Economic Burden of Healthcare Services on Cancer Survivors in Bangladesh

Article

Shahjalal, Md., Dahal, Padam Kanta, Mosharaf, Md. Parvez, Alam, M.M., Hawlader, Mohammad Delwer Hossain and Mahumud, Rashidul Alam. 2024. "Economic Burden of Healthcare Services on Cancer Survivors in Bangladesh." Cancer Reports. 7 (8). https://doi.org/10.1002/cnr2.2144
Article Title

Economic Burden of Healthcare Services on Cancer Survivors in Bangladesh

ERA Journal ID211983
Article CategoryArticle
AuthorsShahjalal, Md., Dahal, Padam Kanta, Mosharaf, Md. Parvez, Alam, M.M., Hawlader, Mohammad Delwer Hossain and Mahumud, Rashidul Alam
Journal TitleCancer Reports
Journal Citation7 (8)
Article Numbere2144
Number of Pages13
Year2024
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN2573-8348
Digital Object Identifier (DOI)https://doi.org/10.1002/cnr2.2144
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1002/cnr2.2144
Abstract

Background
Cancer is a critical public health issue that imposes a considerable economic burden, especially in low-resource countries. In Bangladesh, there has been a noticeable lack of research focusing on the economic burden associated with cancer. Aims: This study aimed to examine the economic burden of cancer care and the contributing factors.

Methods
This cross-sectional study included 623 cancer patients. Data were collected between January and May 2022. The magnitude of the economic burden (no burden to extreme burden) was the outcome variable. A logistic regression model was performed to determine the associated factors of the economic burden of cancer.

Results
Overall, 34% of cancer survivors experienced extreme economic burden due to treatment costs. Patients with prostate (relative risk ratio, RRR = 23.24; 95% confidence interval, CI: 1.97, 273.70), bone (RRR = 5.85; 95% CI: 1.10, 31.04), and liver cancer (RRR = 4.94; 95% CI: 1.29, 18.9) reported significantly higher extreme economic burden compared to patients with other cancers. The economic burden was significantly higher for patients diagnosed with Stage III (RRR = 38.69; 95% CI: 6.17, 242.72) and Stage IV (RRR = 24.74; 95% CI: 3.22, 190.11) compared to Stage 0. Patients from low-income households suffered from nine times more extreme burden (RRR = 8.85; 95% CI: 4.05, 19.36) compared with those from high-income households.

Conclusion
Our study found a disproportionately high economic burden among patients with cancer, across disease sites, stages, and income quintiles. The burden was significantly higher among patients with prostate, bone, and liver cancer, and those diagnosed with advanced stage. The findings underscore the importance of early cancer detection before metastasis which may lead to more efficient treatment, avoid disease progression, lower disease management costs, and better health outcomes. Patients from low-income households experience an extreme economic burden due to cancer, highlighting the need for affordable healthcare services, financial support, and healthcare subsidies.

KeywordsBangladesh; burden of cancer; cancer ; economic ; healthcare cost
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020321199. Oncology and carcinogenesis not elsewhere classified
Byline AffiliationsNorth South University, Bangladesh
Central Queensland University
Centre for Health Research
School of Business
University of Sydney
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