ASSESSMENT OF FINANCIAL TOXICITY (FACIT-COST) OF PATIENTS WITH CANCER IN SOUTHERN BRAZIL

Nogueira, Luciana de Alcantara; Ribeiro, Cristiano de Oliveira; Mantovani, Maria de Fátima; Guimarães, Paulo Ricardo Bittencourt; Kalinke, Luciana Puchalski

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ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.79533 copy

ASSESSMENT OF FINANCIAL TOXICITY (FACIT-COST) OF PATIENTS WITH CANCER IN SOUTHERN BRAZIL

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to assess financial toxicity and associate the total score with the sociodemographic and clinical profile of cancer patients assisted in public and private institutions.

Method:

descriptive cross-sectional research conducted from September 2018 to January 2020 with 126 patients undergoing chemotherapy in the state of Paraná, Brazil. A sociodemographic and clinical instrument and the COmprehensive Score for financial Toxicity were used; Student’s t-test and Scoring Guidelines were used for analysis.

Results:

the mean score of financial toxicity in the public institution sample was 16.33, in the private one 24.02. Combining the samples, the average score was 18.95. In the correlation analysis, statistical significance was found with the income in the public institution (p-value=0.002); in the private institution, having comorbidity (p-value=0.003) and use of medication (p-value=0.042).

Conclusion:

recognizing financial toxicity as an adverse event will help professionals to develop a care plan according to the patient’s conditions.

DESCRIPTORS
Financial Toxicity; Neoplasms; Financial Resources in Health; Health-Related Quality of Life; Quality of Life

		Private instituition		Public instituition		Total sample
		n=43	%	n=83	%	n=126	%
Sex
	Male	18	41,86	33	39,76	51	40,48
	Female	25	58,14	50	60,24	75	59,52
Age
	18 - 30 years	0	0	4	4,82	4	3,17
	31 - 59 years	23	53,49	44	53,01	67	53,17
	Over 60 years	20	46,51	35	42,17	55	43,65
Marital status
	Married	27	62,79	44	53,01	71	56,35
	Single	5	11,63	14	16,87	19	15,08
	Divorced	3	6,98	12	14,46	15	11,9
	Domestic partnership	2	4,65	3	3,61	5	3,97
	Widow/ed	6	13,95	10	12,05	16	12,7
Occupation
	Formal work	11	25,58	16	19,75	27	21,77
	Autonomous	12	27,91	13	16,05	25	20,16
	Unemployed	0	0	10	12,35	10	8,06
	Homemaker	5	11,63	13	16,05	18	14,52
	Retired	15	34,88	29	35,8	44	35,48
Family income
	None	0	0	5	6,02	5	4
	Up to 1 MW^* * MW – Minimum wage;	1	2,38	16	19,28	17	13,6
	1 - 3 MW	3	7,14	51	61,45	54	43,2
	4 - 10 MW	23	54,76	11	13,25	34	27,2
	10 - 20 MW	8	19,05	0	0	8	6,4
	Over 20 MW	7	16,67	0	0	7	5,6
Welfare
	None	13	30,23	22	26,51	35	27,78
	Yes	30	69,77	61	73,49	91	72,22
	Type of welfare^ These are benefits offered by the government, intended for people without resources or who have contributed to social security.
	Sickness benefit	10	33,33	27	44,26	37	40,66
	Retirement	20	66,67	32	52,46	52	57,14
	Other	0	0	5	8,2	5	5,49
Comorbidities
	None	22	51,16	37	45,68	59	47,58
	Hipertension	16	37,21	24	29,63	40	32,26
	Diabetes	5	11,63	11	13,58	16	12,9
	Other	9	20,93	22	27,16	31	25
Use of medications
	None	9	20,93	15	18,07	24	19,05
	Analgesics	6	13,95	20	24,1	26	20,63
	Anti-inflammatory	0	0	9	10,84	9	7,14
	Antibiotic	4	9,3	3	3,61	7	5,56
	Other	26	60,47	50	60,24	76	60,32
Smoking
	Yes	1	2,33	6	7,23	7	5,56
	No	42	97,77	77	92,77	119	94,44
Routine physical activity
	Yes	15	34,88	23	27,71	38	30,16
	No	28	65,12	60	72,29	88	69,84

