Financial toxicity among people with cancer undergoing systemic therapy

a cross-sectional study

Authors

Keywords:

Oncology Nursing, Financial Resources in Health, Financial Stress, Neoplasms, Antineoplastic Agents

Abstract

Objective: To analyze the relationship between financial toxicity and the sociodemographic/clinical characteristics of people with cancer undergoing systemic antineoplastic therapy.

Method: A cross-sectional study conducted between May and October 2023 at a hospital that is a reference for cancer treatments in southern Brazil. The sample was comprised by 100 participants and the data were collected from clinical records and interviews, using the COmprehensive Score for Financial Toxicity instrument. Data analysis included descriptive statistics, Student's t test, Pearson's correlation and Multiple linear regression.

Results: A mild impact was mostly identified for financial toxicity (66%), noticing that the patients' income represented a predictor of financial toxicity (β=0.253; p<0.05).

Conclusion: The importance of evaluating this factor in cancer care is noted, aiming at better treatment adherence and well-being in the patients.

Author Biographies

Rafael de Lima Carmo, Federal University of the Southern Border, Chapecó, SC, Brazil.

Nurse, Master's student in Nursing, Federal University of the Southern Border, Chapecó, SC, Brazil.

Rhumer Franco Batista, Federal University of the Southern Border, Chapecó, SC, Brazil.

Nursing student, Federal University of the Southern Border, Chapecó, SC, Brazil.

Willian Lorentz, Federal University of the Southern Border, Chapecó, SC, Brazil.

Nurse, Master's student in Nursing, Federal University of the Southern Border, Chapecó, SC, Brazil.

Jeferson Santos Araújo, Federal University of the Southern Border, Chapecó, SC, Brazil.

Nurse, PhD in Sciences, Professor at the Federal University of the Southern Border, Chapecó, SC, Brazil.

Cristina Mara Zamarioli, University of São Paulo, Ribeirão Preto School of Nursing, Ribeirão Preto, SP, Brazil.

Nurse, PhD in Health Sciences, Professor at the University of São Paulo, Ribeirão Preto School of Nursing, Ribeirão Preto, SP, Brazil.

Vander Monteiro da Conceição, Federal University of the Southern Border, Chapecó, SC, Brazil.

Nurse, PhD in Sciences, Professor at the Federal University of the Southern Border, Chapecó, SC, Brazil.

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Published

2025-12-10

How to Cite

Carmo, R. de L., Batista, R. F., Lorentz, W., Araújo, J. S., Zamarioli, C. M., & da Conceição, V. M. (2025). Financial toxicity among people with cancer undergoing systemic therapy: a cross-sectional study. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/100790

Issue

Vol. 31 (2026)

Section

ORIGINAL ARTICLE

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Copyright (c) 2025 Rafael de Lima Carmo, Rhumer Franco Batista, Willian Lorentz, Jeferson Santos Araújo, Cristina Mara Zamarioli, Vander Monteiro da Conceição

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