ArticleAsia-Pacific journal of oncology nursing2025
Disparities in cancer-related financial toxicity across economically diverse provinces in China: A multi-center cross-sectional study.
Article in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Financial hardship among patients with lung cancer and their family caregivers: A comparative study of two institution-based samples from Hong Kong and Mainland China.Asia-Pacific journal of oncology nursing · 2026Article
- Understanding and mitigating cancer-related financial toxicity in China: challenges and recommendations.The Lancet regional health. Western Pacific · 2025Article
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Authors and funding
10 authors.
Funding
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Abstract
Objective: China's diverse economic landscape across its regions may contribute to disparities in cancer-related financial toxicity (FT), but empirical evidence is lacking. This study examined regional disparities in cancer-related FT across economically diverse provinces in China. Methods: A cross-sectional study was conducted among adult patients with cancer from six tertiary and six secondary hospitals across three Chinese provinces with varying economic statuses (high-, middle-, and low-income). FT was assessed using the COmprehensive Score for financial Toxicity (COST). Hierarchical regression analysis was employed to compare FT among participants from different economic regions, controlling for 13 patient-level sociodemographic and clinical risk factors. Results: From February to October 2022, 1208 participants completed the survey (response rate = 97.3%). Mean COST scores were 21.99 ± 6.37 (high-income), 20.38 ± 8.01 (middle-income), and 19.20 ± 5.14 (low-income), showing significant differences ( Conclusions: This study reveals significant disparities in cancer-related FT across economically diverse provinces in China. The findings underscore the need for targeted policies and interventions to improve health equity in cancer care, with a focus on not neglecting middle-income regions. Oncology nurses are expected to enhance awareness of FT management, voice the needs of patients, and advocate for policy reforms to address these disparities.
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