Clinical Scorecard: Beyond Cancer: The Hidden Impact of Financial Strain and Basic Needs Insecurity on Adolescent and Young Adult Survivors

At a Glance

Key Highlights

• Cancer incidence among AYAs is rising, with unique challenges impacting quality of life.
• Financial toxicity is prevalent due to high treatment costs and inadequate health insurance.
• AYAs face significant food insecurity, often skipping meals or lacking balanced diets.
• Better communication with healthcare providers correlates with reduced financial toxicity and food insecurity.
• Limited discussions about financial burdens with providers exacerbate financial challenges.

Guideline-Based Recommendations

Diagnosis

• Identify financial toxicity and food insecurity as critical issues in AYA cancer survivorship.

Management

• Enhance patient-provider communication regarding financial implications of treatment.

Monitoring & Follow-up

• Regularly assess AYA survivors for signs of financial strain and food insecurity.

Risks

• Monitor for job loss, educational disruptions, and inadequate health insurance coverage.

Patient & Prescribing Data

Adolescents and young adults aged 15-39 years who are cancer survivors

Address financial and food insecurity as part of comprehensive survivorship care.

Clinical Best Practices

• Facilitate discussions about financial burdens during treatment planning.
• Provide resources for financial assistance and food security support.
• Utilize social media platforms for peer support and sharing of experiences.

References

• National Cancer Institute
• Financial Toxicity in Cancer Care
• Food Insecurity in Young Cancer Survivors