Abstract：
UNASSIGNED: Financial toxicity has been described in stone formers however little is understood regarding its causes and how it may relate to stone surgery. We therefore aimed to longitudinally describe markers of financial strain in stone formers from the preoperative to postoperative time points.
UNASSIGNED: A prospective cohort study was conducted from January 2022 to April 2023. Patients were enrolled in the waiting area prior to undergoing elective ureteroscopy or percutaneous nephrolithotomy. Participants completed the Commonwealth Fund\'s Biennial Health Insurance Survey at this time point and at 30 days postop. Items were pre-selected from the survey to capture markers of financial strain due to healthcare costs.
UNASSIGNED: One hundred nine participants were enrolled. Participants were a majority white (70%), college educated (62%), and privately ensured (72%). Despite these traditionally protective sociodemographic features, 42% of patients reported some marker of financial strain at the preoperative timepoint. Patients with Medicaid reported even higher financial stress (67%). Furthermore, 46% of patients did not know their deductible amount. Response rate was low at 30 days postop (35%) but suggested some patients were experiencing new financial strains.
UNASSIGNED: This paper shows that a significant proportion of stone patients are already displaying markers of financial strain from healthcare bills even prior to surgery as well as poor understanding of the costs they may incur. This makes them vulnerable to experiencing financial toxicity postoperatively and emphasizes the importance of understanding all contributing factors when developing future strategies to intervene in financial toxicity.
UNASSIGNED: A prospective cohort study was conducted from January 2022 to April 2023. Patients were enrolled in the waiting area prior to undergoing elective ureteroscopy or percutaneous nephrolithotomy. Participants completed the Commonwealth Fund\'s Biennial Health Insurance Survey at this time point and at 30 days postop. Items were pre-selected from the survey to capture markers of financial strain due to healthcare costs.
UNASSIGNED: One hundred nine participants were enrolled. Participants were a majority white (70%), college educated (62%), and privately ensured (72%). Despite these traditionally protective sociodemographic features, 42% of patients reported some marker of financial strain at the preoperative timepoint. Patients with Medicaid reported even higher financial stress (67%). Furthermore, 46% of patients did not know their deductible amount. Response rate was low at 30 days postop (35%) but suggested some patients were experiencing new financial strains.
UNASSIGNED: This paper shows that a significant proportion of stone patients are already displaying markers of financial strain from healthcare bills even prior to surgery as well as poor understanding of the costs they may incur. This makes them vulnerable to experiencing financial toxicity postoperatively and emphasizes the importance of understanding all contributing factors when developing future strategies to intervene in financial toxicity.
摘要：
■在结石形成者中已经描述了财务毒性，但是对于其原因以及与结石手术的关系知之甚少。因此，我们旨在从术前到术后时间点纵向描述结石形成者的财务应变标记。
■一项前瞻性队列研究于2022年1月至2023年4月进行。在接受选择性输尿管镜检查或经皮肾镜取石术之前，将患者纳入等待区。参与者在这个时间点和30天后完成了英联邦基金的两年期健康保险调查。从调查中预先选择了项目，以捕获由于医疗保健费用而导致的财务压力的标志。
■109名参与者报名参加。参与者大多数是白人（70％），受过大学教育（62%），和私人担保（72%）。尽管有这些传统的保护性社会人口特征，42％的患者在术前时间点报告了一些财务紧张的标志。医疗补助患者报告的经济压力更高(67%)。此外，46%的患者不知道他们的免赔额。反应率在术后30天很低（35％），但表明一些患者正在经历新的财务压力。
■本文显示，相当比例的结石患者甚至在手术之前就已经显示出医疗账单的财务压力，以及对他们可能产生的成本的理解不足。这使他们在术后容易遭受金融毒性，并强调在制定干预金融毒性的未来策略时了解所有促成因素的重要性。
■一项前瞻性队列研究于2022年1月至2023年4月进行。在接受选择性输尿管镜检查或经皮肾镜取石术之前，将患者纳入等待区。参与者在这个时间点和30天后完成了英联邦基金的两年期健康保险调查。从调查中预先选择了项目，以捕获由于医疗保健费用而导致的财务压力的标志。
■109名参与者报名参加。参与者大多数是白人（70％），受过大学教育（62%），和私人担保（72%）。尽管有这些传统的保护性社会人口特征，42％的患者在术前时间点报告了一些财务紧张的标志。医疗补助患者报告的经济压力更高(67%)。此外，46%的患者不知道他们的免赔额。反应率在术后30天很低（35％），但表明一些患者正在经历新的财务压力。
■本文显示，相当比例的结石患者甚至在手术之前就已经显示出医疗账单的财务压力，以及对他们可能产生的成本的理解不足。这使他们在术后容易遭受金融毒性，并强调在制定干预金融毒性的未来策略时了解所有促成因素的重要性。
