ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020
Multilevel determinants of financial toxicity in breast cancer care: perspectives of healthcare professionals and Latina survivors.
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 23 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Breast Cancer Patients' Experiences of Coping With Financial Toxicity: A Systematic Review and Qualitative Meta-Synthesis.Psycho-oncology · 2025Pooled it
- Psychometric properties of self-reported financial toxicity measures in cancer survivors: a systematic review.BMJ open · 2022Pooled it
- Experiencing financial toxicity associated with cancer in publicly funded healthcare systems: a systematic review of qualitative studies.Journal of cancer survivorship : research and practice · 2022Pooled it
- Calidad de Vida: a systematic review of quality of life in Latino cancer survivors in the USA.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Pooled it
- Cost-effectiveness analysis of different tracers (Patent Blue, Technetium-99 m, and Indocyanine Green) for Sentinel Lymph Node Biopsy procedure in breast cancer.Cost effectiveness and resource allocation : C/E · 2025Review
- The impact of fear of cancer recurrence on anxiety and depression in women with cancer: The chain mediating roles of financial toxicity and psychological distress - A multicenter investigative study.Asia-Pacific journal of oncology nursing · 2025Article
- Financial toxicity of hemophilia care in Southeast Asian countries.The Lancet regional health. Southeast Asia · 2025Review
- The Role of Social Support in Buffering the Financial Toxicity of Breast Cancer: A Qualitative Study of Patient Experiences.Cancers · 2025Article
- Cancer-related financial toxicity among Latinas with breast cancer in a rural area of the United States: a qualitative study.BMC women's health · 2025Article
- Financial Hardship: A Qualitative Study Exploring Perspectives of Seriously Ill Patients and Their Family.Journal of pain and symptom management · 2024Article
- Loneliness, Spirituality, and Health-Related Quality of Life in Hispanic English-Speaking Cancer Caregivers: A Qualitative Approach.Journal of religion and health · 2024Article
- Association between surgery treatment delays and survival outcomes in patients with esophageal cancer in Hebei, China.Frontiers in oncology · 2024Article
- Short-term and long-term financial toxicity from breast cancer treatment: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- A multi-dimensional assessment of financial hardship of cancer patients using existing health system data.Cancer medicine · 2023Article
- Pilot study of a Spanish language measure of financial toxicity in underserved Hispanic cancer patients with low English proficiency.Frontiers in psychology · 2023Article
- Defining the Role of the Modern Oncology Provider in Mitigating Financial Toxicity.Journal of the American College of Radiology : JACR · 2023Review
- Spirituality and financial toxicity among Hispanic breast cancer survivors in New Jersey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Financial toxicity among older cancer survivors in China: a qualitative study of oncology providers' perceptions and practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Enhancing Health Equity Through Cancer Health Economics Research.Journal of the National Cancer Institute. Monographs · 2022Article
- Perspectives of multisectoral community stakeholders on Arab American cancer patients' needs and suggested interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
purposeFinancial toxicity is a multidimensional side effect of cancer treatment. Yet, most relevant research has focused on individual-level determinants of financial toxicity and characterized only patient perspectives. This study examined the multilevel determinants of financial toxicity from the perspectives of Latina breast cancer survivors and healthcare professionals.
methodsWe analyzed qualitative data from focus groups with 19 Latina breast cancer survivors and interviews with 10 healthcare professionals recruited through community partners and venues in Chicago.
resultsAt the individual-level, the lack of knowledge and prioritization regarding financial aspects of care (e.g., costs of treatment, insurance coverage) was identified as important determinants of financial toxicity. However, healthcare professionals emphasized the need for early financial planning, while survivors prioritized survival over financial concerns immediately after diagnosis. At the interpersonal-level, social networks were identified as important platforms for disseminating information on financial resources. At the community-level, community norms and dynamics were identified as important barriers to seeking financial assistance. Access to culturally astute community-based organizations was considered one potential solution to eliminate these barriers. At the organizational/healthcare policy-level, financial assistance programs' restrictive eligibility criteria, lack of coverage post-treatment, limited availability, and instability were identified as major determinants of financial toxicity.
conclusionOur findings suggest that multilevel interventions at the individual-, interpersonal-, community-, and organizational/healthcare policy-levels are needed to adequately address financial toxicity among Latina and other survivors from disadvantaged communities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.