Financial Distress in Advanced Cancer Patients
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04053517 |
Recruitment Status :
Active, not recruiting
First Posted : August 12, 2019
Last Update Posted : November 15, 2021
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Condition or disease | Intervention/treatment |
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Advanced Malignant Neoplasm Locally Advanced Malignant Neoplasm Metastatic Malignant Neoplasm Recurrent Malignant Neoplasm Refractory Malignant Neoplasm | Other: Medical Chart Review Other: Quality-of-Life Assessment Other: Questionnaire Administration |
PRIMARY OBJECTIVES:
I. To determine the frequency of high financial distress in advanced cancer patients.
SECONDARY OBJECTIVES:
I. To determine the association between high financial distress with clinical and demographic characteristics in advanced cancer patients.
II. To determine the correlation between In Charge Financial Distress/ Financial Well-Being Scale (IFDFW) and other financial distress instruments such as Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy (COST-FACIT) and Edmonton Symptom Assessment Scale- Financial Distress (ESAS-FS).
III. To determine the association between high financial distress with patient symptoms in ESAS-FS and quality of life assessed by the Functional Assessment of Cancer Therapy - General (FACT-G).
OUTLINE:
Patients complete questionnaires about financial state and quality of life over 15 minutes. Patients' medical chart is also reviewed.
Study Type : | Observational |
Actual Enrollment : | 141 participants |
Observational Model: | Case-Only |
Time Perspective: | Prospective |
Official Title: | Frequency and Correlates of Financial Distress in Advanced Cancer Patients |
Actual Study Start Date : | July 2, 2019 |
Estimated Primary Completion Date : | October 31, 2022 |
Estimated Study Completion Date : | October 31, 2022 |
Group/Cohort | Intervention/treatment |
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Observational (questionnaire administration)
Patients complete questionnaires about financial state and quality of life over 15 minutes. Patients' medical chart is also reviewed.
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Other: Medical Chart Review
Medical chart is reviewed
Other Name: Chart Review Other: Quality-of-Life Assessment Ancillary studies
Other Name: Quality of Life Assessment Other: Questionnaire Administration Ancillary studies |
- InCharge Financial Distress/Financial Well-Being Scale (IFDFW), [ Time Frame: Day 1 ]a validated survey designed to measure a person's financial state, consists of eight questions and each of them is rated from 1 (overwhelming stress) to 10 (no stress at all). This should take approximately 5 minutes to complete.
- Correlation between high financial distress with clinical characteristics in advance cancer patients [ Time Frame: Day 1 ]Demographic and clinical characteristics,such as your age, gender, ethnicity, caregiving, education, employment status, marital status, household income, date of diagnosis, disease stage, cancer type, insurance type, place of residence, and homeowner status) will be collected. It should take about 5 minutes to complete.
- Correlation between mean scores of In Charge Financial Distress/ Financial Well-Being Scale (IFDFW) and scores from other financial distress instruments [ Time Frame: Day 1 ]Comprehensive Score for Financial Toxicity Functional Assessment of Chronic Illness Therapy (COST-FACIT) was developed as part of a series of questionnaires aimed at measuring different symptom indexes of health-related quality of life in patients with advance disease such as cancer. The survey contains 12 questions and each of them is rated from 0 (not at all) to 4 (very much). This survey focuses on financial distress caused by illness in patients with cancer. It takes about 5 minutes to complete.
- Correlation between high financial distress with patient symptoms in(ESAS) Edmonton Symptom Assessment System [ Time Frame: Day 1 ]Edmonton Symptom Assessment Scale- Financial Distress (ESAS-FS) is routinely utilized in the outpatient Supportive Care Clinic. The ESAS-FS is an updated version including financial and spiritual distress, and it consists of 12 symptom items to measure severity severity of patient's symptoms. Grading severity of patient symptoms from "no" 0 to "worst symptom" 10 in the last 24 hours.
- Correlation between high financial distress with Quality of life [ Time Frame: Day 1 ]Functional Assessment of Cancer Therapy - General (FACT-G). consists of 27 general questions divided into four primary domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being for use in patients with any form of cancer. Answered using a 5-point Likert scale ranging from 0 (Not at all) to 4 (Very much) With a total possible score greater than 100.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Patient must have a diagnosis of advanced cancer, as defined by recurrent disease, locally advanced disease, metastatic disease, or refractory disease
- Patients must be able to understand, read, write, and speak English
- Patients must have no clinical evidence of severe cognitive impairment (Memorial Delirium Assessment Scale score of >= 13) and should be able to consent and answer the questionnaires
- Patients must sign an informed consent

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04053517
United States, Texas | |
M D Anderson Cancer Center | |
Houston, Texas, United States, 77030 |
Principal Investigator: | Maxine J De La Cruz | M.D. Anderson Cancer Center |
Responsible Party: | M.D. Anderson Cancer Center |
ClinicalTrials.gov Identifier: | NCT04053517 |
Other Study ID Numbers: |
2018-0694 NCI-2019-03869 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) 2018-0694 ( Other Identifier: M D Anderson Cancer Center ) |
First Posted: | August 12, 2019 Key Record Dates |
Last Update Posted: | November 15, 2021 |
Last Verified: | November 2021 |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Neoplasms Recurrence Disease Attributes Pathologic Processes |