Financial toxicity is more than costs of care: the relationship between employment and financial toxicity in long-term cancer survivors

Alison Pearce*, Bianca Tomalin, Billingsley Kaambwa, Nicole Horevoorts, Saskia Duijts, Floortje Mols, Lonneke van de Poll-Franse, Bogda Koczwara

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    51 Citations (Scopus)


    PurposeThe aim of this study was to examine the relationship between employment and financial toxicity by examining the prevalence of, and factors associated with, financial toxicity among cancer survivors.MethodsWe conducted a secondary analysis of a sub-sample from the Dutch Patient Reported Outcomes Following Initial Treatment and Long-term Evaluation of Survivorship (PROFILES) registry. Descriptive statistics, bivariate analysis and logistic regression were used.ResultsA total of 2931 participants with diverse cancer types were included in the analysis with a mean age of 55years (range 18 to 65). Nearly half (49%) of participants were employed at the time of the survey, and 22% reported financial toxicity. Those who were not employed were at greater risk of financial toxicity (27% vs 16%, p

    Original languageEnglish
    Pages (from-to)10-20
    Number of pages11
    JournalJournal of cancer survivorship-Research and practice
    Issue number1
    Publication statusPublished - Feb-2019


    • Cancer
    • Survivorship
    • Financial toxicity
    • Cost
    • Employment
    • Work
    • BURDEN
    • WORK
    • RETURN

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