MP39-05 PREDICTORS OF FINANCIAL TOXICITY AMONG UNITED STATES PROSTATE CANCER SURVIVORS: RESULTS FROM A NATIONAL SURVEY

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You have accessJournal of UrologyCME1 Apr 2023MP39-05 PREDICTORS OF FINANCIAL TOXICITY AMONG UNITED STATES PROSTATE CANCER SURVIVORS: RESULTS FROM A NATIONAL SURVEY Benjamin V. Stone, Muhieddine Labban, Dejan K. Filipas, Edoardo Beatrici, Nicola Frego, Zhiyu (Jason) Qian, Sandeep S. Voleti, Stuart R. Lipsitz, Adam S. Kibel, Quoc-Dien Trinh, and Alexander P. Cole Benjamin V. StoneBenjamin V. Stone More articles by this author , Muhieddine LabbanMuhieddine Labban More articles by this author , Dejan K. FilipasDejan K. Filipas More articles by this author , Edoardo BeatriciEdoardo Beatrici More articles by this author , Nicola FregoNicola Frego More articles by this author , Zhiyu (Jason) QianZhiyu (Jason) Qian More articles by this author , Sandeep S. VoletiSandeep S. Voleti More articles by this author , Stuart R. LipsitzStuart R. Lipsitz More articles by this author , Adam S. KibelAdam S. Kibel More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author , and Alexander P. ColeAlexander P. Cole More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003277.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite increasing evidence of financial toxicity (FT) associated with treatment for prostate cancer, little is known about the risk factors and types of financial burden facing prostate cancer survivors. METHODS: The Cancer Self-Administered Questionnaire component of the Medical Expenditure Panel Survey was administered in 2011, 2016, and 2017. Men with a history of prostate cancer were identified and those with non-prostate malignancies other than non-melanoma skin cancer were excluded. The proportion of men reporting catastrophic healthcare expenditures (out-of-pocket spending >10% of household income) and subjective measures of FT (categorized in Table 1) were assessed. Multivariable logistic regression was used to identify independent predictors of FT. RESULTS: Among men with a personal history of prostate cancer, 8% reported catastrophic healthcare expenditures. This corresponds to a weighted national estimate of 187,963 men who experience catastrophic expenditures. Overall, 16% of men reported subjective worry about being able to pay for their medical bills, and 15% reported work changes due to their cancer diagnosis. Other forms of FT are summarized in Table 1. After adjusting for covariates in Table 2, the only significant predictor of catastrophic expenditures was low income. Older age was associated with decreased odds of subjective worry about medical bills (OR 0.90, 95% CI 0.83 – 0.98, p=0.017). Only 12% of men reported their doctor discussed the costs of care in detail, and 10% reported they discussed the costs of care briefly. CONCLUSIONS: Prostate cancer survivorship is associated with substantial objective and subjective measures of financial toxicity. Nearly 1 in 10 survivors experience catastrophic healthcare expenditures and an even larger number report subjective worry about job loss and other forms of FT. Patients rarely discuss costs with their physicians. Despite high rates of insurance coverage, prostate cancer survivors remain vulnerable to excessive costs of care. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e536 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin V. Stone More articles by this author Muhieddine Labban More articles by this author Dejan K. Filipas More articles by this author Edoardo Beatrici More articles by this author Nicola Frego More articles by this author Zhiyu (Jason) Qian More articles by this author Sandeep S. Voleti More articles by this author Stuart R. Lipsitz More articles by this author Adam S. Kibel More articles by this author Quoc-Dien Trinh More articles by this author Alexander P. Cole More articles by this author Expand All Advertisement PDF downloadLoading ...