ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022
Cancer treatment-related financial toxicity experienced by patients in low- and middle-income countries: a scoping review.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Depression, anxiety and associated factors among cancer patients in Africa; a systematic review and meta-analysis study.BMC psychiatry · 2024Pooled it
- Cost Drivers and Financial Burden for Cancer-Affected Families in China: A Systematic Review.Current oncology (Toronto, Ont.) · 2023Pooled it
- Decoding patient preferences: key drivers in selecting thyroid cancer surgery- a discrete choice experiment.Frontiers in endocrinology · 2026Trial
- Article
- Patient Navigation Needs and Quality of Life Among Women with Gynecological Cancer in Indonesia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Exploring health system factors related to the quality of life of people with (a history of) cancer: a rapid review.Health and quality of life outcomes · 2026Review
- Real-World Evidence on Hospitalization Costs of Pediatric Neoplasm Patients in China: Patterns, Trends, and Associated Factors From a Retrospective Cohort Study.Cancer medicine · 2026Article
- Health system responsiveness and its associated factors among patients with mental illness receiving outpatient care in public hospitals, Addis Ababa, Ethiopia, 2025: a facility-based cross-sectional study.BMC health services research · 2026Article
- Factors associated with employment outcomes in cancer survivors: a systematic scoping review spanning a decade of international research.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- The Invisible Costs of Cancer Treatment: Quantifying Non-Medical Economic Consequences for Cancer Survivors Undergoing Systemic and Radiation Therapies.Cancer medicine · 2025Article
- Associations between financial toxicity, health-related quality of life, and well-being in Indonesian patients with breast cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Barriers and contributions of rural community health workers in enabling cancer early detection and subsequent care in India: a qualitative study.BMC public health · 2025Article
- Mapping Behavioral Research in Post-Treatment Cancer Care in Sub-Saharan Africa: A Scoping Review.Psycho-oncology · 2025Article
- Pan-Canadian Survey of Radiation Oncology Professional Involvement in Global Oncology Initiatives in Low- and Middle-Income Countries.JCO global oncology · 2024Article
- Systemic Barriers to Optimal Cancer Care in Resource-Limited Countries: Jordanian Healthcare as an Example.Cancers · 2024Review
- Financial Toxicity: Unveiling the Burden of Cancer Care on Patients in Rwanda.The oncologist · 2024Article
- Interventions to Mitigate Financial Toxicity in Adult Patients with Cancer in the United States: A Scoping Review.Current oncology (Toronto, Ont.) · 2024Article
- A qualitative study of lived experiences and needs of advanced cancer patients in Malaysia: Gaps and steps forward.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Global cancer surgery in low-resource settings: A strengths, weaknesses, opportunities, and threats analysis.Cancer · 2023Review
- Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn the past decade, literature has called attention to financial toxicities experienced by cancer patients. Though studies have addressed research questions in high-income countries, there remains a paucity of in-depth reviews regarding low- and middle-income countries (LMICs). Our scoping review provides an overview of treatment-related financial toxicities experienced by cancer patients in LMICs.
methodsA systematic search was conducted in MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials. English peer-reviewed articles that (a) explored patients' experience with financial toxicity due to cancer treatment (b) were specific to LMICs as defined by the World Bank and (c) focused on qualitative data were included. Details regarding participants and main findings were extracted and synthesized.
resultsThe search yielded 6290 citations, and 42 studies across 3 low-income, 9 lower-middle-income and 8 upper-middle-income countries. Main themes identified included cancer patients encountered various material hardships, managed costs with different coping behaviours and experienced negative psychological responses to their financial burden. Higher levels of financial toxicities were associated with patient characteristics such as lower socio-economic status and lack of insurance, as well as patient outcomes such as lower quality of life.
conclusionCancer patients in LMIC experience deleterious financial toxicities as a result of treatment. This comprehensive characterization of financial toxicities will better allow health systems to adopt evidence-based mitigation strategies to reduce the financial burden on patients.
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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.