Financial Toxicity Among Cancer Patients in Slovenia

  • 0Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

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Summary

This summary is machine-generated.

Financial toxicity affects 42.8% of Slovenian cancer patients, particularly those with lower incomes and undergoing active treatment. The Functional Assessment of Chronic Illness Therapy (COST-FACIT) tool effectively screens for this, though overall toxicity is low due to public healthcare coverage.

Area Of Science

  • Oncology
  • Health Economics
  • Public Health

Background

  • Rising healthcare costs and cancer incidence strain healthcare systems.
  • Financial toxicity in Slovenian cancer patients and its impact on quality of life (QoL) remain under-researched.
  • Understanding financial toxicity is crucial for patient well-being and healthcare system sustainability.

Purpose Of The Study

  • To evaluate the prevalence and impact of financial toxicity in Slovenian cancer patients.
  • To validate and implement the Functional Assessment of Chronic Illness Therapy (COST-FACIT) questionnaire in Slovenian.
  • To identify risk factors associated with financial toxicity and its correlation with QoL.

Main Methods

  • Cross-sectional study involving 590 participants.
  • Validated Slovenian version of the COST-FACIT questionnaire, supplemented with additional questions.
  • Statistical analysis included descriptive, inferential, and exploratory data analysis.

Main Results

  • Financial toxicity was present in 42.8% of participants, ranging from mild to moderate levels.
  • Key risk factors identified: lower income, age ≤65, employment, active oncologic treatment, rural residence, and religious affiliation.
  • Mild correlation between financial toxicity and QoL; direct and indirect costs burdened over 40% of the population.

Conclusions

  • The COST-FACIT is a valuable screening tool for identifying at-risk patients within the Slovenian public healthcare system.
  • Overall financial toxicity is relatively low due to comprehensive public funding for cancer treatment and rehabilitation.
  • Favorable patient demographics (age structure, secure pensions) contribute to lower financial toxicity levels.

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