		Mean score	n	SD	Minimum	Maximum	p-value
Sex
Private institution		24,02	43	9,48	8	44
	Male	23,67	18	10,11	10	44	0,72
	Female	24,28	25	9,21	8	40
Public institution		16,33	83	6,57	1	32
	Male	16,06	33	7,2	1	32	0,9
	Female	16,5	50	6,19	4	30
Total sample		18,95	126	8,48	1	44
Marital status
Private institution		24,02	43	9,48	8	44
	Maried	22,48	27	8,87	8	40	0
	Single	21	5	12,12	10	40
	Married	23	3	10,44	16	35
	Domestic partnership	24	2	4,24	21	27
	Widow/ed	34	6	6,29	26	44
Public institution		16,33	83	6,57	1	32
	Married	17,82	44	5,55	4	32	0,02
	Single	13	14	8,95	1	30
	Divorced	15,5	12	7,5	3	30
	Domestic partnership	16,33	3	5,51	11	22
	Widow/ed	15,4	10	4,95	8	24
Total sample		18,95	126	8,48	1	44
Occupation
Private institution		24,02	43	9,48	8	44
	Formal work	21,82	11	8,67	10	40	0,77
	Autonomous	25,25	12	7,35	10	35
	Unemployed		0
	Homemaker	22,8	5	11,08	9	36
	Retired	25,07	15	11,48	8	44
	Public institution	16,48	81	6,53	1	32
	Formal work	19,13	16	7,44	1	32	0,38
	Autonomous	14,69	13	5,62	5	22
	Unemployed	15,6	10	6,95	4	27
	Homemaker	15,77	13	6,26	4	24
	Retired	16,45	29	6,34	3	30
Total sample		19,1	124	8,45	1	44
Family income
Private instituition		24,38	42*	9,3	8	44
	None	0	0	0	0	0	0,33
	Up to 1 MW^* * one patient did not inform income.	30	1	0	30	30
	1 - 3 MW	21	3	7,21	15	29
	4 - 10 MW	24,39	23	9,15	8	40
	10 - 20 MW	20,88	8	8,46	10	34
	Over 20 MW	29	7	11,43	12	44
Public instituition		16,33	83	6,57	1	32
	None	18,6	5	3,78	13	23
	Up to 1 MW^* * one patient did not inform income.	11,63	16	5,73	1	22	0
	1 - 3 MW	16,67	51	6,59	3	30
	4 - 10 MW	20,55	11	4,87	14	32
	10 - 20 MW	0	0	0	0	0
	Over 20 MW	0	0	0	0	0
Total sample		19,03	125	8,47	1	44
Type of welfare
Private instituition		23	30	9,56	8	44
	Sickness benefit	18,7	10	7,13	9	29	0,07
	Retirement	25,15	20	10,04	8	44
	Other		0
Public instituition		15,34	61	6,49	1	30
	Sickness benefit	14,42	27	6,78	1	26	0,53
	Retirement	16,37	32	6,33	3	30
	Other	13,25	5	6,18	8	22
Total sample		17,95	91	8,45	1	44
Comorbidities
Private instituition		24,02	43	9,48	8	44
	No	20,23	22	8,8	8	44
	Yes	28	21	8,67	14	40	0,003
Public instituition		16,3	81	6,62	1	32
	No	16,7	37	7,74	1	32	0,58
	Yes	15,95	44	5,59	3	27
Total sample		18,98	124	8,54	1	44
Use of medications
Private instituition		24,02	43	9,48	8	44
	No	18,56	9	8,32	8	29
	Yes	25,47	34	9,35	9	44	0,042
Puublic instituition		16,33	83	6,57	1	32
	No	16,73	15	7,85	4	30	0,78
	Yes	16,24	68	6,32	1	32
Total sample		18,95	126	8,48	1	44

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author:
Luciana de Alcantara NogueiraUniversidade Federal do Paraná – Curitiba, PR, Brasil E-mail: luciana.nogueira@ufpr.br