Breast Cancer Patients' Experiences of Coping With Financial Toxicity: A Systematic Review and Qualitative Meta-Synthesis.

IF 3.3 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-01-01 DOI:10.1002/pon.70075

Liu Jiahui, Li Xingfeng, Wang Lijie, Li Xuying, Li Jinhua, Fang Yunxia, Chen Jiejun

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引用次数: 0

Abstract

Objective: Breast cancer patients often face a significant financial burden, leading to financial toxicity due to the necessity for long-term care, costly treatment, and follow-up measures. The purpose of this study is to systematically review the available qualitative evidence on how breast cancer patients cope with financial toxicity and their unmet need to promote the implementation of effective intervention strategies.

Methods: PubMed, Web of Science, PsycINFO, CINAHL, EMBASE, Scopus, CNKI, Wan Fang Data, and VIP databases were systematically searched for literature related to the study topic. This study was conducted according to the PRIMSA guidelines. Thematic synthesis methods were used to analyze the data and construct themes. The review was pre-registered on PROSPERO (CRD42024502030).

Results: The search yielded 1164 results; 23 articles met the inclusion criteria and reported on a total of 1098 breast cancer patients. The thematic analysis identified three themes and 15 sub-themes: coping emotions (shrouded in negative emotions and adopting a positive attitude); coping behaviors (increasing income sources, adjusting personal or family finances, seeking and accepting support, coping independently, avoidance, constrained decision, financial planning, and proactive negotiation); and coping needs (health insurance policy support, medical institutional support, non-medical institutional resources support, financial information needs, financial management needs).

Conclusion: Breast cancer patients exhibit a variety of emotional reactions and coping behaviors with financial toxicity alongside several unmet needs. This indicates the necessity of maintaining focus on financial toxicity in breast cancer patients and the implementation of appropriate management strategies to address their needs while optimizing the detection and mitigation of expenditures that jeopardize their health and quality of life.

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乳腺癌患者应对财务毒性的经验：系统回顾和定性综合。

目的：乳腺癌患者往往面临着巨大的经济负担，由于需要长期护理，昂贵的治疗和随访措施，导致经济毒性。本研究的目的是系统地回顾现有的定性证据，关于乳腺癌患者如何应对经济毒性及其未满足的需求，以促进有效干预策略的实施。方法：系统检索PubMed、Web of Science、PsycINFO、CINAHL、EMBASE、Scopus、CNKI、万方数据、VIP等数据库，检索与研究主题相关的文献。本研究是根据PRIMSA指南进行的。采用主题综合方法对数据进行分析，构建主题。该综述在PROSPERO （CRD42024502030）上进行了预注册。结果：搜索得到1164个结果；23篇文章符合纳入标准，共报道了1098名乳腺癌患者。主题分析确定了三个主题和15个副主题：应对情绪（被消极情绪笼罩，采取积极态度）；应对行为（增加收入来源、调整个人或家庭财务状况、寻求和接受支持、独立应对、回避、约束决策、财务规划和主动谈判）；以及应对需求（健康保险政策支持、医疗机构支持、非医疗机构资源支持、财务信息需求、财务管理需求）。结论：乳腺癌患者表现出多种情绪反应和应对行为，包括经济毒性和一些未满足的需求。这表明有必要继续关注乳腺癌患者的财务毒性，并执行适当的管理战略，以满足其需求，同时最大限度地发现和减少危及其健康和生活质量的支出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.