ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Financial toxicity amongst cancer patients and survivors: a comparative study of the United Kingdom and United States.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of financial toxicity measurement instruments for cancer patients based on the COSMIN guideline.Journal of patient-reported outcomes · 2026Pooled it
- Improvements in Health-Related Quality of Life After Financial Navigation Among Cancer Survivors.Psycho-oncology · 2026Trial
- Lymphocyte-to-monocyte ratio predicts survival in localized osteosarcoma in Vietnamese patients.iScience · 2026Article
- Prevalence and Risk Factors for Financial Toxicity Among Sarcoma Patients During and Following Treatment Across the Lifespan.Cancer reports (Hoboken, N.J.) · 2026Article
- The impact of financial toxicity on adolescent/young adult cancer survivors (AYACS): A mixed methods study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The elicitation of quality of life preferences for lung cancer treatment from the perspective of patients and treating physicians: results of two discrete choice experiments.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Reply to: Letter to the Editor Concerning "Financial Toxicity Among Survivors of Extremity and Pelvic Sarcoma: A Retrospective Study".Annals of surgical oncology · 2026Article
- Psychological distress in cancer survivors: a population-based analysis and machine learning-based risk stratification.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Mediating Role of Family Resilience and Avoidance Between Financial Toxicity and Quality of Life in Cancer Patients: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- Financial toxicity in patients with newly diagnosed hepatocellular carcinoma: a cross-sectional study.Journal of gastrointestinal oncology · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundThe study investigated the experiences of financial toxicity (FT) amongst cancer patients/survivors in the United Kingdom (UK) and the United States (USA/US).
methodsSix hundred cancer patients/survivors residing in the UK (n = 319) or USA/US (n = 281) completed an online cross-sectional survey using the COmprehensive Score for financial Toxicity (COST)-a validated measure of FT. Severity of FT was defined as 'no' (COST scores ≥ 26), 'mild' (14-25), and 'moderate/severe' (0-13).
resultsThirty-four percent of UK participants faced FT which was significantly lower compared to the USA/US at 55% (crude OR = 2.44, 95% CI 1.73-3.42). An ordered logistic regression model showed that in the USA/US, being 65 + years old (adjusted OR = 0.19, 95% CI 0.07-0.48), retired (aOR = 0.26, 95% CI 0.09-0.75), and having a higher household income (aOR ranged 0.03-0.19) decreased the risk of FT, whilst being female increased the risk (aOR = 1.83, 95% CI 1.01-3.32). In the UK, age and sex did not have an effect, but higher income and being retired showed an identical pattern compared to the US.
conclusionsFT was less prevalent and less severe in the UK, compared to the USA/US. The high prevalence of FT underscores the need to provide an additional level of protection to the most vulnerable groups than is currently offered in either country.
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