The out-of-pocket cost of breast cancer care at a public tertiary care hospital in Nigeria: An exploratory analysis Journal Article
| Authors: | Knapp, G. C.; Wuraola, F. O.; Olasehinde, O.; Romanoff, A.; Kingham, P. T.; Alatise, O. I. |
| Article Title: | The out-of-pocket cost of breast cancer care at a public tertiary care hospital in Nigeria: An exploratory analysis |
| Abstract: | Introduction: in Nigeria, the incidence of breast cancer has increased by over 80% in the last four decades. This study quantifies the out-of-pocket (OOP) cost of breast cancer management and the associated rate of catastrophic healthcare expenditure (CHE) at a public tertiary care facility in Ile-Ife, Nigeria. Methods: patients treated between December 2017-August 2018 were identified from a prospective breast cancer database. A questionnaire was developed to capture the total cost of care, including direct and indirect expenses. Three commonly used thresholds for a CHE were used in this analysis. The cost of radiotherapy and targeted therapy were captured separately. Results: data was collected from 22 eligible patients. Sixty-eight percent had no form of health insurance. The mean cost of diagnosis and treatment was $2,049 (SD $1,854). At a threshold of 10% and 25% of annual income, 95% and 86% of households experienced a CHE. Based on a household ́s capacity-to-pay, 90% experienced a CHE. The mean cost of radiotherapy was $462 (SD $223) and the mean cost of trastuzumab was $6,568 (SD $2,766). Cost precluded surgery in 14% of patients with resectable disease. As a result of accessing treatment, 72% of households had to borrow money and 9% of households interrupted a child ́s education. Conclusion: the out-of-pocket cost of breast cancer care in Nigeria is significant. This results in a CHE for 68-95% of households, which has significant health and economic sequelae. Greater financial protection is essential as the burden of breast cancer increases in Nigeria. © Gregory Christopher Knapp et al. |
| Keywords: | breast cancer; nigeria; financial toxicity; out-of-pocket cost |
| Journal Title: | Pan African Medical Journal |
| Volume: | 41 |
| ISSN: | 1937-8688 |
| Publisher: | Pan African Medical Journal - Center for Public health Research and Information |
| Date Published: | 2022-04-05 |
| Start Page: | 272 |
| Language: | English |
| DOI: | 10.11604/pamj.2022.41.272.24610 |
| PROVIDER: | scopus |
| PMCID: | PMC9206173 |
| PUBMED: | 35784593 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 July 2022 -- Source: Scopus |
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