The impact of outpatient systemic anti-cancer treatment on patient costs and work practices.

Abstract:

BACKGROUND:There is extensive focus on the rising costs of healthcare. However, for patients undergoing cancer treatment, there are additional personal costs, which are poorly characterised. AIM:To qualify indirect costs during anti-cancer therapy in a designated Irish cancer centre. METHODS:An anonymous questionnaire collected demographic data, current work practice, and personal expenditure on regular and non-regular indirect costs during treatment. Differences between groups of interest were compared using the Mann-Whitney U test. RESULTS:In total, there were 151 responders of median age 58 years; 60 % were female and 74 % were not working. Breast cancer (29 %) was the most frequent diagnosis. Indirect costs totalled a median of €1138 (range €21.60-€7089.84) per patient, with median monthly outgoings of €354. The greatest median monthly costs were hair accessories (€400), transportation (€65), and complementary therapies (€55). The majority (74 %) of patients used a car and median monthly fuel expenditure was €31 (range €1.44-€463.32). Women spent more money during treatment (€1617) than men (€974, p = 0.00128). In addition, median monthly expenditure was greater for those less than 50 years old (€1621 vs €1105; p = 0.04236), those who lived greater than 25 km away (€2015 vs €1078; p = 0.00008) and those without a medical card (€2023 vs €961; p = 0.00024). CONCLUSION:This study highlights the need for greater awareness of indirect expenditures associated with systemic anti-cancer therapy in Ireland.

journal_name

Ir J Med Sci

authors

Collins DC,Coghlan M,Hennessy BT,Grogan L,Morris PG,Breathnach OS

doi

10.1007/s11845-016-1483-x

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

81-87

issue

1

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-016-1483-x

journal_volume

186

pub_type

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