Staehler et al., 2021(1313 Staehler MD, Battle DJ, Bergerot CD, Pal SK, Penson DF. COVID-19 and financial toxicity in patients with renal cell carcinoma. World J Urol. 2020;22:1–7. https://doi.org/10.1007/s00345-020-03476-6
https://doi.org/10.1007/s00345-020-03476...
) USA / Private Healthcare System |
- Quantitative Research
539 individuals with renal cell carcinoma
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Assess the financial toxicity associated with renal cell carcinoma during the COVID-19 crisis. |
23% of patients did not feel in control of their financial situation. Metastatic patients who had not started systemic therapy showed a lower financial toxicity score than those undergoing oral therapy. |
Williams et al., 2022(1414 Williams CP, Rocque GB, Caston NE, Gallagher KD, Angove RSM, Anderson E, et al. Health insurance and financial hardship in cancer survivors during the COVID-19 pandemic. PLoS One. 2022;17(8):e0272740. https://doi.org/10.1371/journal.pone.0272740
https://doi.org/10.1371/journal.pone.027...
) USA / Private Healthcare System |
- Quantitative Research
1,437 individuals with cancer
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Examine the relationship between health insurance coverage and the challenges of covering health-related and non-health-related expenses during the COVID-19 pandemic in adults with cancer. |
57% reported challenges in paying for necessities during the pandemic, with 40% having trouble paying for food, 32% for housing, 28% for transportation, and 20% for internet. |
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Chen et al., 2021(1515 Chen YS, Zhou ZN, Glynn SM, Frey MK, Balogun OD, Kanis M, et al. Financial toxicity, mental health, and gynecologic cancer treatment: The effect of the COVID-19 pandemic among low-income women in New York City. Cancer. 2021;127(14):2399-408. https://doi.org/10.1002/cncr.33537
https://doi.org/10.1002/cncr.33537...
)
USA / Private Healthcare System
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- Quantitative Research
100 women with gynecological cancer
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Determine the impact of COVID-19 on cancer treatment, anxiety, and financial difficulties among low-income patients with gynecological cancer during the peak of the pandemic in New York. |
There was an increase in concern and anxiety about cancer; delays in medical care were reported. |
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Thom et al., 2021(1616 Thom B, Benedict C, Friedman DN, Watson SE, Zeitler MS, Chino F. Economic distress, financial toxicity, and medical cost-coping in young adult cancer survivors during the COVID-19 pandemic: findings from an internet sample. Cancer. 2021;127(23):4481-91. https://doi.org/10.1002/cncr.33823
https://doi.org/10.1002/cncr.33823...
)
USA / Private Healthcare System
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- Quantitative Research
212 young adults with cancer
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Describe the financial toxicity experienced during the pandemic; Analyze the relationships between financial toxicity, negative economic events, and cost-coping behaviors; Identify prevalent cost-coping behaviors. |
36% stated that their credit card debt increased; 21% reported having no money to pay their rent or mortgage; 19% had no money for medical expenses; 17% for food, and 12% for medication; 19% lost their jobs; 15% reported a reduction in salary. |
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Zhao et al., 2021(1717 Zhao F, Henderson TO, Cipriano TM, Copley BL, Liu M, Burra R, et al. The impact of coronavirus disease 2019 on the quality of life and treatment disruption of patients with breast cancer in a multiethnic cohort. Cancer. 2021;127(21):4072-80. https://doi.org/10.1002/cncr.33798
https://doi.org/10.1002/cncr.33798...
)
USA / Private Healthcare System
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- Quantitative Research
2,661 patients with breast cancer
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Measure the psychosocial well-being of participants before and during the COVID-19 pandemic, assessing whether they encountered any financial challenges or disruptions in treatment. |
One-third of the participants experienced some type of financial challenge during this period.
A quarter of the participants had difficulty obtaining treatment.
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Wadasadawala et al., 2021(1818 Wadasadawala T, Sen S, Watekar R, Rane P, Sarin R, Gupta S, et al. Economic Distress of Breast Cancer Patients Seeking Treatment at a Tertiary Cancer Center in Mumbai during COVID-19 Pandemic: a cohort study. Asian Pac J Cancer Prev. 2021;22(3):793-800. https://doi.org/10.31557/APJCP.2021.22.3.793
https://doi.org/10.31557/APJCP.2021.22.3...
)
India / Mixed Healthcare System
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- Quantitative Research
138 patients with non-metastatic breast cancer
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Examine the economic hardship faced by breast cancer patients undergoing treatment at the Tata Memorial Center (TMC) in Mumbai, India, during the national lockdown that began in March 2020 following the outbreak of COVID-19. |
The average monthly expenditure of cancer patients increased by 32%; the average monthly family income was reduced.
More than two-thirds had no income during the lockdown.
More than half took out loans; 30% used their savings; 28% received charity; 81% reported a lack of money; 32% reported a shortage of food; 28% reported a shortage of medication.
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Hassan et al., 2022(1919 Hassan AM, Chu CK, Liu J, Angove R, Rocque G, Gallagher KD, et al. Determinants of telemedicine adoption among financially distressed patients with cancer during the COVID-19 pandemic: insights from a nationwide study. Supp Care Cancer. 2022;30(9):7665-78. https://doi.org/10.1007/s00520-022-07204-1
https://doi.org/10.1007/s00520-022-07204...
