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Insights from GoFundMe posts: Analyzing GoFundMe financial aid requests from brain tumor patients in Ontario, Canada
Kaviya Devaraja1,2, Jonathan Avery1,3, Yajur Iyengar4
1Adolescent and Young Adult Program, Department of Supportive Care, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
Background:
Primary central nervous system (CNS) tumors significantly affect individuals globally, with patients in Ontario, Canada, often bearing financial burdens for treatments such as oral chemotherapy due to insufficient coverage, resulting in complex insurance processes or out-of-pocket payments. However, limited understanding exists regarding other direct and indirect financial implications of their diagnosis. This study examines the financial strains, unmet needs, and overarching challenges encountered by Ontario's brain tumor patients, utilizing GoFundMe posts as a unique data source to explore additional financial costs linked to CNS tumor diagnoses in the region.
Methods:
A qualitative descriptive design employing thematic analysis analyzed GoFundMe posts supporting CNS tumor patients in Ontario from 2014 to 2021. A search strategy targeted posts featuring primary CNS tumor keywords, with NVivo 10 software facilitating post organization and coding.
Results:
Focused on Ontario, the study yielded a final dataset of 154 posts from an initial pool of 9025, revealing further financial strain due to income loss among patients and caregivers. Posts highlighted various concerns: (1) navigating the complexities of accessing support services, (2) worries about family's long-term financial and overall well-being, (3) insufficient public awareness about the financial and emotional burden on those affected, and (4) seeking emotional support, hope, and encouragement from the community.
Conclusions:
These GoFundMe posts highlight a connection between financial burden, emotional distress, and the need for improved access to financial and emotional support services. The results emphasize distinct financial challenges faced by CNS tumor patients within Ontario's healthcare system.
Insights
Central nervous system (CNS) tumor patients in Ontario face significant financial strain beyond treatment costs, including income loss and challenges accessing support services. This study highlights unmet financial and emotional needs within the region.
Area of Science:
- Oncology
- Health Economics
- Patient Support Services
Background:
- Primary central nervous system (CNS) tumors impose global health burdens.
- Ontario patients face financial toxicity from treatments like oral chemotherapy, with complex insurance and out-of-pocket expenses.
- Limited understanding exists regarding the full spectrum of direct and indirect financial implications for CNS tumor patients.
Purpose of the Study:
- To examine the financial strains, unmet needs, and challenges of brain tumor patients in Ontario.
- To utilize GoFundMe posts as a unique data source to identify additional financial costs associated with CNS tumor diagnoses.
Main Methods:
- A qualitative descriptive design was employed.
- Thematic analysis was conducted on GoFundMe posts from Ontario CNS tumor patients (2014-2021).
- NVivo 10 software was used for data organization and coding.
Main Results:
- Analysis of 154 GoFundMe posts revealed significant financial strain from income loss for patients and caregivers.
- Identified concerns include navigating support services, family financial well-being worries, and insufficient public awareness.
- Patients sought emotional support, hope, and community encouragement through these platforms.
Conclusions:
- GoFundMe data reveals a link between financial burden, emotional distress, and the need for enhanced support services.
- Results underscore unique financial challenges faced by CNS tumor patients within Ontario's healthcare system.
- There is a clear need for improved access to both financial and emotional support for this patient population.

