Abstract
Introduction: In 2022, the incidence of breast cancer amounted to 2,296,840 cases worldwide, including 198,553 in Africa and 1,838 cases in Senegal. However, the direct non-medical costs of treating cancer in general are not known in Senegal. For a better allocation of resources, it is important to estimate their costs. The objective of this article is to analyze the direct non-medical costs of breast cancer treatment at the Joliot Curie Institute in Dakar.
Methods: This is a retrospective study conducted on patients diagnosed with breast cancer between January and December 2017 at the Joliot Curie Institute. A questionnaire survey and semi-structured interviews were conducted with sick people and their relatives to reconstruct the direct non-medical cost.
Results: The estimated average direct non-medical cost of breast cancer treatment at Joliot Curie Institute is 2,844,731 FCFA ($4,559.79) with a minimum of 359,650 FCFA ($576.48) and a maximum of 7,110,584 FCFA ($11,397.48) over an average duration of 31 months. In addition, the analysis of this average direct non-medical cost reveals that it is made up of 63.45% of the cost of housing; 22.48% of the cost of food and 12.27% of the cost of transportation. The reduction of sequelae related to treatment constitutes only 1.8%.
Conclusion: The direct non-medical cost of breast cancer treatment is very high in Senegal. The non-medical direct cost of the maximum treatment is 7,110,584 FCFA ($11,397.48) and the minimum is 359,650 FCFA ($576.48), i.e. an average cost of 2,844,731 FCFA ($4,559.79)1.
Keywords: Direct non-medical costs; breast cancer; breast cancer treatment; Joliot Curie Institute; Senegal
References
- Abolhasan Afkar., et al. “Breast Cancer Cost Analysis: A Comparison Between Private and Public Hospitals in Iran”. BMC Health Services Research (2021).
- Adanu KK., et al. “Cost of home breast cancer treatment and cost adjustment strategies of a tertiary facility in Ghana”. PLOS Clob public Health (2022).
- Astrid Nathalia Páez Esteban., et al. “Direct and indirect costs derived from the family care of patients with chronic non-communicable diseases”. Aquichan (2020).
- Bapna Ajay PS. “A retrospective analysis of the hormone receptor profile in breast cancer patients from a tertiary cancer center in western India and investigates their relationship with its 2 Neu (IHC + FISH), age, and menopausal states”. Prensa Med Argent 105.2 (2019).
- Baudouin KK., et al “Epidemiological, clinical and diagnostic profile of breast cancer patients treated at the Potchefstroom Regional Hospital, South Africa from 2012-2018: an open-label cohort study”. Pan african Medical Journal 36.9 (2020).
- Carlson Babila Sama BD. “Breast cancer awareness and breast self-examination among undergraduate students at a higher normal school in Cameroon”. Panafrican Medical Journal 28.91 (2017): 28-91.
- IARC. Report on the International Cancer Observatory (2022).
- Croyle R. Cancer Trends Progress Report. (National Cancer Institute) (2021).
- Delphine Héquet., et al. “Direct medical and non-medical costs of a one-year care pathway for early operable breast cancer: Results of a French multicenter prospective study”. PLoS One (2019).
- Dinah A Tetteh and Sandra L Faulkner. “Sociocultural factors and breast cancer in sub-Saharan Africa: Implications for diagnosis and management”. Sage journals 12.1 (2016): 147-156.
- Eric Osei., et al. “Perceived risk of breast cancer among female undergraduates in Ghana: A cross-sectional study”. Journal of Oncology (2021): 8811353.
- Felicia KM., et al. “The health care costs of breast cancer: the case of the Mexican Social Security Institute”. Salud Publica Mex (2009): 286-295.
- Gonzaga AM. “Listening to Voices: An exploratory study of the experiences of women diagnosed with and living with breast cancer in Uganda”. Panafrican Medical Journal 16 (2013).
- Gulia Seema., et al. “Evaluation of 1 year versus shorter durations of adjuvant trastuzumab in patients with early breast cancer: Data from an individual participant and trial-level meta-analysis”. JAMA Netw 3.8 (2020).
- Gupta Nidhi., et al. “Cost-effectiveness of trastuzumab for breast cancer management in India”. JCO Glob Oncol 6.1 (2020): 205-216.
- Hamraz Mokri., et al. “Future medical and non-medical costs and their impact on the cost-effectiveness of life extension interventions: a comparison of five European countries”. The European Journal of Health Economics (2022).
- Hierrhum Aboubacar Bambara., et al. “Breast cancer: descriptive profile of 80 women attending breast cancer care in the general and digestive surgery department of the CHU-YO”. Panafrican Medical Journal 28.314 (2017): 28-314.
- Hughes GA., et al. “Economic Cost of Breast Cancer in Ghana: The Experience of Komfo Teaching Hospital”. Journal of Business Research (2012).
