Financial Toxicity in Adolescents and Young Adults With Cancer: A Concept Analysis.
Lauren V Ghazal, Maurade Gormley, John D Merriman and 1 others
PMID 34694089WHAT IT FOUND
For oncology nurses, financial toxicity in adolescents and young adults with cancer means bills, lost income, distress and competing life-stage pressures.
It may lead to skipped appointments, medication nonadherence, debt and poorer quality of life. This work does not test an intervention.
Key findings
01The concept analysis included 23 articles and proposed a definition of financial toxicity as cancer care demands creating financial burden, distress, problem-solving behaviors, material hardship, poor financial well-being and deteriorated quality of life.
02Core attributes were financial burden and financial distress, with competing financial pressures during the adolescent and young adult period.
03Adverse consequences included financial problem-solving behaviors that could affect adherence, material hardship, poor financial well-being and deteriorated quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The search and analysis were performed by the primary author alone, with coauthors discussing findings. The included samples were predominantly White and female, so the concept may not fit other groups. The analysis did not evaluate family or caregiver financial effects. The illustrative example is a best-case scenario and should not be read as typical. It did not include earlier literature describing financial hardship or articles specific to the pandemic. It defines and organizes financial toxicity; it does not test whether assessment, financial navigation or social work help.
Declared interests
The supplied text states the authors have no conflicts of interest. It does not state a funding source.
The easy way to misread this
Do not read this concept analysis as evidence that financial conversations, navigation or any other intervention reduce financial toxicity. It organized definitions, antecedents, attributes and consequences from existing articles; it did not test an intervention.