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Association of Race With Cancer-Related Financial Toxicity
John Panzone1,2, Christopher Welch1,3, Alicia Morgans4
1Urology Department, SUNY Upstate Medical University, Syracuse, NY.
JCO Oncology Practice
|November 9, 2021
Summary
Black patients with cancer are more likely to face financial toxicity (FT) and be denied health insurance compared to White patients. This study highlights racial disparities in cancer-related financial hardship.
Area of Science:
- Oncology
- Health Services Research
- Health Disparities
Background:
- Cancer patients frequently experience financial toxicity (FT) due to treatment costs.
- Racial and ethnic disparities in healthcare access and outcomes are well-documented.
Purpose of the Study:
- To investigate the association between race and financial toxicity (FT) among cancer survivors.
- To identify if race influences the likelihood of being denied health insurance due to cancer.
Main Methods:
- Cross-sectional study using data from the US Health Information National Trends Survey (2012, 2014, 2017).
- Assessed financial impact of cancer and insurance denial based on race using multivariable logistic regression.
Main Results:
- Black patients were over five times more likely to be denied insurance and over twice as likely to report financial hardship than White patients.
- Significant racial disparities were observed in insurance rates, treatment receipt, and surgical treatment.
- Genitourinary cancer patients showed significant racial variation in reporting financial hardship.
Conclusions:
- Race is a significant factor associated with financial toxicity in cancer patients.
- Healthcare professionals should be aware of and address racial inequalities in cancer-related financial toxicity.
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