)
USA / Private Healthcare System
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- Quantitative Research
627 patients with cancer
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Characterize the use of telemedicine among cancer patients facing financial difficulties during the COVID-19 pandemic. |
Telemedicine was widely adopted during the pandemic, with most patients preferring video consultations.
Telemedicine can reduce existing inequalities, particularly among the vulnerable cancer population.
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Peoples et al., 2022(2020 Peoples AR, Oswald LB, Ose J, Daniels B, Himbert C, Hathaway CA, et al. Impact of the COVID-19 pandemic on rural and urban cancer patients’ experiences, health behaviors, and perceptions. J Rural Health. 2022;38(4):886-99. https://doi.org/10.1111/jrh.12648
https://doi.org/10.1111/jrh.12648...
)
USA / Private Healthcare System
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- Quantitative Research
1,472 adult patients with cancer
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Evaluate the healthcare experiences related to the pandemic, COVID-19 prevention measures, health behaviors, and psychosocial outcomes among rural and urban cancer patients. |
Financial stress was common among both rural and urban cancer patients. |
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Patel et al., 2023(2121 Patel KB, Turner K, Tabriz AA, Gonzalez BD, Oswald LB, Nguyen OT, et al. Estimated Indirect Cost Savings of Using Telehealth Among Nonelderly Patients With Cancer. JAMA Netw Open. 2023;6(1):e2250211. https://doi.org/10.1001/jamanetworkopen.2022.50211
https://doi.org/10.1001/jamanetworkopen....
)
USA / Private Healthcare System
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- Quantitative Research
11,688 patients with cancer
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Estimate the travel, time, and cost savings associated with telehealth for the delivery of oncology care. |
Telehealth was associated with time savings and reduced travel costs for patients, which can decrease the financial toxicity of cancer treatment. Expanding oncology telehealth services could be an effective strategy to reduce the financial burden on cancer patients. |
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Teteh et al., 2022(2222 Teteh D, Barajas J, Ferrell B, Zhou Z, Erhunmwunsee L, Raz DJ, et al. The impact of the COVID-19 pandemic on care delivery and quality of life in lung cancer surgery. J Surg Oncol. 2022;126:407-16. https://doi.org/10.1002/jso.26902
https://doi.org/10.1002/jso.26902...
)
USA / Private Healthcare System
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- Qualitative Research
19 individuals with cancer
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Explore the impact of COVID-19 on care and quality of life for lung cancer patients. |
Isolation and its impact on social support. Psychological suffering. Care impacted and postponed. Financial impact.
Minimal impact on oncology care, work situation, income, or housing.
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Ludwigson et al., 2022(2323 Ludwigson A, Huynh V, Myers, Hampanda K, Christian N, Ahrendt G, et al. Patient Perceptions of Changes in Breast Cancer Care and Well-Being During COVID-19: a mixed methods study. Ann Surg Oncol. 2022;29(3):1649–57. https://doi.org/10.1245/s10434-021-11209-1
https://doi.org/10.1245/s10434-021-11209...
)
USA / Private Healthcare System
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- Quantitative Research
133 patients with breast cancer
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Investigate the concerns of breast cancer patients related to COVID-19. |
50% of participants reported fear about how the COVID-19 pandemic would affect their care or recovery from cancer; 66% reported anxiety about contracting COVID-19; 22% reported a decrease in income. Interviews provided insights into the advantages and disadvantages of telehealth. |
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Zomerdijk et al., 2022(2424 Zomerdijk N, Jongenelis M, Yuen E, Turner J, Huntley K, Soares A, et al. Experiences and needs of people with haematological cancers during the COVID-19 pandemic: a qualitative study. Psychooncol. 2022;31(3):416-24. https://doi.org/10.1002/pon.5819
https://doi.org/10.1002/pon.5819...
)
Australia / Mixed Healthcare System
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- Qualitative Research
24 patients with hematologic cancer
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Explore the experiences and needs of patients with hematologic cancer during the pandemic. |
Fear of contracting COVID-19; behavioral changes to protect health; impact on daily routine and habits; reduction in social support and access to external support services; increased financial difficulties, worsening health. |
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Kieran et al., 2022(2525 Kieran R, Moloney C, Alken S, Corrigan L, Gallagher D, Grant C, et al. Patient knowledge, personal experience, and impact of the first wave of the COVID-19 pandemic in an Irish oncology cohort. Ir J Med Sci. 2023;192(2):533–40. https://doi.org/10.1007/s11845-022-02999-8
https://doi.org/10.1007/s11845-022-02999...
)
Ireland / Private Healthcare System
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- Quantitative Research
120 oncology patients
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Assess patients’ knowledge of COVID-19 and its impact on their behaviors, concerns, and health experiences. |
72% of patients reported health-related concerns, loneliness (51%), and discouragement (42%). Financial toxicity worsened, with an increase in financial concern (78%), a reduction in family income (40%), and increased costs due to the lockdown (62%).
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