Is economic burden still a problem among the patients with tuberculosis - A cost analysis: A descriptive cross-sectional study in Tamil Nadu.


Journal

The Indian journal of tuberculosis
ISSN: 0019-5707
Titre abrégé: Indian J Tuberc
Pays: India
ID NLM: 0373027

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 28 07 2021
accepted: 17 09 2021
entrez: 2 12 2022
pubmed: 3 12 2022
medline: 7 12 2022
Statut: ppublish

Résumé

There were more than 10 million people infected with TB across the globe. India has the world's largest tuberculosis load, with 2.4 million recorded cases in 2019. Poverty has an inseparable relationship with Tuberculosis. It is an inevitable risk factor, often resulting in delays in seeking treatment, imposing a financial burden on families, and poor compliance with treatment, etc., thereby leading to a very low rate of success in TB treatment. In this context, a study was undertaken among TB patients in Kanchipuram district with the objective of assessing the different costs associated with treatment and other associated issues they face from society as a consequence of the disease. A descriptive cross sectional descriptive study design was espoused to study among the 312 TB patients registered in the government's RNTCP program. A multi-stage random sampling technique was adopted to recruit and obtain data from them. A Univariate and bivariate analysis were employed to get the mean costs incurred during the pre & post diagnosis TB treatment. A linear regression test was performed to identify the relationship between the variables that influence the economic burden during the treatment process. The study demonstrates that the total costs sustained by patients during the post-diagnosis phase are astronomical in contrast to the costs spent during the pre-diagnosis phase. The indirect cost in terms of time lost due to hospital visits and medication pickup, as well as inability to work, imposes a significant economic burden on patients and their families.

Sections du résumé

BACKGROUND BACKGROUND
There were more than 10 million people infected with TB across the globe. India has the world's largest tuberculosis load, with 2.4 million recorded cases in 2019. Poverty has an inseparable relationship with Tuberculosis. It is an inevitable risk factor, often resulting in delays in seeking treatment, imposing a financial burden on families, and poor compliance with treatment, etc., thereby leading to a very low rate of success in TB treatment. In this context, a study was undertaken among TB patients in Kanchipuram district with the objective of assessing the different costs associated with treatment and other associated issues they face from society as a consequence of the disease.
MATERIALS METHODS METHODS
A descriptive cross sectional descriptive study design was espoused to study among the 312 TB patients registered in the government's RNTCP program. A multi-stage random sampling technique was adopted to recruit and obtain data from them. A Univariate and bivariate analysis were employed to get the mean costs incurred during the pre & post diagnosis TB treatment. A linear regression test was performed to identify the relationship between the variables that influence the economic burden during the treatment process.
CONCLUSION CONCLUSIONS
The study demonstrates that the total costs sustained by patients during the post-diagnosis phase are astronomical in contrast to the costs spent during the pre-diagnosis phase. The indirect cost in terms of time lost due to hospital visits and medication pickup, as well as inability to work, imposes a significant economic burden on patients and their families.

Identifiants

pubmed: 36460396
pii: S0019-5707(21)00212-2
doi: 10.1016/j.ijtb.2021.09.006
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

602-607

Informations de copyright

Copyright © 2021 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest The authors have none to declare.

Auteurs

Sellamuthu Kanmani (S)

Department of Community Medicine, SRM Medical College Hospital & Research Centre, SRM Institute of Science and Technology Campus, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, 603203, India.

Muthunarayanan Logaraj (M)

Department of Community Medicine, SRM Medical College Hospital & Research Centre, SRM Institute of Science and Technology Campus, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, 603203, India. Electronic address: mlogaraj@gmail.com.

Russelselvan John (R)

Department of Community Medicine, Apollo Institute of Medical Science & Research, Murakambattu, Chittoor, Andhra Pradesh, India.

Mariaselvam Mathew Arumai (MM)

Department of Community Medicine, SRM Medical College Hospital & Research Centre, SRM Institute of Science and Technology Campus, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, 603203, India.

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