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Dental Treatment Discontinuation for Financial Reasons Among Patients with Cancer: A Cross-Sectional Study with
1Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo 1138519, Japan.
Journal of Clinical Medicine
|January 28, 2026
Summary
Cancer patients experiencing financial toxicity may discontinue dental care. This study found similar discontinuation rates between cancer patients and controls, but identified younger age and poor quality of life as key factors for cancer patients.
Area of Science:
- Oncology
- Dental Medicine
- Health Economics
Background:
- Financial barriers to dental treatment are a concern for cancer patients.
- The prevalence of financially driven dental treatment discontinuation in cancer patients is not well understood.
- This study aimed to compare discontinuation rates between cancer patients and controls.
Purpose of the Study:
- To compare the prevalence of financially driven dental treatment discontinuation between cancer patients and non-cancer controls.
- To identify factors associated with dental treatment discontinuation among patients with cancer.
Main Methods:
- A cross-sectional, questionnaire-based survey was conducted in Japan in November 2024.
- 500 patients with common cancers and 500 non-cancer controls were included.
- Discontinuation was assessed via self-report of dental treatment cessation for economic reasons.
Main Results:
- Dental treatment discontinuation for financial reasons occurred in 3.4% of cancer patients and 5.8% of controls (p=0.096).
- Cancer patients who discontinued treatment were younger, reported more physical/psychological barriers, and had poorer oral health-related quality of life.
- These patients also experienced greater financial toxicity.
Conclusions:
- While overall discontinuation rates were similar, financial barriers significantly impact cancer patients' oral health.
- Younger cancer patients with poorer quality of life and higher financial toxicity are at greater risk.
- Further research on early identification and support for financial barriers is warranted.
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