Evidence map›Paper›PMID 39817747›Full record

SynthesisPsycho-oncology2025

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

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

Abstract readSystematic Review
In one paragraph

Synthesis in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Liu JiahuiThe Department of Breast Medicine, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.ORCID https://orcid.org/0000-0002-1798-0282
Li XingfengThe Department of Breast Medicine, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Wang LijieSir Run Run Shaw Hospital, Affiliated with the Zhejiang University School of Medicine, Hangzhou, China.
Li XuyingThe Department of Nursing, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Li JinhuaConsumable Sample Office, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Fang YunxiaThe Department of Nursing, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.
Chen JiejunThe Department of Breast Medicine, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Cancer Hospital, Changsha, China.

Funding

Hunan Cancer Hospital Qihang Youth Fund QH2023002Scientific Research Project of Hunan Provincial Health Commission 202214015040Scientific Research Project of Hunan Provincial Health Commission 202214054854Support Program for High-level Talents in Hunan Province's Healthcare Funding
6 · The paper itself

Abstract

objectiveBreast 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.

methodsPubMed, 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).

resultsThe 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).

conclusionBreast 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.

Indexed as

Adaptation, PsychologicalBreast NeoplasmsCost of IllnessFinancial StressFemaleHumansQualitative Researchbreast cancercancercoping strategiesfinancial toxicityoncologyqualitative researchsystematic review

Identifiers

PMID39817747
PMCPMC11737291

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.