Financial Distress in Patients With Advanced Cancer

Study Overview
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Brief Summary
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Advanced cancer has an adverse effect in virtually all dimensions of patients' lives (physical, psychosocial, spiritual, familial, role function). One of the less frequently explored effects of cancer is its impact on personal finances and the contribution of financial-related distress to overall suffering and quality of life. Financial issues have been recently found to be the second most frequent source of distress identified by cancer patients in a community cancer center context (22%). In the context of continuous increased health care costs, it is likely that the frequency of health care related financial problems will keep rising. The relative contribution of these adverse financial events in advanced cancer patients to overall patient distress is not well assessed and this is particularly true in France. The main objective of this work is to determine the association between financial distress and quality of life of patients with advanced cancer in a Public General Hospital and in a Comprehensive Cancer Center. A secondary objective is to characterize the frequency and intensity of financial distress reported by French cancer patients and their impact on their quality of life.

Official Title
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Preliminary Study of Financial Distress and Quality of Life in Patients With Advanced Cancer

Conditions
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Cancer, Quality of Life

Intervention / Treatment
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* Other: self-completion questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients must be at least 18 years old and have a diagnosis of advanced cancer which is defined as one of the following: recurrent disease, received >2 lines of chemotherapy, locally-advanced disease, metastatic disease, or refractory disease. Patients must have a cancer diagnosis of: breast, colon, lung or prostate. Patients must be able to understand, read, write, and speak French. Exclusion Criteria: Clinical evidence of cognitive impairment, as determined by the palliative care physician.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: self-completion questionnaire<br> | Other: self-completion questionnaire<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Financial distress and quality of life | FACT-G; FACT-pal; FACT-sp for the quality of life; Self-assessment of financial distress in a 0 to 10 scale(0 no distress; 10 maximal distress) | Cross sectional (one day) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cancer, quality of life, palliative care, supportive care, Financial distress