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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country
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Financial toxicity and its associations with health-related quality of life among urologic cancer patients in an upper middle-income country

机译：中等收入国家泌尿急癌症患者泌尿外科患者与健康有关生活质量的财务毒性及其协会

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Purpose This study examined the prevalence of financial toxicity (FT) and associated factors among urologic cancer patients. The association between FT and health-related quality of life (HRQoL) was also investigated. Methods A total of 429 respondents diagnosed with urologic cancers (prostate cancer, bladder and renal cancer) from Sarawak General Hospital and Subang Jaya Medical Centre in Malaysia were interviewed using a structured questionnaire. Objective and subjective FT were measured by catastrophic health expenditure (healthcare-cost-to-income ratio greater than 40%) and the Personal Financial Well-being Scale, respectively. HRQoL was measured with the Functional Assessment of Cancer Therapy - General 7 Items scale. Results Objective and subjective FT were experienced by 16.1 and 47.3% of the respondents, respectively. Respondents who sought treatment at a private hospital and had out-of-pocket health expenditures were more likely to experience objective FT, after adjustment for covariates. Respondents who were female and had a monthly household income less than MYR 5000 were more likely to experience average to high subjective FT. Greater objective FT (OR = 2.75, 95% CI 1.09-6.95) and subjective FT (OR = 4.68, 95% CI 2.63-8.30) were associated with poor HRQoL. Conclusions The significant association between both objective and subjective FT and HRQoL highlights the importance of reducing FT among urologic cancer patients. Subjective FT was found to have a greater negative impact on HRQoL.
机译：目的本研究检测了泌尿科患者金融毒性（FT）和相关因素的患病率。还调查了FT和健康相关质量（HRQOL）之间的关联。方法采访了来自马来西亚州萨拉瓦克综合医院（前列腺癌，膀胱癌，膀胱和肾癌）的429名受访者采访了马来西亚的威胁癌症（前列腺癌，膀胱和肾癌）。目标和主观FT分别通过灾难性的健康支出（医疗保健 - 收入比例超过40％）和个人金融福祉规模来衡量。用癌症治疗的功能评估测量HRQOL - 一般7项规模。结果分别为16.1和47.3％的受访者经历了目标和主观FT。在私营医院寻求治疗的受访者在调整协变者后更容易经历客观的FT。女性和每月家庭收入低于MYR 5000的受访者更有可能对高主观FT进行平均。更大的目标Ft（或= 2.75,95％CI 1.09-6.95）和主观FT（或= 4.68,95％CI 2.63-8.30）与差的HRQOL相关。结论目标和主观FT和HRQOL之间的重大关联突出了泌尿科患者中FT的重要性。发现主观FT对HRQOL具有更大的负面影响。

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