MP17-18 FINANCIAL BURDEN OF PROSTATE CANCER SURVIVORSHIP: A NATIONAL CROSS-SECTIONAL ASSESSMENT OF SUBJECTIVE FINANCIAL DISTRESS

Abstract

You have accessJournal of UrologyHealth Services Research: Value of Care: Cost and Outcomes Measures I (MP17)1 Sep 2021MP17-18 FINANCIAL BURDEN OF PROSTATE CANCER SURVIVORSHIP: A NATIONAL CROSS-SECTIONAL ASSESSMENT OF SUBJECTIVE FINANCIAL DISTRESS Christopher Herrera, Carmen Guerra, Vivek Narayan, Thomas J. Guzzo, Ronac Mamtani, Daniel J. Lee, Gregory E. Tasian, and Ruchika Talwar Christopher HerreraChristopher Herrera More articles by this author , Carmen GuerraCarmen Guerra More articles by this author , Vivek NarayanVivek Narayan More articles by this author , Thomas J. GuzzoThomas J. Guzzo More articles by this author , Ronac MamtaniRonac Mamtani More articles by this author , Daniel J. LeeDaniel J. Lee More articles by this author , Gregory E. TasianGregory E. Tasian More articles by this author , and Ruchika TalwarRuchika Talwar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002002.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although direct measures of financial toxicity have been assessed in prostate cancer (PCa) patients, the specific concerns associated with the economic burden of PCa diagnosis/treatment are unclear. Herein, we describe patient-reported financial concerns of PCa survivors across the United States (US). METHODS: Using Medical Expenditure Panel Survey (MEPS) data from the Agency for Healthcare Research and Quality, we identified 264 PCa survivors who completed the Cancer Self Administered Questionnaire (CSAQ): Cancer Experiences Questionnaire in 2016 and 2017. We assessed the presence of financial concern, defined as an affirmative response to questions endorsing any worry or concern with insurance, income, employment in relation to, or as a consequence of, cancer diagnosis/treatment. We further explored what specific themes were most common among subjects. RESULTS: Overall, 27.6% (n=73) men endorsed at least one measure indicating some degree of financial concern associated with PCa. The 3 most commonly endorsed measures of financial concern were the following: worry with family financial stability, worry with paying medical bills, and worry with income stability (Figure 1). Age (p <0.001), race (p <0.05), presence of additional cancer (p <0.05), health insurance status (p <0.05), and presence of a caregiver (p <0.05) varied significantly in men with financial concern (Table 1). Upon multivariable analysis adjusting for age, presence of additional cancer, region, and presence of a caregiver, age (OR: 0.97, 95% CI 0.97-0.99, p=0.01), region (OR 1.01, 95% CI 1.09-1.95, p=0.011), and presence of a caregiver (OR 1.01, 95% CI 1.15-3.63, p=0.001) remained significant. CONCLUSIONS: In this cross-sectional cohort of US PCa survivors, >1/4 of men report some degree of financial concern due to PCa diagnosis/treatment. We identify common themes of financial concern: worry about paying bills, income stability, and family financial stability. This data should inform patient-centered counseling and shared decision making in PCa. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e315-e315 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Christopher Herrera More articles by this author Carmen Guerra More articles by this author Vivek Narayan More articles by this author Thomas J. Guzzo More articles by this author Ronac Mamtani More articles by this author Daniel J. Lee More articles by this author Gregory E. Tasian More articles by this author Ruchika Talwar More articles by this author Expand All Advertisement Loading ...