{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:45:11Z","timestamp":1791981911540,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30 CA77598"],"award-info":[{"award-number":["P30 CA77598"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R00MD015296"],"award-info":[{"award-number":["R00MD015296"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Financial toxicity is prevalent in cancer survivorship and has been associated with poorer health\u2010related quality of life (HRQOL), yet longitudinal evidence remains limited. We examined associations between financial toxicity and HRQOL at baseline and 4\u2010month follow\u2010up among breast cancer survivors in the BOLD cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from self\u2010report questionnaires completed by 182 breast cancer survivors at baseline, of whom 146 completed 4\u2010month follow\u2010up surveys. Financial toxicity was assessed at baseline using the Comprehensive Score for Financial Toxicity (COST). HRQOL outcomes were assessed at baseline and approximately 4\u00a0months later using the Functional Assessment of Cancer Therapy\u2013General (FACT\u2010G) subscales and total score, and a single\u2010item measure of sleep disturbance. Multivariable linear regression models estimated adjusted cross\u2010sectional associations and longitudinal associations between baseline financial toxicity and follow\u2010up outcomes, adjusting for baseline levels of the corresponding outcome. Longitudinal measurement invariance of the COST was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Greater baseline financial toxicity was associated with lower baseline physical, social\/family, emotional, and functional well\u2010being, lower FACT\u2010G total score, and greater sleep disturbance. In longitudinal models, higher baseline financial toxicity was associated with lower follow\u2010up physical, social\/family, emotional, and functional well\u2010being and lower FACT\u2010G total score after adjustment for demographic and clinical covariates and the corresponding baseline outcome. Baseline financial toxicity was not associated with follow\u2010up sleep disturbance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Financial toxicity was associated with poorer HRQOL at baseline and with lower physical, social\/family, emotional, functional, and overall HRQOL at follow\u2010up. These findings support greater attention to financial toxicity in survivorship care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70630","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:50:22Z","timestamp":1791978622000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Financial Toxicity and Follow\u2010Up Quality of Life Among Breast Cancer Survivors in the BOLD Cohort"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0118-0555","authenticated-orcid":false,"given":"Ivan H.\u00a0C.","family":"Wu","sequence":"first","affiliation":[{"name":"Division of Epidemiology &amp; Community Health School of Public Health University of Minnesota  Minneapolis Minnesota USA"},{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0149-8464","authenticated-orcid":false,"given":"Rachel I.","family":"Vogel","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"},{"name":"Department of Obstetrics, Gynecology, and Women's Health Division of Gynecologic Oncology University of Minnesota Medical School  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5313-0106","authenticated-orcid":false,"given":"Patricia I.","family":"Jewett","sequence":"additional","affiliation":[{"name":"Division of Environmental Health Sciences School of Public Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5433-4810","authenticated-orcid":false,"given":"Anne H.","family":"Blaes","sequence":"additional","affiliation":[{"name":"Masonic Cancer Center University of Minnesota  Minneapolis Minnesota USA"},{"name":"Division of Hematology, Oncology, and Transplantation Department of Medicine University of Minnesota Medical School  Minneapolis Minnesota 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