Objective

This article offers an overall summary of the current situation concerning cancer-related financial toxicity from the perspective of Canadian patents and survivors. The focus is on describing the financial effects experienced by the patient and survivor and family, which they attribute to the cancer diagnosis, treatment, and other factors that contribute to their financial distress.

Data Sources

The information was drawn from peer-reviewed research literature generated by Canadian researchers regarding out-of-pockets costs, loss of income, and the impact of financial burden over the past 2 decades. Priority was given to understanding what patients and survivors and caregivers perceived as financial burden and distress (stress and strain).

Conclusion

Canadian patients and family members reported financial burden (out-of-pocket costs, loss of income) and financial distress following the diagnosis and treatment of cancer. Heightened distress from financial burden was reported between 38% and 71% within various samples. Patients and survivors indicated the distress and challenges managing the financial situation had a profound impact on their everyday living and quality of life. Many were surprised by the increased costs, given the county's universal health care system. Baseline financial status, competency in managing finances, and lost wages were significant factors in the distress experienced by patients and family members.

Implications for Nursing Practice

Oncology nurses need to be aware of financial toxicity as a potential side effect of cancer. It may emerge during treatment but can extend well beyond the end of treatment. Early screening and assessment followed by dialogue about the potential impact with patients and family members is important. Routine monitoring of distress related to financial toxicity should be part of ongoing care with appropriate referral to relevant recourses as needed.

中文翻译：

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对与癌症相关的金融毒性影响的新认识：加拿大的观点

客观的

本文从加拿大专利和幸存者的角度对癌症相关财务毒性的现状进行了全面总结。重点是描述患者、幸存者和家人所经历的财务影响，他们将这些影响归因于癌症诊断、治疗和其他导致其财务困境的因素。

数据源

这些信息来自加拿大研究人员生成的同行评审研究文献，这些文献涉及过去 20 年的自付费用、收入损失和财务负担的影响。优先了解患者、幸存者和护理人员认为的经济负担和困扰（压力和紧张）。

结论

加拿大患者和家庭成员报告了癌症诊断和治疗后的经济负担（自付费用、收入损失）和财务困境。在各种样本中，有 38% 到 71% 的人报告称，财务负担加剧了痛苦。患者和幸存者表示，管理财务状况的压力和挑战对他们的日常生活和生活质量产生了深远的影响。鉴于该县的全民医疗保健系统，许多人对成本增加感到惊讶。基线财务状况、财务管理能力和工资损失是患者和家属经历痛苦的​​重要因素。

对护理实践的影响

肿瘤科护士需要意识到经济毒性是癌症的潜在副作用。它可能会在治疗期间出现，但可以远远超出治疗结束。早期筛查和评估，然后与患者和家属就潜在影响进行对话很重要。对与财务毒性相关的困境的常规监测应该是持续护理的一部分，并根据需要适当转介到相关资源。