ArticleHealth services insights2021
Re-Validation of the COmprehensive Score for Financial Toxicity (COST): Assessing the Scale's Utility in Chronic Disease Populations.
Article in Health services insights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Interventions to mitigate cancer-related medical financial hardship: A systematic review and meta-analysis.Cancer · 2024Pooled it
- Capturing Financial Burden Concerns in an ALS Multidisciplinary Clinic.Muscle & nerve · 2026Article
- Financial Distress and Its Determinants in Rheumatoid Arthritis.Arthritis care & research · 2026Article
- Longitudinal Associations Between Financial Toxicity and Health-Related Quality of Life for Patients With Cancer.JCO oncology practice · 2026Article
- Long COVID and the Challenge of Long-Term Employment: An Ecological, Sequential Explanatory Mixed-Methods Approach.Journal of occupational rehabilitation · 2026Article
- Latent class analysis of dyadic psychosocial adaptation in young and middle-aged couples with liver cirrhosis.Frontiers in psychology · 2026Article
- Characterizing financial toxicity among people living with neuromyelitis optica spectrum disorder.Multiple sclerosis (Houndmills, Basingstoke, England) · 2025Article
- Financial Toxicity and Its Determinants in Individuals Living With Inherited and Acquired Neuromuscular Disorders: The BIND Study.Neurology · 2025Article
- Financial toxicity in lower urinary tract symptoms amongst men.BMC urology · 2025Article
- Holistic Impact of CKD: A Clinical, Economic, and Environmental Analysis by IMPACT CKD.Kidney international reports · 2025Article
- Validation of the Chinese version of the financial toxicity scale in patients with wet age-related macular degeneration.Journal of patient-reported outcomes · 2025Article
- Non-monetary burdens of out-of-pocket costs incurred by patients and caregivers for medical care: a scoping review.BMJ open · 2025Article
- Financial toxicity and psychological distress in cardiovascular non-cancer multimorbidity: a latent profile analysis and causal weighting.Frontiers in psychology · 2025Article
- Chronic illness and financial burden in Switzerland (FINK): a protocol for a mixed methods research project.BMJ open · 2024Article
- Financial Toxicity in Radiation Oncology: Impact for Our Patients and for Practicing Radiation Oncologists.Advances in radiation oncology · 2024Review
- A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health.Methodist DeBakey cardiovascular journal · 2024Review
- Financial Well-Being Among US Adults with Vascular Conditions: Differential Impacts Among Blacks and Hispanics.Ethnicity & disease · 2024Article
- "You Have to Rob Peter to Pay Paul So Your Kid Can Breathe": Using Qualitative Methods to Characterize Trade-Offs and Economic Impact of Asthma Care Costs.Medical care · 2023Article
- Anticipatory Guidance: Developing a Patient Navigation Pathway to Reduce the Financial Toxicity of Cancer.Medical research archives · 2023Article
- Financial Health of People Living With Dementia and Their Informal Care Partners: Protocol for a Mixed Methods Study.JMIR research protocols · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report the psychometric properties of the COmprehensive Score for financial Toxicity (COST) patient-reported outcome measure (PROM), an 11-item scale previously validated among patients diagnosed with cancer and receiving chemotherapy.
methodsData come from a cross-sectional survey (n = 2755 response rate of 87%) of participants in a remote digital health coaching intervention collected between January 2017 and February 2019.
resultsCOST demonstrated very good internal consistency (
conclusionsThe COST measure of financial toxicity has good internal consistency and predictive validity in a sample of patients with chronic conditions. However, contrary to previous research examining the psychometric properties of COST in a sample of individuals with cancer, which found COST to be unidimensional, our analyses indicated that the COST measure of financial toxicity is multidimensional in a sample of individuals with chronic conditions. In particular, the items that asked about "general financial wellbeing" loaded on the second factor while "illness-related financial wellbeing" loaded on the first.
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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.