A new study led by University of Michigan Comprehensive Cancer Center researchers shows the financial impact of cancer treatment. Four years after being treated for breast cancer, a quarter of survivors say they are worse off financially, at least partly because of their treatment. An additional 12% reported that they still have medical debt from their treatment.
The researchers found that financial decline varied significantly by race, with Spanish-speaking Latinas most likely to be impacted. Debt was reported more frequently in English-speaking Latinas and Blacks, the study found. Results appear in the Journal of Clinical Oncology.
… We need to ensure appropriate communication between patients and their doctors regarding the financial implications of a cancer diagnosis and treatment decisions to help reduce this long-term burden…
“As oncologists, we are proud of the advances in our ability to cure an increasing proportion of patients diagnosed with breast cancer. But as treatments improve, we must ensure that we do not leave these patients in financial ruin because of our efforts,” noted Reshma Jagsi, MD, D.Phil, associate professor of radiation oncology at the University of Michigan Medical School. Jagsi is also the author of the article.
The researchers surveyed women in Detroit and Los Angeles who had been diagnosed with early stage breast cancer, based on data obtained from the National Cancer Institute’s Surveillance, Epidemiology and End Results population-based registry. Women were surveyed about nine months after diagnosis and again about four years later, with 1,502 women responding to both surveys.
The surveys asked about patients’ perceptions of whether they were worse off financially since their diagnosis, and whether that has caused long-term challenges. For example, patients were asked if they had altered their medical care because of financial concerns, by skipping medication or by missing a doctor’s appointment or a mammogram. Other questions looked at broader hardships, such as going without health insurance, having utilities turned off or moving out of their home.
African-American and English-speaking Latinas were more likely than Whites to have experienced one of these issues. Other factors that made a woman more likely to experience these hardships include age under 65, household income under $50,000, part-time work at diagnosis, reduced work hours after diagnosis, lack of substantial prescription drug coverage, breast cancer recurrence, and undergoing chemotherapy.
“These patients are particularly vulnerable to financial distress,” Jagsi says. “We need to ensure appropriate communication between patients and their doctors regarding the financial implications of a cancer diagnosis and treatment decisions to help reduce this long-term burden.”
According to the American Cancer Society, 235,030 Americans will be diagnosed with breast cancer this year and 40,430 will die from the disease.
For more information:
Jagsi R, Pottow JAE, Griffith KA, Bradley C, Hamilton AS, Graff J, Katz SJ, Hawley ST. Long-Term Financial Burden of Breast Cancer: Experiences of a Diverse Cohort of Survivors Identified Through Population-Based Registries. JCO published online on March 24, 2014; DOI:10.1200/JCO.2013.53.0956.[Article]
Photo: Reshma Jagsi, M.D., Ph.D. Photo Courtesy: University of Michigan Health System.
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