ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Coping mechanisms for financial toxicity: a qualitative study of cancer patients' experiences in Germany.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Towards the assessment of financial distress among cancer patients: a conceptual model of the financial effects of a tumour disease.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Article
- Socioeconomic impact among and socioeconomic support services for adolescents and young adults with cancer: A European perspective.International journal of cancer · 2025Article
- Experiences and coping strategies related to financial toxicity among frail older colorectal cancer survivors in China: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- The impact of financial burden on quality of life among German head and neck cancer survivors.BMC cancer · 2025Article
- Cross-Cultural Validation of the COmprehensive Score for Financial Toxicity (COST) Measure in an Australian Sample.Cancer medicine · 2025Article
- Self-reported determinants for subjective financial distress: a qualitative interview study with German cancer patients.BMJ open · 2025Observational
- Financial Distress in Testicular Cancer Survivors and Its Impact on Cancer Survivors' Quality of Life in the German Healthcare System.Urologia internationalis · 2025Article
- Measuring financial distress in German cancer patients: development and validation of the Financial Distress of Cancer Assessment Tool (FIAT).ESMO open · 2024Article
- Experience of financial toxicity and coping strategies in young and middle-aged patients with stroke: a qualitative study.BMC health services research · 2024Article
- Suffering and adjustment: a grounded theory of the process of coping with financial toxicity among young women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Cancer-associated financial burden in German head and neck cancer patients.Frontiers in oncology · 2024Article
- Impact of the National Drug Price Negotiation policy on the price, usage, and affordability of anticancer medicines in Shandong Province, China.Frontiers in public health · 2024Article
- Challenges and solutions to cancer-related financial toxicity according to Australian health professionals: qualitative results from a national survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Facing financial barriers to healthcare: patient-informed adaptation of a conceptual framework for adults with a history of cancer.Frontiers in psychology · 2023Article
- Financial toxicity in female patients with breast cancer: a national cross-sectional study in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Correlates of financial toxicity in adult cancer patients and their informal caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Patient-Reported Financial Distress in Cancer: A Systematic Review of Risk Factors in Universal Healthcare Systems.Cancers · 2021Review
- Association of significant financial burden with survival for head and neck cancer patients treated with radiation therapy.Oral oncology · 2021Article
- Translation and validation of the Traditional Chinese version of the COmprehensive Score for financial Toxicity-Functional Assessment of Chronic Illness Therapy (Version 2).Health and quality of life outcomes · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeThe coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.
methodsSemistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.
resultsIn all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt, making health-related decisions, or investing manpower.
conclusionsThis qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients' experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence.
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