The unknown impact of multiple myeloma: assessing the impact of financial well-being on quality of life of caregivers


Metin T., Uğur Ö., Özdemir S. Ç., Gönderen A., Sunu C.

Supportive Care in Cancer, vol.31, no.5, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 5
  • Publication Date: 2023
  • Doi Number: 10.1007/s00520-023-07751-1
  • Journal Name: Supportive Care in Cancer
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Keywords: Financial well-being, Informal caregiver, Multiple myeloma, Quality of life
  • Dokuz Eylül University Affiliated: Yes

Abstract

Purpose: Patients with multiple myeloma and their caregivers are financially burdened, and their quality of life is significantly affected by treatment costs and care expenses. The aim of our study is to examine the impact of financial well-being of the caregiver on the life quality of patients with multiple myeloma. Methods: The study included 113 patients with multiple myeloma and 113 caregivers in two hospitals located in Western Turkey. This study evaluated the demographic characteristics of patients and their caregivers, financial status, financial well-being, and quality of life of caregivers. Simple linear regression analyses were used to examine the impact of financial well-being on caregiver quality of life. Results: The average age of multiple myeloma patients and caregivers is 64.00 ± 11.05 and 48.02 ± 11.4, respectively. Of patients, 50.4% and 62.8% of their caregivers were female. It is determined that 51.3% of the patients were diagnosed in 1–5 years, 85% received chemotherapy, and 80.5% had an ECOG performance status between 0 and 1. Caregivers’ quality of life and financial well-being were found to be low. On one hand, while caregivers’ financial well-being (β = − 1.003; t = − 3.831; p =.000) negatively affected the quality of their lives, their financial satisfaction (β = 2.507; t = 3.820; p =.000) positively affected the quality of their lives, on the other hand. Conclusions: Caregivers’ quality of life declined as their financial well-being got worse. Decreased quality of life of caregivers may affect the quality of care they provide to patients with MM. Hence, this study recommends the following. First, nurses who care for patients with MM should always assess the financial situation of patients and caregivers. Second, patient navigators, hospital billing specialists, and social workers should provide financial guidance to multiple myeloma patients and caregivers and provide help in solving their financial problems. Finally, policies that support the financial situation of patients and caregivers should be developed.