What does this research mean for the field?

There is currently no consensus on how to uniformly measure financial toxicity in cancer patients, highlighting the need for a tailored assessment tool for the Chinese context. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The aim is to systematically evaluate existing financial toxicity assessment tools and develop a tailored tool for the Chinese context.

March 15, 2026Frontiers in Medicine0 citationsOpen Access

Screening tools to assess cancer-related financial toxicity: a scoping systematic review and thematic analysis protocol

HLH. LiSichuan Cancer Hospital JLJing LuoSecond People’s Hospital of Yibin SOShunlong OuSichuan Cancer Hospital

Key Points

The aim is to systematically evaluate existing financial toxicity assessment tools and develop a tailored tool for the Chinese context.
Comprehensive search of multiple databases for financial toxicity assessment tools
Involvement of two independent reviewers for literature assessment
Extraction of key dimensions and evidence grading of the tools
Thematic analysis to identify key themes and applicability in China
Use of GRADE-CERQual for evidence quality evaluation
Identification of similarities and differences among existing assessment tools
Extraction of key themes related to financial toxicity
Grading of evidence regarding the applicability of tools

Abstract

Introduction Financial toxicity, stemming from high cancer treatment costs, compromises adherence, escalates caregiver burden, and induces psychological distress, ultimately hindering patient outcomes and exacerbating health inequities. Despite the development of various assessment tools, a consensus on how to uniformly measure financial toxicity remains elusive. This study aims to systematically analyze the similarities and differences among existing global financial toxicity assessment tools, identify key themes, and grade the evidence, thereby providing a theoretical foundation for developing a financial toxicity assessment tool tailored to the Chinese context. Methods This review will conduct a comprehensive search of databases, including The Cochrane Library, PubMed, Embase, Web of Science, CNKI, Wanfang, VIP, CBM, grey literature, and health websites from various countries, to identify all tools assessing financial toxicity in cancer patients and their families. The search will cover the period from January 1, 2012, to January 1, 2026. Two reviewers will independently assess the included literature. In cases of disagreement, a third reviewer will adjudicate. Basic characteristics to be described will include the publishing institution, year of publication, country of origin, and applicable drug categories of the assessment tools. Key elements to be extracted and described will focus on dimensions of financial toxicity assessment, sources/evidence grading, and methodological processes, including methods and techniques. Subsequently, the thematic analysis method was adopted to integrate the evidence, extract key themes, and focus on the applicability of existing tools in the Chinese context. The integrated evidence will be evaluated using the GRADE-CERQual evidence quality assessment system to determine the credibility of the evidence for the applicability of existing tools. Ethics and dissemination This study does not involve human or animal subjects, and ethical approval is not required. The results will be disseminated at various presentations and feedback sessions, in conference abstracts and manuscripts that will be submitted to peer-reviewed journals. Trial registration PROSPERO registration number CRD42024546186.

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