The experience of financial toxicity among advanced melanoma patients treated with immunotherapy Journal Article


Authors: Thom, B.; Mamoor, M.; Lavery, J. A.; Baxi, S. S.; Khan, N.; Rogak, L. J.; Sidlow, R.; Korenstein, D.
Article Title: The experience of financial toxicity among advanced melanoma patients treated with immunotherapy
Abstract: Purpose To measure financial toxicity and explore its association with quality of life (QOL) in an emerging population of survivors: advanced melanoma patients treated with immunotherapy. Design Cross-sectional survey and medical record review. Sample 106 survivors (39% response). Median time since start of immunotherapy was 36.4 months (range: 14.2–133.9). Methods The Comprehensive Score for Financial Toxicity measured financial toxicity, and the EORTC-QLQ30 assessed QOL and functioning across five domains. Data were collected online, by phone, or in clinic. Findings: Younger patients (<65 years) reported higher financial toxicity (p <.001) than older patients. Controlling for age, financial toxicity was correlated with QOL (p <.001), financial difficulties (p <.001), and EORTC-QLQ30 functioning subscales. Conclusions Given the demonstrated association between financial toxicity and QOL, our study highlights the importance of addressing financial toxicity, particularly among patients receiving high-cost treatments. Implications for Psychosocial Providers: Providers should educate patients and their caregivers about cost-management techniques, link them with available resources, and provide psychosocial counseling to alleviate related distress. © 2020 Taylor & Francis Group, LLC.
Keywords: melanoma; quality of life; immunotherapy; financial toxicity
Journal Title: Journal of Psychosocial Oncology
Volume: 39
Issue: 2
ISSN: 0734-7332
Publisher: Taylor & Francis Group  
Date Published: 2021-01-01
Start Page: 285
End Page: 293
Language: English
DOI: 10.1080/07347332.2020.1836547
PUBMED: 33103948
PROVIDER: scopus
PMCID: PMC8437327
DOI/URL:
Notes: Article -- Export Date: 1 April 2021 -- Source: Scopus
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MSK Authors
  1. Shrujal S Baxi
    106 Baxi
  2. Lauren Jayne Rogak
    76 Rogak
  3. Bridgette Thom
    95 Thom
  4. Robert   Sidlow
    20 Sidlow
  5. Niloufer Khan
    48 Khan
  6. Maha Mamoor
    15 Mamoor
  7. Jessica Ann Lavery
    79 Lavery