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Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis

BACKGROUND: Colorectal cancer (CRC) diagnosed at ages <50 years old (early‐onset CRC) has been increasing in the United States, resulting in a growing number of early‐onset CRC survivors who may face significant financial and quality of life (QOL) challenges. OBJECTIVE: Identify themes from a pat...

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Autores principales: Blum‐Barnett, Erica, Madrid, Sarah, Burnett‐Hartman, Andrea, Mueller, Shane R., McMullen, Carmit K., Dwyer, Andrea, Feigelson, Heather S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803402/
https://www.ncbi.nlm.nih.gov/pubmed/31273909
http://dx.doi.org/10.1111/hex.12919
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author Blum‐Barnett, Erica
Madrid, Sarah
Burnett‐Hartman, Andrea
Mueller, Shane R.
McMullen, Carmit K.
Dwyer, Andrea
Feigelson, Heather S.
author_facet Blum‐Barnett, Erica
Madrid, Sarah
Burnett‐Hartman, Andrea
Mueller, Shane R.
McMullen, Carmit K.
Dwyer, Andrea
Feigelson, Heather S.
author_sort Blum‐Barnett, Erica
collection PubMed
description BACKGROUND: Colorectal cancer (CRC) diagnosed at ages <50 years old (early‐onset CRC) has been increasing in the United States, resulting in a growing number of early‐onset CRC survivors who may face significant financial and quality of life (QOL) challenges. OBJECTIVE: Identify themes from a patient advocate discussion about the impact of CRC on financial burden and QOL among early‐onset CRC survivors. METHODS: We conducted a semi‐structured, stakeholder discussion among 14 early‐onset CRC survivors and one caregiver who were members of an advocacy group. The discussion focused on the financial and overall QOL impacts of CRC. The meeting was recorded, transcribed and coded in ATLAS.ti, using a thematic analysis approach. RESULTS: Cancer stage at diagnosis among advocates with CRC ranged from 2 to 4; about half of the attendees had no evidence of disease, and about half were undergoing treatment. Employment (career trajectory, lost wages, health insurance/benefits, performance) emerged as the dominant theme of the financial impacts discussion. Lifestyle impacts of disease and survivorship included both emotional and physical side‐effects. Diagnosis experience, missing information about CRC treatment and side‐effects, financial stress and strain on relationships were the primary themes for the overall QOL impacts. CONCLUSION: Given the growing incidence of CRC in those under 50, it is particularly important for providers to be aware of these patients' financial, emotional and QOL needs, and to develop care plans that specifically address these areas of concern for early‐onset CRC survivors.
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spelling pubmed-68034022019-10-24 Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis Blum‐Barnett, Erica Madrid, Sarah Burnett‐Hartman, Andrea Mueller, Shane R. McMullen, Carmit K. Dwyer, Andrea Feigelson, Heather S. Health Expect Original Research Papers BACKGROUND: Colorectal cancer (CRC) diagnosed at ages <50 years old (early‐onset CRC) has been increasing in the United States, resulting in a growing number of early‐onset CRC survivors who may face significant financial and quality of life (QOL) challenges. OBJECTIVE: Identify themes from a patient advocate discussion about the impact of CRC on financial burden and QOL among early‐onset CRC survivors. METHODS: We conducted a semi‐structured, stakeholder discussion among 14 early‐onset CRC survivors and one caregiver who were members of an advocacy group. The discussion focused on the financial and overall QOL impacts of CRC. The meeting was recorded, transcribed and coded in ATLAS.ti, using a thematic analysis approach. RESULTS: Cancer stage at diagnosis among advocates with CRC ranged from 2 to 4; about half of the attendees had no evidence of disease, and about half were undergoing treatment. Employment (career trajectory, lost wages, health insurance/benefits, performance) emerged as the dominant theme of the financial impacts discussion. Lifestyle impacts of disease and survivorship included both emotional and physical side‐effects. Diagnosis experience, missing information about CRC treatment and side‐effects, financial stress and strain on relationships were the primary themes for the overall QOL impacts. CONCLUSION: Given the growing incidence of CRC in those under 50, it is particularly important for providers to be aware of these patients' financial, emotional and QOL needs, and to develop care plans that specifically address these areas of concern for early‐onset CRC survivors. John Wiley and Sons Inc. 2019-07-05 2019-10 /pmc/articles/PMC6803402/ /pubmed/31273909 http://dx.doi.org/10.1111/hex.12919 Text en © 2019 The Authors Health Expectations published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Blum‐Barnett, Erica
Madrid, Sarah
Burnett‐Hartman, Andrea
Mueller, Shane R.
McMullen, Carmit K.
Dwyer, Andrea
Feigelson, Heather S.
Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title_full Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title_fullStr Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title_full_unstemmed Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title_short Financial burden and quality of life among early‐onset colorectal cancer survivors: A qualitative analysis
title_sort financial burden and quality of life among early‐onset colorectal cancer survivors: a qualitative analysis
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803402/
https://www.ncbi.nlm.nih.gov/pubmed/31273909
http://dx.doi.org/10.1111/hex.12919
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