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Praveen Kumar Marimuthu: Key Insights from Fumiko Ladd Chino’s Plenary at MASCC25 on Financial Toxicity
Jul 4, 2025, 08:10

Praveen Kumar Marimuthu: Key Insights from Fumiko Ladd Chino’s Plenary at MASCC25 on Financial Toxicity

Praveen Kumar Marimuthu, DM Resident in Medical Oncology at the Christian Medical College and Hospital, shared a post on X:

“Why Financial Toxicity (FinTox) matters in cancer care.

Key insights from Dr Fumiko Ladd Chino’s excellent plenary at MASCC25:

  • It erodes quality of life and social functioning.
  • Leads to borrowing, reduced spending on basics and leisure; the burden worsens over time.
  • Increases bankruptcy risk; post-cancer bankruptcy is linked to a mortality risk approaching 80%.
  • Even in publicly funded systems, job loss and indirect costs contribute to FinTox.
  •  In LMICs, key drivers include out-of-pocket payments, multiple chemotherapy visits, large household size, and treatment at private hospitals.

What can we do about FinTox? Solutions must be individual, interpersonal, and systemic:

  • Screen for financial toxicity early and often.
  •  Refer to ‘Choosing Wisely’ by ASCO, ASTRO, SSO.
  •  Integrate early palliative care.
  •  Provide patient education and financial counseling.
  •  Improve postgraduate medical training on FinTox.
  •  Offer practical support: food, transport, parking.
  •  Use financial navigators or app-based tools.
  •  Establish FinTox Tumor Boards.”

Praveen Kumar Marimuthu: Key Insights from Fumiko Ladd Chino’s Plenary at MASCC25 on Financial Toxicity

More posts featuring Fumiko Ladd Chino.