Interventions for financial toxicity among cancer survivors: A scoping review

Crit Rev Oncol Hematol. 2023 Dec:192:104140. doi: 10.1016/j.critrevonc.2023.104140. Epub 2023 Sep 20.

Abstract

Introduction: Financial toxicity impairs cancer survivors' material condition, psychological wellbeing and quality of life. This scoping review aimed to identify interventions for reducing cancer-related financial toxicity (FT), and to summarize their main findings.

Methods: A systematic search was performed in PubMed, Web of Science, EMBASE, CINAHL, Clinical Trials, China National Knowledge Internet, Wanfang and SinoMed from January 2010 to September 2022 following the PRISMA-ScR checklist.

Results: From 2842 identified articles, a total of 15 were included in this review. Existing interventions can be classified into four types: financial navigation, financial counseling, insurance education and others. Previous interventions preliminarily affirmed the feasibility, satisfaction, and improvement in financial worries and knowledge. However, the effectiveness on FT was controversial.

Conclusions: Previous interventions affirmed the feasibility and primary effect of these interventions. Studies with more rigorous design are needed to evaluate the effectiveness and generalizability of interventions on FT across diverse healthcare systems.

Keywords: Cancer survivors; Cost discussion; Financial navigation; Financial toxicity; Health insurance; Scoping review.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Anxiety
  • Cancer Survivors*
  • Financial Stress
  • Humans
  • Neoplasms* / psychology
  • Quality of Life / psychology