Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries
Background: End-of-life care for patients with advanced cancer can impose a significant financial burden. However, data on the economic impact of end-of-life care in low- and middle-income countries are limited. Objective: This study aims to compare the costs associated with palliative care units (P...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-11-01
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| Series: | Palliative Care and Social Practice |
| Online Access: | https://doi.org/10.1177/26323524241299819 |
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| author | Ali Darrudi Amir Hossein Poupak Rajabali Darroudi Nasrin Sargazi Kazem Zendehdel Libby Sallnow Ali Ghanbari Motlagh Mamak Tahmasebi Azin Nahvijou |
| author_facet | Ali Darrudi Amir Hossein Poupak Rajabali Darroudi Nasrin Sargazi Kazem Zendehdel Libby Sallnow Ali Ghanbari Motlagh Mamak Tahmasebi Azin Nahvijou |
| author_sort | Ali Darrudi |
| collection | DOAJ |
| description | Background: End-of-life care for patients with advanced cancer can impose a significant financial burden. However, data on the economic impact of end-of-life care in low- and middle-income countries are limited. Objective: This study aims to compare the costs associated with palliative care units (PCUs) and non-PCU settings for cancer patients in Iran. Design: We designed a retrospective study at the largest hospital in the country. Methods: We conducted a comprehensive evaluation of hospitalization costs and care service delivery for 150 patients in the final 5 days of life, who were admitted to the largest hospital complex in Iran. All costs were adjusted based on the 2018 USD exchange rate. Results: Among the 150 patients included in the study, 56 (37%) were admitted to the PCU. The average total treatment cost during the final 5 days of life was three times higher in general wards compared to PCUs. In non-PCU settings, the total cost of care during this period amounted to $2873, while in PCU settings, it was $909.63. Conclusion: The establishment of PCUs within tertiary hospitals and the provision of palliative consultation services to patients with advanced cancer can yield significant benefits, even when resources are limited. |
| format | Article |
| id | doaj-art-5a014121c3794aac95b30fdf5592fc51 |
| institution | Kabale University |
| issn | 2632-3524 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Palliative Care and Social Practice |
| spelling | doaj-art-5a014121c3794aac95b30fdf5592fc512024-12-17T13:03:19ZengSAGE PublishingPalliative Care and Social Practice2632-35242024-11-011810.1177/26323524241299819Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countriesAli DarrudiAmir Hossein PoupakRajabali DarroudiNasrin SargaziKazem ZendehdelLibby SallnowAli Ghanbari MotlaghMamak TahmasebiAzin NahvijouBackground: End-of-life care for patients with advanced cancer can impose a significant financial burden. However, data on the economic impact of end-of-life care in low- and middle-income countries are limited. Objective: This study aims to compare the costs associated with palliative care units (PCUs) and non-PCU settings for cancer patients in Iran. Design: We designed a retrospective study at the largest hospital in the country. Methods: We conducted a comprehensive evaluation of hospitalization costs and care service delivery for 150 patients in the final 5 days of life, who were admitted to the largest hospital complex in Iran. All costs were adjusted based on the 2018 USD exchange rate. Results: Among the 150 patients included in the study, 56 (37%) were admitted to the PCU. The average total treatment cost during the final 5 days of life was three times higher in general wards compared to PCUs. In non-PCU settings, the total cost of care during this period amounted to $2873, while in PCU settings, it was $909.63. Conclusion: The establishment of PCUs within tertiary hospitals and the provision of palliative consultation services to patients with advanced cancer can yield significant benefits, even when resources are limited.https://doi.org/10.1177/26323524241299819 |
| spellingShingle | Ali Darrudi Amir Hossein Poupak Rajabali Darroudi Nasrin Sargazi Kazem Zendehdel Libby Sallnow Ali Ghanbari Motlagh Mamak Tahmasebi Azin Nahvijou Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries Palliative Care and Social Practice |
| title | Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries |
| title_full | Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries |
| title_fullStr | Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries |
| title_full_unstemmed | Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries |
| title_short | Financial cost of end-of-life cancer care in palliative care units (PCUs) and non-PCUs in Iran: insights from low- and middle-income countries |
| title_sort | financial cost of end of life cancer care in palliative care units pcus and non pcus in iran insights from low and middle income countries |
| url | https://doi.org/10.1177/26323524241299819 |
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