Fumiko Chino|Jeffrey Peppercorn|Christel Rushing|Jonathan Nicolla|Arif H. Kamal|Ivy Altomare|Greg Samsa|S. Yousuf Zafar
Going for Broke: A Longitudinal Study of Patient-Reported Financial Sacrifice in Cancer Care
Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital|Duke University Hospital|Duke Medical Center|Massachusetts General Hospital
purpose patients cancer risk substantial treatmentrelated costs however little known patients willingness sacrifice receive cancer care attitudes burden may change time patients methods conducted longitudinal survey insured patients solid tumor cancers receiving chemotherapy hormonal therapy patients surveyed two time points willingness make financial sacrifices actual sacrifices including outofpocket costs patient attitudes sacrifices compared time results 349 patients approached 300 completed baseline survey 86 response 245 completed followup survey 3 months later 82 retention median patientreported cancerrelated outofpocket costs patients completed surveys 393 per month range 0 26586 per month baseline 328 per month range 0 8210 per month followup baseline 49 willing declare personal bankruptcy 38 willing sell homes 65 willing make sacrifices including borrowing money afford cancer care upon followup minor decreases willingness maximum net change 7 decline patients willing declare bankruptcy actual sacrifice increased time greatest increase patients used savings increased 41 54 conclusion large proportion insured patients cancer willing make considerable personal financial sacrifices receive care attitudes change greatly time shared decision making important ensure patients fully understand goals risks benefits therapy make personal sacrifices