Catastrophic costs of treating drug resistant TB patients in a tertiary care hospital in India

The Indian Journal of Tuberculosis
Jai B MullerpattanZarir F Udwadia

Abstract

Private healthcare is choice of point of care for 70% of Indians. Multidrug resistant tuberculosis (MDR-TB) treatment is costly and involves duration as long as 2 years. To estimate costs to patients undergoing treatment for MDR-TB. A health-economics questionnaire was administered to 50 consecutive patients who successfully completed ambulatory private treatment for MDR-TB. Direct costs included drug costs, investigations, consultation fees, travel costs, hospitalisation and invasive procedures and cost prior to presentation to us. Indirect costs included loss of income. Of our cohort of 50 patients, 36 had pulmonary TB while 14 had extra-pulmonary TB (EPTB). 40 had MDR-TB and 10 had XDR-TB. There were 15 males and 35 females. Mean age was 30 years (range 16-61 years). Treatment cost for pulmonary MDR-TB averaged $5723 while it averaged $8401 for pulmonary XDR-TB and $5609 for EPTB. The major expense was due to drug costs (37%) while consultation fees were only 5%. Annual individual income for the cohort ranged from $0 to $63,000 (mean $11,430). On average, the cost of treatment ranged from 2.56% to 180.34% of the annual family income. 34/50 (68%) had total costs greater than 20% of annual family income and 39/50 (78%) had tot...Continue Reading

Citations

Apr 20, 2020·Tropical Medicine & International Health : TM & IH·Ankit ChandraAnand Krishnan
Oct 22, 2020·Revista brasileira de enfermagem·Ingrid Bentes LimaPerla Katheleen Valente Corrêa
Feb 6, 2020·The Lancet Infectious Diseases·Lewis K SchragerOle F Olesen
Apr 9, 2021·Epidemiology and Health·Aliabbas A HusainRajpal S Kashyap

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