- Jacobo Gómez-Rico., et al. “The costs of breast cancer in a Mexican public health institution”. Dove Medical Press 2008.1 (2008): 15-21.
- Janz NK., et al. “Population-based study of the relationship between treatment and sociodemographics on the quality of life of early-stage breast cancer”. Research on the quality of life (2005): 1465-1479.
- Julius Gbenga Olaogun., et al. “Sociodemographic, model of presentation and outcome of breast cancer management in a semi-urban tertiary health facility”. Panafrican Medical Journal 36.363 (2020).
- K Xu., et al. “Catastrophic household health expenditures: a multi-country analysis”. The Lancet (2003): 111-117.
- Kanono Thabane., et al. “Exploring factors associated with breast cancer screening among women aged 15-49 years in Lesotho”. Panafrican Medical Journal 38 (2021).
- KM OM., et al. “Expenses incurred by patients obtaining free breast cancer care in Haiti: a pilot study”. Science Direct (2015) 747-755.
- Knaul Felicia Marie., et al. “Breast Cancer in Mexico: An Urgent Priority”. Reproductive Health Issues 16.32 (2008): 113-123.
- The Cancer Atlas. “The Cancer Atlas”. The Cancer Atlas (2021).
- Li S., et al. “Overall breast cancer treatment costs by stage: a systematic review”. PLOS ONE (2018).
- M Gueye., et al. “Profile of a black woman in Senegal with breast cancer”. Tropical Health Medicine 26.2 (2016): 165-169.
- Madiéye Gueye., et al. “Breast cancer in women younger than 35 years : features and outcomes in the breast unit at Aristide le Dantec Teaching Hospital, Dakar”. Tropical Medicine and Health 26.4 (2016): 377-381.
- María CG., et al. “Breast Cancer Care Costs in Mexico: Analysis of Two Insurance Coverage Scenarios”. Ecancermedicalscience 9 (2015).
- Mathias L., et al. “Cost of breast cancer in Sweden in 2002”. Eur J Health Econ (2007): 5-15.
- Matt Swayne LJ. Cancer costs more than 156 billion dollars in the United States, and drugs represent a major expense. (Penn state) (2021).
- Omolola Salako AA. “Using the Cancer Information System to Fight Breast Cancer in Lagos, Nigeria”. Panafrican Medical Journal 24.323 (2016): 24-326.
- Sarré B., et al. “Epidemiologist, therapeutic and prognostic aspects of breast cancer: about 473 cases collected at the Hôpital Principal de Dakar”. Dakar Med 51.2 (2006): 92-96.
- Sartorius K., et al. “The Future Cost of Cancer in South Africa: An Interdisciplinary Cost Management Strategy”. South African Medical Journal 106.10 (2016): 949-950.
- Shehnaz K Hussein. “Influence of education level on breast cancer risk and survival in Sweden between 1990 and 2004”. International Journal of cancer 122.1 (2007): 165-169.
- Shiva Ram Khatiwoda., et al. Estimating the Direct Cost of Cancer in Nepal: A Cross-sectional Study in a Tertiary Cancer Hospital”. Front Public Health (2019).
- Soares IS., et al. “The public-private mix in the Brazalian Health System: Financing, delivery and utilization of health services”. SCI ELO BRAZIL (2008): 1431-1440.
- Sri Yusnita irda Sari DD., et al. “Low knowledge and negative perception of breast cancer risks among high school girls”. Althea Medical Journal 6.3 (2019).
- Teich NC., et al. “Retrospective analysis of the costs of breast cancer patients treated in a Brazilian outpatient cancer centre”. Journal of Clinical Oncology (2010).
- Teshale Mulatu Dibisa., et al. “The practice of breast cancer screening and its associated factors among women in the Kersa district, eastern Ethiopia”. Panafrican Medical Journal 33.144 (2019): 33-144.
- Thi Tuyet Mai Kieu., et al. “Direct non-medical and indirect costs of diabetes and its associated complications in Vietnam: an estimate using national health insurance claims from a cross-sectional survey”. BMJ Open (2020).
- Umesh MM. “Scaling up radiation therapy for cervical cancer”. The lancet Oncology (2019): 888-889.
- Van Minh Hoang., et al. “Household financial burden and poverty impacts of cancer treatment in Vietnam”. Biomed Res Int (2017).
- Will BP., et al. “Estimates of the lifetime costs of breast cancer treatment in Canada”. Eur J Cancer 36.6 (2000): 724-735.
- Yohana EA., et al. “Availability and affordability of anti-cancer drugs at the Ocean Road Cancer Institute in Dar Es Salaam, Tanzania”. Journal of Public Health of East Africa 8.1 (2011): 52-57.
Foot Notes
- Institute of Environmental Sciences of the Cheikh Anta Diop University of Dakar.
- Statistical Packdge for Socail Sciences.
- https://myfin.fr/convertisseur-devise/xof-usd/10024