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Financial burden and physical and emotional quality of life in COPD, heart failure, and kidney failure

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  • Seowoo Kim
  • Laura M Perry
  • Brenna Mossman
  • Addison Dunn
  • Michael Hoerger

Abstract

Patients with chronic and serious illnesses experience significant quality of life concerns. More research is needed to understand the impact of financial burden on patients with COPD, heart failure, and kidney failure. Patients with COPD, heart failure, or kidney failure completed a cross-sectional online survey using validated measures of financial burden (general financial strain as well as financial toxicity attributable to treatment), physical quality of life (symptom burden and perceived health), and emotional quality of life (anxiety, depression, and suicidal ideation). ANCOVA was used to examine whether financial strain and financial toxicity were associated with physical and emotional quality of life, while accounting for key covariates. Among 225 participants with COPD (n = 137), heart failure (n = 48), or kidney failure (n = 40), 62.2% reported general financial strain, with 34.7% experiencing financial toxicity attributable to treatments. Additionally, 68.9% rated their health as fair or poor, experiencing significant symptom burden including fatigue, dyspnea, and chest pain. Participants also reported clinically relevant levels of anxiety (55.1%), depression (52.0%), and suicidal ideation (21.8%). In the total sample, financial strain was associated with worse physical and emotional quality of life on all measures (all Ps

Suggested Citation

  • Seowoo Kim & Laura M Perry & Brenna Mossman & Addison Dunn & Michael Hoerger, 2024. "Financial burden and physical and emotional quality of life in COPD, heart failure, and kidney failure," PLOS ONE, Public Library of Science, vol. 19(7), pages 1-12, July.
    • Handle: RePEc:plo:pone00:0306620
    DOI: 10.1371/journal.pone.0306620
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    References listed on IDEAS

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    1. Michael Urbich & Gary Globe & Krystallia Pantiri & Marieke Heisen & Craig Bennison & Heidi S. Wirtz & Gian Luca Di Tanna, 2020. "A Systematic Review of Medical Costs Associated with Heart Failure in the USA (2014–2020)," PharmacoEconomics, Springer, vol. 38(11), pages 1219-1236, November.
    2. Benjamin R Fletcher & Sarah Damery & Olalekan Lee Aiyegbusi & Nicola Anderson & Melanie Calvert & Paul Cockwell & James Ferguson & Mike Horton & Muirne C S Paap & Chris Sidey-Gibbons & Anita Slade & N, 2022. "Symptom burden and health-related quality of life in chronic kidney disease: A global systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 19(4), pages 1-25, April.
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