
23% of patients did not feel in control of their financial situation. Metastatic patients who had not started systemic therapy showed a lower financial toxicity score than those undergoing oral therapy. |
| Williams et al., 2022(14) USA / Private Healthcare System |
- Quantitative Research
1,437 individuals with cancer
|
Examine the relationship between health insurance coverage and the challenges of covering health-related and non-health-related expenses during the COVID-19 pandemic in adults with cancer. |
57% reported challenges in paying for necessities during the pandemic, with 40% having trouble paying for food, 32% for housing, 28% for transportation, and 20% for internet. |
|
Chen et al., 2021(15)
USA / Private Healthcare System
|
- Quantitative Research
100 women with gynecological cancer
|
Determine the impact of COVID-19 on cancer treatment, anxiety, and financial difficulties among low-income patients with gynecological cancer during the peak of the pandemic in New York. |
There was an increase in concern and anxiety about cancer; delays in medical care were reported. |
|
Thom et al., 2021(16)
USA / Private Healthcare System
|
- Quantitative Research
212 young adults with cancer
|
Describe the financial toxicity experienced during the pandemic; Analyze the relationships between financial toxicity, negative economic events, and cost-coping behaviors; Identify prevalent cost-coping behaviors. |
36% stated that their credit card debt increased; 21% reported having no money to pay their rent or mortgage; 19% had no money for medical expenses; 17% for food, and 12% for medication; 19% lost their jobs; 15% reported a reduction in salary. |
|
Zhao et al., 2021(17)
USA / Private Healthcare System
|
- Quantitative Research
2,661 patients with breast cancer
|
Measure the psychosocial well-being of participants before and during the COVID-19 pandemic, assessing whether they encountered any financial challenges or disruptions in treatment. |
One-third of the participants experienced some type of financial challenge during this period.
A quarter of the participants had difficulty obtaining treatment.
|
|
Wadasadawala et al., 2021(18)
India / Mixed Healthcare System
|
- Quantitative Research
138 patients with non-metastatic breast cancer
|
Examine the economic hardship faced by breast cancer patients undergoing treatment at the Tata Memorial Center (TMC) in Mumbai, India, during the national lockdown that began in March 2020 following the outbreak of COVID-19. |
The average monthly expenditure of cancer patients increased by 32%; the average monthly family income was reduced.
More than two-thirds had no income during the lockdown.
More than half took out loans; 30% used their savings; 28% received charity; 81% reported a lack of money; 32% reported a shortage of food; 28% reported a shortage of medication.
|
|
Hassan et al., 2022(19)
USA / Private Healthcare System
|
- Quantitative Research
627 patients with cancer
|
Characterize the use of telemedicine among cancer patients facing financial difficulties during the COVID-19 pandemic. |
Telemedicine was widely adopted during the pandemic, with most patients preferring video consultations.
Telemedicine can reduce existing inequalities, particularly among the vulnerable cancer population.
|
|
Peoples et al., 2022(20)
USA / Private Healthcare System
|
- Quantitative Research
1,472 adult patients with cancer
|
Evaluate the healthcare experiences related to the pandemic, COVID-19 prevention measures, health behaviors, and psychosocial outcomes among rural and urban cancer patients. |
Financial stress was common among both rural and urban cancer patients. |
|
Patel et al., 2023(21)
USA / Private Healthcare System
|
- Quantitative Research
11,688 patients with cancer
|
Estimate the travel, time, and cost savings associated with telehealth for the delivery of oncology care. |
Telehealth was associated with time savings and reduced travel costs for patients, which can decrease the financial toxicity of cancer treatment. Expanding oncology telehealth services could be an effective strategy to reduce the financial burden on cancer patients. |
|
Teteh et al., 2022(22)
USA / Private Healthcare System
|
- Qualitative Research
19 individuals with cancer
|
Explore the impact of COVID-19 on care and quality of life for lung cancer patients. |
Isolation and its impact on social support. Psychological suffering. Care impacted and postponed. Financial impact.
Minimal impact on oncology care, work situation, income, or housing.
|
|
Ludwigson et al., 2022(23)
USA / Private Healthcare System
|
- Quantitative Research
133 patients with breast cancer
|
Investigate the concerns of breast cancer patients related to COVID-19. |
50% of participants reported fear about how the COVID-19 pandemic would affect their care or recovery from cancer; 66% reported anxiety about contracting COVID-19; 22% reported a decrease in income. Interviews provided insights into the advantages and disadvantages of telehealth. |
|
Zomerdijk et al., 2022(24)
Australia / Mixed Healthcare System
|
- Qualitative Research
24 patients with hematologic cancer
|
Explore the experiences and needs of patients with hematologic cancer during the pandemic. |
Fear of contracting COVID-19; behavioral changes to protect health; impact on daily routine and habits; reduction in social support and access to external support services; increased financial difficulties, worsening health. |
|
Kieran et al., 2022(25)
Ireland / Private Healthcare System
|
- Quantitative Research
120 oncology patients
|
Assess patients’ knowledge of COVID-19 and its impact on their behaviors, concerns, and health experiences. |
72% of patients reported health-related concerns, loneliness (51%), and discouragement (42%). Financial toxicity worsened, with an increase in financial concern (78%), a reduction in family income (40%), and increased costs due to the lockdown (62%).
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