20.500.12556/RUL-169527 Assessment of financial toxicity in patients with cancer in Slovenia Purpose The aim of this study was to assess the extent of financial toxicity in patients with cancer in Slovenia, measured as perceived financial strain and out-of-pocket expenditures. Methods The prospective, cross-sectional study was done at Institute of Oncology Ljubljana from June to October 2023. A newly created individual questionnaire was utilized to obtain data on financial toxicity. Patients completed the questionnaire either on paper or online, with or without the assistance of a researcher. The statistical analysis was based on descriptive and inferential statistics. Results A total of 901 surveys were disseminated, of which 659 were returned, corresponding to a response rate of 73%. Most patients had compulsory health insurance and were diagnosed in the public healthcare system. Following a cancer diagnosis, 178 (27%) patients reported a decline in financial satisfaction (subjective assessment), while 150 (22.7%) patients observed a change in their financial capability (objective assessment). Younger patients (p < 0.001), female patients (p < 0.004), patients with lower net household income (p < 0.001), and patients who were employed before the diagnosis (p < 0.001) were at a greater risk for financial toxicity. Patients with breast cancer and colorectal, endometrial, skin (including melanoma), esophageal, stomach, kidney, bladder cancers, and lymphoma had higher self-reported subjective and objective financial toxicity than patients with prostate, lung, and head and neck cancer. Conclusion This article represents the first comprehensive assessment of financial toxicity among patients with cancer in Slovenia, using perceived financial strain and out-of-pocket expenditures. Most patients reported no significant out-of-pocket costs for the treatment they received. About a quarter of patients with cancer experience financial difficulties. cancer finances financial toxicity questionnaire financial burden out-of-pocket expenditures onkologija gmotni položaj finančna toksičnost true false true Angleški jezik Slovenski jezik Članek v reviji 2025-06-02 11:23:36 2025-06-02 11:23:47 2025-06-04 03:48:50 0000-00-00 00:00:00 2025 0 0 11 str. iss. 6, art. 515 Vol. 33 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-006 0941-4355 10.1007/s00520-025-09591-7 237887491 s00520-025-09591-7.pdf s00520-025-09591-7.pdf 1 AA9F5738A32D48793ECA0B08A7E12E52 3f74b1955bf076b53e437398694c36cf116ea5a6555348a44dcce9e5ba4961b8 4593efc2-3f92-11f0-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=210964 https://link.springer.com/article/10.1007/s00520-025-09591-7 0 3f12498d-3f92-11f0-b232-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=210963 Medicinska fakulteta Ekonomska fakulteta 0 0 0