Mp12-01 Financial Toxicity, Health-Related Quality of Life and Psychological Distress in Prostate Cancer Patients on Active Surveillance Versus Definitive Treatment

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making I (MP12)1 May 2024MP12-01 FINANCIAL TOXICITY, HEALTH-RELATED QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS IN PROSTATE CANCER PATIENTS ON ACTIVE SURVEILLANCE VERSUS DEFINITIVE TREATMENT Brendan Yi, Dimitre Stefanov, and Michael Feuerstein Brendan YiBrendan Yi , Dimitre StefanovDimitre Stefanov , and Michael FeuersteinMichael Feuerstein View All Author Informationhttps://doi.org/10.1097/01.JU.0001009376.16371.fb.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Previous literature has reported on financial toxicity in prostate cancer patients, however, there has been less research on the impact of financial toxicity on psychological distress, and whether there is an association with surveillance or definitive treatment. The purpose of this study was to investigate the association between financial toxicity, health-related quality of life and psychological distress in patients managed with active surveillance or definitive treatment. METHODS: This is a cross-sectional study of consecutive prostate cancer patients either on active surveillance or who received definitive treatment. Financial toxicity and health-related quality of life were assessed using the FACIT - Comprehensive Score for Financial Toxicity (FACIT-COST) and the Functional Assessment of Cancer Therapy - General (FACT-G) questionnaires, respectively. Psychological distress was evaluated using a unique distress screening questionnaire. RESULTS: 38 patients completed the survey. 17 (44.7%) patients were on active surveillance. There were no significant differences in mean FACIT-COST, FACT-G, and distress screening scores between patients undergoing active surveillance and those who underwent definitive treatment. Overall, patients reported moderate levels of financial toxicity by the FACIT-COST score (mean=25.34, SD=9.11, out of 44 possible points). Patients reported relatively high health-related quality of life (mean=85.89, SD=15.59, out of 108 possible points). All four components of the FACT-G (Physical, Social/Family, Emotional, and Functional Well-Being) were negatively associated with psychological distress. There was a weak correlation between FACIT-COST and FACT-G (Physical Well-Being) scores (r=0.39, p=0.02), however there was no significant association between psychological distress and FACIT-COST scores. CONCLUSIONS: This study suggests that there are no significant differences in financial toxicity, health-related quality of life, and psychological distress between prostate cancer patients undergoing active surveillance and those who underwent definitive treatment. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e200 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Brendan Yi More articles by this author Dimitre Stefanov More articles by this author Michael Feuerstein More articles by this author Expand All Advertisement PDF downloadLoading ...