Urban-rural differences in financial toxicity and its effect on cancer survivors' health-related quality of life and emotional status: a latent class analysis.
In: Supportive Care in Cancer, Jg. 30 (2022-05-01), Heft 5, S. 4219-4229
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Zugriff:
Objective: This study aimed to investigate the urban-rural differences in associations between financial toxicity (FT), physical health-related quality of life (HRQoL), negative emotional status, and the effect of patients' socioeconomic status and clinical and cost-related characteristics on the levels of FT in a sample of Chinese cancer survivors. Methods: Data were obtained from a cross-sectional survey conducted by the oncology department at two tertiary level hospitals in China. The COmprehensive Score for financial Toxicity, Euroqol five-level instrument (EQ-5D), and Depression Anxiety Stress Scale - 21 (DASS-21) were used to measure patients' FT, physical HRQoL, and negative emotional status. A latent class analysis was used to identify patient subgroups with distinct symptom experiences based on self-reported data on symptom occurrence using the EQ-5D and DASS-21. Results: Four distinct latent classes were identified: all low (47.6%); high physical and low psych (18.6%); low physical and high psych (17.1%); and all high (17.1%). Rural patients younger than 50 years showed a statistically significantly higher FT than urban patients. Rural patients who were male, highly educated, insured, first hospitalization, new cases, received surgery or immunotherapy, and had low cancer-related costs in all low classes showed a higher FT than urban patients. Conclusions: Rural patients with cancer suffered from higher FT than their urban counterparts, and the negative impact of psychological distress on FT was higher than that of physical HRQoL. [ABSTRACT FROM AUTHOR]
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Titel: |
Urban-rural differences in financial toxicity and its effect on cancer survivors' health-related quality of life and emotional status: a latent class analysis.
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Autor/in / Beteiligte Person: | Xu, Richard Huan ; Wang, Ling-ling ; Zhou, Ling-ming ; Wong, Eliza Lai-yi ; Wang, Dong |
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Zeitschrift: | Supportive Care in Cancer, Jg. 30 (2022-05-01), Heft 5, S. 4219-4229 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 0941-4355 (print) |
DOI: | 10.1007/s00520-021-06762-0 |
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