Comprehensive Score for financial Toxicity - FACIT-COST
COST is an 11-item FACIT measure of financial strain related to illness and treatment. This page is catalogue information. Lower totals indicate greater financial toxicity for clinician review, not a diagnosis.
Overview
What is the COST?
The Comprehensive Score for financial Toxicity asks about money strain linked to illness and treatment. Lower totals indicate greater financial toxicity. A published screen around 26 is metadata for clinician consideration. It does not determine benefits, billing, or treatment choice.
Development and clinical use
de Souza and colleagues published COST through FACIT. Confirm the current official form and reverse-scoring notes before a live pathway.
- Catalogue status
- Catalogue information
- Mode
- Patient self-report
- Typical use
- Review financial strain related to treatment
- Direction
- Lower totals indicate greater toxicity
- Source
- FACIT
- Clinical role
- Screening support
Administration
A focused client experience
COST is completed as a focused self-report and stored for clinician review. This public page does not collect answers or return a score.
- One question at a time with visible progress
- Large keyboard-operable response choices
- Previous, next, and answer-review steps
- Clear confirmation that results go to the clinic
The illustration shows layout only. It does not reproduce COST item wording.
Report showcase
Designed to make evidence easy to review
The downloadable synthetic example illustrates report layout using invented response patterns, without patient data or instrument questions.
- Named instrument, version, and provenance
- Item-level response pattern without source wording
- Methodology, references, and clinical boundary
- Responsible clinician review rather than automated conclusions
Clinician review required
Methodology
Understand the measure and its scoring conventions
Published scoring conventions may exist in official materials. This public page does not independently verify scoring, cutoffs, or a production scoring rule. Use the official form and scoring instructions for the version you intend to use.
References
- FACIT COST measureFACIT. Comprehensive Score for financial Toxicity (COST).
Questions
What clinics ask before they evaluate the COST
These answers stay inside educational catalogue scope. They do not replace official manuals or clinician judgement.
Does a low COST total diagnose financial hardship as a disorder?
No. Lower totals indicate greater financial toxicity for clinician review. They are not a diagnosis.
Can I complete COST here?
No. This landing does not collect answers or return a score.
Does COST decide treatment affordability?
No. It records reported financial strain. Billing, benefits, and treatment decisions remain with the clinic and the person.
Is this a credit or means test?
No. It is a patient-reported measure for clinician review.
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