Reporting and Grading Financial Toxicity (the Art of Oncology series)

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Table 1.

 

Proposed Financial Toxicity Grading Criteria

Grade	Description
1	Lifestyle modification (deferral of large purchases or reduced spending on vacation and leisure activities) because of medical expenditure
	Use of charity grants/fundraising/copayment program mechanisms to meet costs of care
2	Temporary loss of employment resulting from medical treatment
	Need to sell stocks/investments for medical expenditure
	Use of savings accounts, disability income, or retirement funds for medical expenditure
3	Need to mortgage/refinance home to pay medical bills
	Permanent loss of job as a result of medical treatment
	Current debts > household income
	Inability to pay for necessities such as food or utilities
4	Need to sell home to pay for medical bills
	Declaration of bankruptcy because of medical treatment
	Need to stop treatment because of financial burden
	Consideration of suicide because of financial burden of care