Table 1.
Presentation of the Research Results
| Author / year/country | Method | Objective | Sample | Main results | |
|---|---|---|---|---|---|
| A2 | Egestad H, Nieder C. 2015. Norway | Prospective Study | To analyze the deterioration of health-related quality of life in patients with head and neck cancer due to the financial issues associated with treatment. | 67 patients with head and neck cancer | 89% of patients provided treatment data on financial difficulties; there was a tendency to financial difficulty in the case of men under 65 years old; the highest score of financial difficulty was observed in single patients and closer to the end of treatment. |
| A2 | Kelly et al., 2018; USA | Descriptive cross-sectional study | To describe discussions of costs of oncology treatment between patients and oncologists in real time and analyze whether these discussions caused discomfort to patients or not. | 96 patients with previously treated breast, lung or metastatic colorectal cancer. | 28% of oncologists felt comfortable discussing costs; 6% asked patients regularly about financial difficulties; 80% of patients wanted to receive information about costs and 84% reported that such conversations would be important; 72% of patients answered that no healthcare professional discussed the costs with them. |
| A3 | Souza et al., 2017; USA | Methodological research | To correlate patient-reported financial toxicity with health-related quality of life (HRQOL) and investigate whether the Comprehensive Score for financial Toxicity (COST) measure was related to its psychometric properties. | 375 patients with stage IV cancer | Correlation with HRQOL indicated that financial toxicity was a clinically relevant, patient-centered outcome. |
| A4 | Zafar et al., 2013; USA | Exploratory and observational study | To report the experiences of insured cancer patients seeking co-payment assistance and analyze the impact of health conditions on well-being and treatment. | 254 patients with solid tumors receiving chemotherapy or hormone therapy. | 75% of patients applied for drug payment assistance; 68% reported reduced paid activities, 46% reduced spending on basic food and clothing, 46% used their savings, and 17% sold goods or properties to pay for treatment costs. To save money, 20% bought less than the total of prescribed medication; 19% bought part of the prescribed medication; 7% of patients avoided procedures; 9% avoided exams; 4% ignored ways to save money. |
| A5 | Honda et al., 2018; Japan | Methodological research | To analyze the viability of using the Japanese version of the COST questionnaire in the measurement of financial toxicity among Japanese cancer patients. | 11 cancer patients undergoing chemotherapy. | Five (45%) patients had degree 1 of financial toxicity and two (18%) patients had degree 2. The COST measure showed good internal consistency with Cronbach’s α of 0.87. |