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Financial toxicity and skin cancer care in the US: population-based survey from 2011 to 2018

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Abstract

This cross-sectional study aimed to examine financial toxicity among people with skin cancer using pooled National Health Interview Survey data from adults in 2011–2018. Material, behavioral, and psychological markers of financial toxicity were compared by lifetime skin cancer history (any melanoma, any skin cancer beside melanoma, and no skin cancer) using multivariable logistic regression models. Of 257,652 total participants, 1874 (0.73%) had known melanoma and 7073 (2.75%) had any skin cancer beside melanoma. History of skin cancers was not independently associated with increased markers of financial toxicity after adjustment for sociodemographic and medical co-morbidities.

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References

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Funding

Dr. Yeung is supported in part by Developmental Funds from the Winship Cancer Institute of Emory University and by the National Institute of Arthritis and Musculoskeletal and Skin Diseases under award numbers L30AR076081 and K23AR075888. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or Department of Veterans Affairs.

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Author notes

  1. Krittin J. Supapannachart and Lena Chu have contributed equally to this work.

Authors and Affiliations

  1. Department of Dermatology, Emory University School of Medicine, 1525 Clifton Road NE, Suite 100, Atlanta, GA, 30322, USA

    Krittin J. Supapannachart, Lena Chu & Howa Yeung

  2. Department of Dermatology, Duke University School of Medicine, Durham, NC, USA

    Suephy C. Chen

  3. Durham Veterans Affairs Medical Center, Durham, NC, USA

    Suephy C. Chen

  4. Clinical Resource Hub, Veterans Integrated Service Network VISN 7, Decatur, GA, USA

    Howa Yeung

  5. Winship Cancer Institute of Emory University, Atlanta, GA, USA

    Howa Yeung

Authors
  1. Krittin J. Supapannachart
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  2. Lena Chu
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  3. Suephy C. Chen
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  4. Howa Yeung
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Contributions

All authors made substantial contributions to conception and design, acquisition of data, analysis and interpretation of data, been involved in drafting the manuscript and revised it critically for important intellectual content and gave final approval of the version to be published. All authors agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Howa Yeung.

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Conflict of interest

Dr. Chen receives royalties from for-profit companies that license quality of life instruments for which Emory holds copyright. Dr. Supapannachart and Ms. Chu have no conflicts of interest to declare.

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Exempt.

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Prior presentation: Study abstract has been accepted as a poster presentation at the Society of Investigative Dermatology meeting in Portland, OR on May 20, 2022.

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Supapannachart, K.J., Chu, L., Chen, S.C. et al. Financial toxicity and skin cancer care in the US: population-based survey from 2011 to 2018. Arch Dermatol Res 315, 2171–2174 (2023). https://doi.org/10.1007/s00403-023-02581-x

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  • DOI: https://doi.org/10.1007/s00403-023-02581-x

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