Department of Medical Oncology, Cork University Hospital, Wilton, Cork, Ireland.
Ir J Med Sci. 2021 Nov;190(4):1355-1361. doi: 10.1007/s11845-020-02449-3. Epub 2021 Jan 6.
Crowdfunding is the internet practice of funding a project or person by requesting online monetary donations from people. We set out to analyse the current non-US GoFundMe cancer pages in order to get deeper understanding of this unregulated activity.
We identified 150 non-US GoFundMe webpages between November 2019 and January 2020. Data collected included clinicopathological details such as age, gender, cancer type and stage of the disease along with other parameters.
Of 150 pages reviewed, 83% requestors were adults, 64% were female and the median age was 33 years (2-60). The majority of requestors had brain cancer, followed by breast cancer and ovarian cancer. The median amount of money requested was €48,205 (€1171-€588,759). The majority of pages were from the UK (59%) and Ireland (16%). Financial support for cancer patients was the largest group identified (25%). Requests for immunotherapy were the second most common (21%) followed by alternative therapies (19%) and funding for anticancer drug not financed by specific health system but approved elsewhere (12%). The largest amount of money requested was for immunotherapy (median €187,064).
Our GoFundMe analysis has identified that crowdfunding platforms are predominantly used for requesting financial support, but worryingly, a large proportion are requesting immunotherapy for unlicensed indications and alternative therapies with no evidence. Future efforts to improve patient education, and possibly online donation page regulation, are required to better manage this route of cancer funding.
众筹是一种通过向在线的个人请求资金捐赠来为项目或个人提供资金的互联网实践。我们旨在分析目前非美国地区的 GoFundMe 癌症页面,以深入了解这种不受监管的活动。
我们在 2019 年 11 月至 2020 年 1 月期间确定了 150 个非美国 GoFundMe 网页。收集的数据包括临床病理细节,如年龄、性别、癌症类型和疾病阶段,以及其他参数。
在所审查的 150 个页面中,83%的请求者是成年人,64%是女性,中位数年龄为 33 岁(2-60 岁)。大多数请求者患有脑癌,其次是乳腺癌和卵巢癌。中位数请求金额为 48,205 欧元(1171-588,759 欧元)。大多数页面来自英国(59%)和爱尔兰(16%)。为癌症患者提供财务支持是确定的最大群体(25%)。其次是免疫疗法请求(21%),然后是替代疗法(19%)和为不在特定卫生系统资助范围内但在其他地方获得批准的抗癌药物提供资金(12%)。请求金额最大的是免疫疗法(中位数为 187,064 欧元)。
我们对 GoFundMe 的分析表明,众筹平台主要用于请求财务支持,但令人担忧的是,很大一部分请求是针对未经许可的适应症和无证据的替代疗法的免疫疗法。需要进一步努力提高患者教育,并可能对在线捐款页面进行监管,以更好地管理这种癌症资金来源。