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Treatment burden experienced by patients with lung cancer
Open accessAbstract
Introduction: Patients’ burden from lung cancer treatment is not well researched, but this understanding can facilitate a patient-centred treatment approach. Current models of treatment burden suggest it is influenced by a patient’s perception of their disease and treatment and their capacity to do the work required to treat their disease. Methods: Sixteen patients and 1 carer who were undergoing or had completed conventional or stereotactic ablative radiotherapy, chemotherapy or immunotherapy for lung cancer in the last 6 months participated in a semi-structured interview. A treatment burden framework was used with three main themes: a) treatment work, b) consequences of treatment and c) psychosocial factors affecting treatment burden. Results: The majority of patients did not feel unduly burdened by treatment tasks, despite having a large treatment-associated workload. Many saw treatment as a priority, causing them to restructure their life to accommodate for it. Patients wished that they would have been better informed about the lifestyle changes that they would have to make before treatment for lung cancer commenced and that the health service would provide services to assist them with this task. Discussion: While there was a large burden associated with lung cancer treatment, patients felt motivated and equipped to manage the workload because the disease was considered severe and life-threatening, and the treatment was seen as beneficial. Before initiating treatment for lung cancer, patients should be informed about lifestyle changes they likely have to make and should be offered assistance.
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Expensive follow-up treatment for esophageal cancer can place a heavy financial burden on families, leading to delays in seeking medical help or poor treatment adherence.
“In the case of esophageal cancer as a chronic disease, expensive follow-up treatment can place a heavy fnancial burden on families, leading to delays in seeking medical help or poor treatment adherence [40,41].”
From Symptom Experiences before Medical Help-Seeking and Psychosocial Responses of Patients with Esophageal Cancer: A Qualitative Study. (2023) · cites this paper as [40]
The Results (Consequences of treatment; page unavailable) describe financial hardship for some lung-cancer patients whose treatment constrained their ability to work. The Introduction says treatment burden can cause non-adherence. The paper does not establish that expensive follow-up treatment for esophageal cancer burdens families or delays seeking medical help; participants said they did not have to pay for treatment. (LLM, conf=0.88)
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Cites
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Background
Flagged first, then by citations
Research works printed but not linked: 1
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Metadata
- Authors
- El-Turk, N., Chou, M. S. H., Ting, N. C. H., Girgis, A., Vinod, S. K., Bray, V., & Dobler, C. C.
- Affiliations
- Liverpool Hospital (AU)
- UNSW Sydney (AU)
- Bond University (AU)
- Corresponding author
- El-Turk, Nicole
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2021-01-22
- Volume
- 16
- Issue
- 1
- Pages
- e0245492
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7822249
- OpenAlex
- W3125831186
- Cited by
- 20
- References
- 17
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 2 · 2021: 3
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- Bond University Research Portal (Bond University) (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Western Sydney Local Health District
- Cancer Institute NSW
- Medical Research Council
- National Health and Medical Research Council (1123733)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Keywords
- lung cancer, treatment burden, patient experience, stereotactic body radiotherapy, chemotherapy, immunotherapy, psychosocial factors, lifestyle modification, patient-centered care, patient information, caregivers
- MeSH terms
- Aged, Aged, 80 and over, Emotions, Fatigue, Female, Humans, Interviews as Topic, Lung Neoplasms, Male, Middle Aged
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