The unequal burden of time toxicity

Whitney V Johnson; Anne H Blaes; Christopher M Booth; Ishani Ganguli; Arjun Gupta

doi:10.1016/j.trecan.2023.01.006

The unequal burden of time toxicity

Trends Cancer. 2023 May;9(5):373-375. doi: 10.1016/j.trecan.2023.01.006. Epub 2023 Feb 23.

Authors

Whitney V Johnson¹, Anne H Blaes¹, Christopher M Booth², Ishani Ganguli³, Arjun Gupta⁴

Affiliations

¹ Department of Internal Medicine, University of Minnesota, Minneapolis, MN, USA.
² Department of Oncology, Queen's University, Kingston, ON K7L 3N6, Canada.
³ Division of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
⁴ Department of Internal Medicine, University of Minnesota, Minneapolis, MN, USA. Electronic address: arjgupta@umn.edu.

Abstract

Many cancer treatments impose large time investments on patients. We have termed these time burdens 'time toxicity' and have urged their consideration as adverse events of treatment. Here, we discuss time toxicity measures while considering inequitable access to healthcare, time as a resource, and patterns of time toxicity.

Keywords: healthcare equity; healthcare quality; oncology; social determinants of health; time toxicity.

Grants and funding

K23 AG068240/AG/NIA NIH HHS/United States