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Related Experiment Videos

Patient-Proposed Solutions to Financial Toxicity After Surgery: A Longitudinal, Multicenter Qualitative Study.

Jade Tso1,2, Coral Katave3,4, Anam N Ehsan4

  • 1University of California-Davis, School of Medicine, Sacramento, California, USA.

World Journal of Surgery
|June 13, 2026
PubMed
Summary

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Financial toxicity significantly impacts surgical patients in India, often forcing them to sell assets or borrow money. Patients proposed solutions including better insurance, direct support, and social schemes to alleviate this economic burden.

Area of Science:

  • Medical Economics
  • Surgical Patient Outcomes
  • Qualitative Health Research

Background:

  • Financial toxicity (FT) represents the economic burden of medical care, negatively impacting patient well-being and quality of life.
  • Surgical patients are disproportionately affected by financial toxicity.
  • Few studies have explored patient-identified interventions to mitigate financial toxicity in surgical care.

Purpose of the Study:

  • To explore patient-identified solutions for mitigating financial toxicity (FT) among surgical patients.
  • To understand the lived experiences of surgical trauma patients in India concerning financial toxicity.
  • To identify actionable strategies for reducing the economic burden of surgical care.

Main Methods:

  • A multicenter prospective study involving 854 adult surgical trauma patients across three tertiary care centers in India.
Keywords:
financial toxicityhealth equitypatient‐reported outcomesqualitative researchsurgical care

Related Experiment Videos

  • Semi-structured interviews were conducted with a subset of 39 patients within one year of surgery.
  • Qualitative thematic analysis with a deductive approach was used to identify recurring themes in patient-proposed solutions.

    • Main Results:

    • Nearly all interviewed patients (n=39) reported borrowing money or selling assets to manage financial toxicity from surgical care, causing long-term social distress.
    • Patient-proposed solutions included addressing insurance deficits, providing direct non-medical cost support, increasing social support schemes, and establishing infrastructure for acute financial assistance.
    • The median age of interviewed patients was 37.7 years (SD 14.6).

    Conclusions:

    • Surgical trauma patients in India experience significant postoperative financial toxicity, requiring context-specific interventions.
    • Key strategies include increasing awareness and utilization of government schemes, early identification of patients facing FT, and education on financial options.
    • Comprehensive support encompassing governmental resources, financial aid systems, and social services, aligned with patient-reported solutions, is vital for improving surgical outcomes.