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Another cost of cancer: long-term financial ruin

Another cost of cancer: long-term financial ruin

 


SAN FRANCISCO — The physical toll of cancer is well-documented, but the economic toll can also be severe and long-lasting.

Overall, cancer patients tend to have higher debt collection rates, medical bill collection rates, bankruptcy rates, and lower credit scores, according to two new studies presented at the American College of Surgeons Clinical Meeting 2024 in San Francisco. It is said that there is.

“These are the first studies to provide quantitative evidence of economic toxicity in cancer survivors,” said Benjamin C. of Beth Israel Deaconess Medical Center and Harvard Medical School in Boston, who worked on both studies. James, M.D., said in a statement. . “Previous data on this topic relies primarily on subjective research reviews.”

In one study, researchers used the Massachusetts Cancer Registry to identify 99,175 patients diagnosed with cancer between 2010 and 2019 and compared them to 188,875 control patients who did not have cancer. Matched with people. The researchers then assessed financial toxicity using participants' Experian Credit Bureau data.

Overall, cancer patients faced a variety of financial challenges that often persisted for years after diagnosis.

Patients were nearly five times more likely to experience bankruptcy and had an average credit score nearly 80 points lower than controls without cancer. Credit score declines were more pronounced in bladder, liver, lung, and colorectal cancer (CRC) survivors and lasted up to 9.5 years.

For certain types of cancer in particular, “we find that years after diagnosis, credit scores drop and never recover,” James said.

Another study using a sample of 7,227 colorectal cancer patients in Massachusetts identified several factors that correlated with lower credit scores.

Compared to patients who received surgery alone, patients who received radiation therapy only had their credit scores drop by 62 points after diagnosis, while those who received chemotherapy alone had their credit scores drop by just over 14 points. I just did it. Among patients who received combination therapy, those who received both surgery and radiation therapy had a nearly 16-point drop in their credit score compared to those who received surgery alone, and those who received surgery and chemoradiation therapy actually experienced an increase of 2.59 points.

Economic toxicity was worse for patients who were younger than 62 years, identified as black or Hispanic, were unmarried, had an annual income of less than $52,000, and lived in impoverished areas.

the study Add to findings According to the 2015 North American Thyroid Cancer Survivor Survey, 50% of thyroid cancer survivors reported financial harm due to their diagnosis.

Even in states like Massachusetts, which mandates universal health coverage, the continued financial burden of cancer treatment is leading to “broader policy changes, including a review of debt collection practices,” James said. “This highlights the need for change and reform,” he said.

“Financial security should be a priority in cancer treatment,” he added.

This study received no specific funding. The authors disclose no relevant conflicts of interest..

Sources

1/ https://Google.com/

2/ https://www.medscape.com/viewarticle/cancers-other-toll-long-term-financial-fallout-survivors-2024a1000je2

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