Financial cost of lymphedema borne by women with breast cancer
Identifieur interne : 008641 ( Ncbi/Merge ); précédent : 008640; suivant : 008642Financial cost of lymphedema borne by women with breast cancer
Auteurs : John Boyages ; Ying Xu ; Senia Kalfa ; Louise Koelmeyer ; Bonny Parkinson ; Helen Mackie ; Hector Viveros ; Paul Gollan ; Lucy TaksaSource :
- Psycho-Oncology [ 1057-9249 ] ; 2016.
Abstract
Our study examines the financial cost of lymphedema following a diagnosis of breast cancer and addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.
An online national survey was conducted with 361 women who had either breast cancer without lymphedema (BC) (group 1, n = 209) or breast cancer with lymphedema (BC+LE) (group 2, n = 152). Participant recruitment was supported by the Breast Cancer Network Australia and the Australasian Lymphology Association.
Both breast cancer and lymphedema result in significant out‐of‐pocket financial costs borne by women. Of patients with BC+LE, 80% indicated that their breast cancer diagnosis had affected them financially compared with 67% in the BC group (
This study identifies an additional detrimental effect of lymphedema on women in terms of financial costs.
Url:
DOI: 10.1002/pon.4239
PubMed: 27479170
PubMed Central: 5484300
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<sec id="pon4239-sec-0001"><title>Objective</title>
<p>Our study examines the financial cost of lymphedema following a diagnosis of breast cancer and addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.</p>
</sec>
<sec id="pon4239-sec-0002"><title>Methods</title>
<p>An online national survey was conducted with 361 women who had either breast cancer without lymphedema (BC) (group 1, n = 209) or breast cancer with lymphedema (BC+LE) (group 2, n = 152). Participant recruitment was supported by the Breast Cancer Network Australia and the Australasian Lymphology Association.</p>
</sec>
<sec id="pon4239-sec-0003"><title>Results</title>
<p>Both breast cancer and lymphedema result in significant out‐of‐pocket financial costs borne by women. Of patients with BC+LE, 80% indicated that their breast cancer diagnosis had affected them financially compared with 67% in the BC group (<italic>P</italic>
< .020). For patients with lymphedema, over half (56%) indicated that this specific additional diagnosis to their breast cancer affected them financially and that costs increased with lymphedema severity. The cost of compression garments formed a large proportion of these costs (40.1%). The average number of attendances to a therapist each year was 5.8 (range, 0‐45). Twenty‐five patients (16.4%) had an episode of cellulitis in the past year. The incidence of cellulitis was 7.7% in 91 patients with subclinical or mild lymphedema compared with 29.5% of 61 patients with more extensive lymphedema (<italic>P</italic>
< .001). The average out‐of‐pocket financial cost of lymphedema care borne by women was A$977 per annum, ranging from A$207 for subclinical lymphedema to over A$1400 for moderate or severe lymphedema.</p>
</sec>
<sec id="pon4239-sec-0004"><title>Conclusions</title>
<p>This study identifies an additional detrimental effect of lymphedema on women in terms of financial costs.</p>
</sec>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<sec id="pon4239-sec-0001"><title>Objective</title>
<p>Our study examines the financial cost of lymphedema following a diagnosis of breast cancer and addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.</p>
</sec>
<sec id="pon4239-sec-0002"><title>Methods</title>
<p>An online national survey was conducted with 361 women who had either breast cancer without lymphedema (BC) (group 1, n = 209) or breast cancer with lymphedema (BC+LE) (group 2, n = 152). Participant recruitment was supported by the Breast Cancer Network Australia and the Australasian Lymphology Association.</p>
</sec>
<sec id="pon4239-sec-0003"><title>Results</title>
<p>Both breast cancer and lymphedema result in significant out‐of‐pocket financial costs borne by women. Of patients with BC+LE, 80% indicated that their breast cancer diagnosis had affected them financially compared with 67% in the BC group (<italic>P</italic>
< .020). For patients with lymphedema, over half (56%) indicated that this specific additional diagnosis to their breast cancer affected them financially and that costs increased with lymphedema severity. The cost of compression garments formed a large proportion of these costs (40.1%). The average number of attendances to a therapist each year was 5.8 (range, 0‐45). Twenty‐five patients (16.4%) had an episode of cellulitis in the past year. The incidence of cellulitis was 7.7% in 91 patients with subclinical or mild lymphedema compared with 29.5% of 61 patients with more extensive lymphedema (<italic>P</italic>
< .001). The average out‐of‐pocket financial cost of lymphedema care borne by women was A$977 per annum, ranging from A$207 for subclinical lymphedema to over A$1400 for moderate or severe lymphedema.</p>
</sec>
<sec id="pon4239-sec-0004"><title>Conclusions</title>
<p>This study identifies an additional detrimental effect of lymphedema on women in terms of financial costs.</p>
</sec>
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</front>
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<author><name sortKey="Gollan, Paul" sort="Gollan, Paul" uniqKey="Gollan P" first="Paul" last="Gollan">Paul Gollan</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, St Lucia, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Taksa, Lucy" sort="Taksa, Lucy" uniqKey="Taksa L" first="Lucy" last="Taksa">Lucy Taksa</name>
<affiliation wicri:level="1"><nlm:affiliation>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
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<date when="2017">2017</date>
<idno type="RBID">pubmed:27479170</idno>
<idno type="pmid">27479170</idno>
<idno type="doi">10.1002/pon.4239</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Financial cost of lymphedema borne by women with breast cancer.</title>
<author><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Xu, Ying" sort="Xu, Ying" uniqKey="Xu Y" first="Ying" last="Xu">Ying Xu</name>
<affiliation wicri:level="1"><nlm:affiliation>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kalfa, Senia" sort="Kalfa, Senia" uniqKey="Kalfa S" first="Senia" last="Kalfa">Senia Kalfa</name>
<affiliation wicri:level="1"><nlm:affiliation>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Koelmeyer, Louise" sort="Koelmeyer, Louise" uniqKey="Koelmeyer L" first="Louise" last="Koelmeyer">Louise Koelmeyer</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Parkinson, Bonny" sort="Parkinson, Bonny" uniqKey="Parkinson B" first="Bonny" last="Parkinson">Bonny Parkinson</name>
<affiliation wicri:level="1"><nlm:affiliation>Centre for the Health Economy, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for the Health Economy, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name>
<affiliation wicri:level="1"><nlm:affiliation>Macquarie University Hospital, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Macquarie University Hospital, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Viveros, Hector" sort="Viveros, Hector" uniqKey="Viveros H" first="Hector" last="Viveros">Hector Viveros</name>
<affiliation wicri:level="1"><nlm:affiliation>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gollan, Paul" sort="Gollan, Paul" uniqKey="Gollan P" first="Paul" last="Gollan">Paul Gollan</name>
<affiliation wicri:level="1"><nlm:affiliation>Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, St Lucia, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, St Lucia, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Taksa, Lucy" sort="Taksa, Lucy" uniqKey="Taksa L" first="Lucy" last="Taksa">Lucy Taksa</name>
<affiliation wicri:level="1"><nlm:affiliation>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Faculty of Business and Economics, Macquarie University, Sydney, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Psycho-oncology</title>
<idno type="eISSN">1099-1611</idno>
<imprint><date when="2017" type="published">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Our study examines the financial cost of lymphedema following a diagnosis of breast cancer and addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.</div>
</front>
</TEI>
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