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Economics of cancer care: A community-based cross-sectional study in Kerala, India
BACKGROUND: The estimated incidence of cancer cases in Kerala for 2014 was 31,400 and the mortality associated with it was 13,816. Although the treatment of cancer has shown remarkable advances, it has come with increasing costs. OBJECTIVE: The objective of this study is to estimate the economic bur...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956579/ https://www.ncbi.nlm.nih.gov/pubmed/31956610 http://dx.doi.org/10.4103/sajc.sajc_382_18 |
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author | Dinesh, T. A. Nair, Prem Abhijath, V. Jha, Vidya Aarthy, K. |
author_facet | Dinesh, T. A. Nair, Prem Abhijath, V. Jha, Vidya Aarthy, K. |
author_sort | Dinesh, T. A. |
collection | PubMed |
description | BACKGROUND: The estimated incidence of cancer cases in Kerala for 2014 was 31,400 and the mortality associated with it was 13,816. Although the treatment of cancer has shown remarkable advances, it has come with increasing costs. OBJECTIVE: The objective of this study is to estimate the economic burden of cancer in Vypin Block Panchayat at Ernakulam by analyzing the average total direct and indirect cost of cancer care, socioeconomic status, and cost of cancer care between government and private hospitals. MATERIALS AND METHODS: A cross-sectional study was conducted for 2 months from March to April 2018. The study was conducted by utilizing an annotated cost questionnaire for completion by patients. Total direct and indirect cost was estimated. Appropriate statistical tests were used. RESULTS: Direct cost for cancer care contributed 75% toward the cost of illness and the remaining was found to be indirect cost. Loss of income (44%) contributed to the largest chunk of indirect cost. The average direct cost for cancer care was found to be Rs. 25,606 and the average indirect cost was Rs. 8772. The average total cost of cancer care was calculated to be Rs. 34,378. Significant statistical variation was found between the cost of cancer care in private and government hospitals. The economic burden of cancer in this Vypin Block Panchayat was found to be Rs. 218,256,977/- CONCLUSION: The ratio of average income to average cost in this study is skewed which indicates the lack of affordability for cancer care in this population. A very large gap, therefore, exits between income levels and cost of cancer care clearly indicating a vast gap between affordability and cost of treatment, which clearly necessitates the need for a definite policy and state intervention for a mass cancer care program. |
format | Online Article Text |
id | pubmed-6956579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-69565792020-01-17 Economics of cancer care: A community-based cross-sectional study in Kerala, India Dinesh, T. A. Nair, Prem Abhijath, V. Jha, Vidya Aarthy, K. South Asian J Cancer ORIGINAL ARTICLE: Epidemiology of Cancer and Cancer Screening BACKGROUND: The estimated incidence of cancer cases in Kerala for 2014 was 31,400 and the mortality associated with it was 13,816. Although the treatment of cancer has shown remarkable advances, it has come with increasing costs. OBJECTIVE: The objective of this study is to estimate the economic burden of cancer in Vypin Block Panchayat at Ernakulam by analyzing the average total direct and indirect cost of cancer care, socioeconomic status, and cost of cancer care between government and private hospitals. MATERIALS AND METHODS: A cross-sectional study was conducted for 2 months from March to April 2018. The study was conducted by utilizing an annotated cost questionnaire for completion by patients. Total direct and indirect cost was estimated. Appropriate statistical tests were used. RESULTS: Direct cost for cancer care contributed 75% toward the cost of illness and the remaining was found to be indirect cost. Loss of income (44%) contributed to the largest chunk of indirect cost. The average direct cost for cancer care was found to be Rs. 25,606 and the average indirect cost was Rs. 8772. The average total cost of cancer care was calculated to be Rs. 34,378. Significant statistical variation was found between the cost of cancer care in private and government hospitals. The economic burden of cancer in this Vypin Block Panchayat was found to be Rs. 218,256,977/- CONCLUSION: The ratio of average income to average cost in this study is skewed which indicates the lack of affordability for cancer care in this population. A very large gap, therefore, exits between income levels and cost of cancer care clearly indicating a vast gap between affordability and cost of treatment, which clearly necessitates the need for a definite policy and state intervention for a mass cancer care program. Wolters Kluwer - Medknow 2020 /pmc/articles/PMC6956579/ /pubmed/31956610 http://dx.doi.org/10.4103/sajc.sajc_382_18 Text en Copyright: © 2019 The South Asian Journal of Cancer http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | ORIGINAL ARTICLE: Epidemiology of Cancer and Cancer Screening Dinesh, T. A. Nair, Prem Abhijath, V. Jha, Vidya Aarthy, K. Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title | Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title_full | Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title_fullStr | Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title_full_unstemmed | Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title_short | Economics of cancer care: A community-based cross-sectional study in Kerala, India |
title_sort | economics of cancer care: a community-based cross-sectional study in kerala, india |
topic | ORIGINAL ARTICLE: Epidemiology of Cancer and Cancer Screening |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6956579/ https://www.ncbi.nlm.nih.gov/pubmed/31956610 http://dx.doi.org/10.4103/sajc.sajc_382_18 |
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