{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T12:42:04Z","timestamp":1791636124065,"version":"4.3.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T00:00:00Z","timestamp":1731715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005367","name":"American Foundation for Surgery of the Hand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005367","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["IK2 HX002592"],"award-info":[{"award-number":["IK2 HX002592"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients face increasing financial toxicity (FT), defined as emotional distress due to the cost of medical treatment. However, little is known regarding FT in the context of upper extremity trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We surveyed patients who sustained traumatic finger amputation (October 21, 2011-January 1, 2021). We collected patient-reported financial distress using the Comprehensive Score for Financial Toxicity (COST-11), where a lower score indicates worse FT. We also collected data of patients\u2019 perceptions regarding the costs of their treatment. We used linear regression to assess patient-level characteristics associated with FT as measured by the COST-11 score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 191 eligible patients, 46 patients completed the survey (response rate of 24%). A total of 41 respondents (89%) received an initial treatment of revision amputation, with the remaining patients receiving a semi-occlusive dressing. Patients with commercial insurance had significantly lower COST-11 scores (ie, worse FT) than patients with Medicare (\u03b2 = 7.5, 95% CI: 0.5 to 14.5) and Worker\u2019s Compensation (\u03b2 = 8.7, 95% CI: 1.8 to 15.6). Patients who were single\/never married had significantly worse FT (\u03b2 = \u221211.3, 95% CI: \u221218.7 to \u22123.9). Approximately 35% (n = 16) reported that the costs were higher than expected. More than a third of patients (39%) reported decreasing spending on basic items, such as food, at least once since surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients face FT when obtaining surgery following traumatic finger amputation. Variation in the FT is associated with type of insurance and marriage status, highlighting how underinsurance and social support likely affect the overall economic well-being of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241295288","type":"journal-article","created":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T06:31:41Z","timestamp":1731738701000},"page":"29-36","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Financial Toxicity Among Patients With Traumatic Finger Amputation: A Retrospective Study"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6677-221X","authenticated-orcid":false,"given":"Victor","family":"Agbafe","sequence":"first","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, USA"},{"name":"Yale Law School, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2124-2274","authenticated-orcid":false,"given":"Erika D.","family":"Sears","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, USA"},{"name":"VA Ann Arbor Healthcare System, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarice E.","family":"Gaines","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7586-6306","authenticated-orcid":false,"given":"Jessica I.","family":"Billig","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.3663"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006847"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2019.04.015"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002254"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2460-y"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.01114"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2023.06.009"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2022.12.001"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/15589447221122826"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-012-9487-0"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.08.002"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003165"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567040-00017"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30694-5"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28814"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001469"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2019.104521"},{"key":"e_1_3_2_19_2","article-title":"Re-validation of the comprehensive score for financial toxicity (COST): assessing the scale\u2019s utility in chronic disease populations","volume":"14","author":"Pavela G","year":"2021","unstructured":"Pavela G, Fifolt M, Tison SE, et al Re-validation of the comprehensive score for financial toxicity (COST): assessing the scale\u2019s utility in chronic disease populations. 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