Economic burden of breast cancer: a case of Southern Iran

Abstract Background Breast cancer is one of the main causes of death from cancer around the world, imposing a significant economic burden on the families and healthcare system. The present study aimed at determining the economic burden of breast cancer in the patients referred to the medical centers...

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Main Authors: Faride Sadat Jalali, Khosro Keshavarz, Mozhgan Seif, Majid Akrami, Abdosaleh Jafari, Ramin Ravangard
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Cost Effectiveness and Resource Allocation
Subjects:
Online Access:https://doi.org/10.1186/s12962-023-00470-8
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author Faride Sadat Jalali
Khosro Keshavarz
Mozhgan Seif
Majid Akrami
Abdosaleh Jafari
Ramin Ravangard
author_facet Faride Sadat Jalali
Khosro Keshavarz
Mozhgan Seif
Majid Akrami
Abdosaleh Jafari
Ramin Ravangard
author_sort Faride Sadat Jalali
collection DOAJ
description Abstract Background Breast cancer is one of the main causes of death from cancer around the world, imposing a significant economic burden on the families and healthcare system. The present study aimed at determining the economic burden of breast cancer in the patients referred to the medical centers in Fars province in southern Iran in 2021. Methods This cross-sectional study is a partial economic evaluation and a cost-of-illness study with a bottom-up and prevalence-based approach, conducted in Fars province in southern Iran in 2021 from the societal perspective. A total of 230 patients were randomly included in the study, and a researcher-made data collection form was used to collect the required data. The data on direct medical costs were collected using the information on patients’ medical and financial records. On the other hand, the data on direct non-medical and indirect costs were obtained using self-reports by the patients or their companions. The Excel 2016 software was used to analyze the collected data. Results The results showed that the annual cost of each breast cancer patient in the studied sample was 11,979.09 USD in 2021. Direct medical costs accounted for the largest share of costs (70.69%, among which the cost of radiotherapy was the highest one. The economic burden of the disease in the country was estimated at 193,090,952 USD. Conclusions In general, due to the high prevalence of breast cancer and the chronicity of this disease, its medical costs can impose a heavy economic burden on society, the health system, the insurance system, and patients. Thus, in order to reduce the costs, the following suggestions can be offered: the use of advanced radiotherapy techniques, increasing the insurance coverage of required services, establishing low-cost accommodation centers near medical centers for the patients and their companions, providing specialized medical services for the patients in towns, using the Internet and virtual space to follow up the treatment of the patients, and carrying out free screening programs and tests for faster diagnosis of the infected patients and susceptible or exposed people.
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spelling doaj.art-15ebcbe90dfd4776b90a67197589bd1a2023-11-20T09:33:19ZengBMCCost Effectiveness and Resource Allocation1478-75472023-08-012111810.1186/s12962-023-00470-8Economic burden of breast cancer: a case of Southern IranFaride Sadat Jalali0Khosro Keshavarz1Mozhgan Seif2Majid Akrami3Abdosaleh Jafari4Ramin Ravangard5Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical SciencesHealth Human Resources Research Centre, School of Health Management and Information Sciences, Shiraz University of Medical SciencesNon-communicable Disease Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical SciencesBreast Diseases Research Center, Shiraz University of Medical SciencesHealth Human Resources Research Centre, School of Health Management and Information Sciences, Shiraz University of Medical SciencesHealth Human Resources Research Centre, School of Health Management and Information Sciences, Shiraz University of Medical SciencesAbstract Background Breast cancer is one of the main causes of death from cancer around the world, imposing a significant economic burden on the families and healthcare system. The present study aimed at determining the economic burden of breast cancer in the patients referred to the medical centers in Fars province in southern Iran in 2021. Methods This cross-sectional study is a partial economic evaluation and a cost-of-illness study with a bottom-up and prevalence-based approach, conducted in Fars province in southern Iran in 2021 from the societal perspective. A total of 230 patients were randomly included in the study, and a researcher-made data collection form was used to collect the required data. The data on direct medical costs were collected using the information on patients’ medical and financial records. On the other hand, the data on direct non-medical and indirect costs were obtained using self-reports by the patients or their companions. The Excel 2016 software was used to analyze the collected data. Results The results showed that the annual cost of each breast cancer patient in the studied sample was 11,979.09 USD in 2021. Direct medical costs accounted for the largest share of costs (70.69%, among which the cost of radiotherapy was the highest one. The economic burden of the disease in the country was estimated at 193,090,952 USD. Conclusions In general, due to the high prevalence of breast cancer and the chronicity of this disease, its medical costs can impose a heavy economic burden on society, the health system, the insurance system, and patients. Thus, in order to reduce the costs, the following suggestions can be offered: the use of advanced radiotherapy techniques, increasing the insurance coverage of required services, establishing low-cost accommodation centers near medical centers for the patients and their companions, providing specialized medical services for the patients in towns, using the Internet and virtual space to follow up the treatment of the patients, and carrying out free screening programs and tests for faster diagnosis of the infected patients and susceptible or exposed people.https://doi.org/10.1186/s12962-023-00470-8Cost of illnessBreast neoplasmsDirect service costsIndirect expenditures
spellingShingle Faride Sadat Jalali
Khosro Keshavarz
Mozhgan Seif
Majid Akrami
Abdosaleh Jafari
Ramin Ravangard
Economic burden of breast cancer: a case of Southern Iran
Cost Effectiveness and Resource Allocation
Cost of illness
Breast neoplasms
Direct service costs
Indirect expenditures
title Economic burden of breast cancer: a case of Southern Iran
title_full Economic burden of breast cancer: a case of Southern Iran
title_fullStr Economic burden of breast cancer: a case of Southern Iran
title_full_unstemmed Economic burden of breast cancer: a case of Southern Iran
title_short Economic burden of breast cancer: a case of Southern Iran
title_sort economic burden of breast cancer a case of southern iran
topic Cost of illness
Breast neoplasms
Direct service costs
Indirect expenditures
url https://doi.org/10.1186/s12962-023-00470-8
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AT mozhganseif economicburdenofbreastcanceracaseofsoutherniran
AT majidakrami economicburdenofbreastcanceracaseofsoutherniran
AT abdosalehjafari economicburdenofbreastcanceracaseofsoutherniran
AT raminravangard economicburdenofbreastcanceracaseofsoutherniran