Health-related quality of life among breast cancer patients compared to cancer survivors and age-matched women in the general population in Vietnam

Ngan, Tran Thu; Quynh, Vu; Minh, Hoàng Văn; Donnelly, Michael; O’Neill, Ciarán

doi:10.21203/rs.3.rs-120435/v1

Cited by 2 publications

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“…Respondents included both women who were receiving 'initial treatment' (de ned below) and those who had nished initial treatment and were discharged from hospital. Details about study design and methodology are available elsewhere (manuscript is under review, preprint [11]). As the total OOP for direct medical costs of D&T of those were receiving treatment is unknown, only data of those had already nished the initial treatment were included in this analysis.…”

Section: Study Design and Participantsmentioning

confidence: 99%

Costs of Breast Cancer Treatment Incurred by Women in Vietnam

Ngan

Nguyen

Minh

et al. 2021

Preprint

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Background: There is a paucity of research on the cost of breast cancer (BC) treatment from the patient’s perspective in Vietnam.Methods: Individual-level data about out-of-pocket (OOP) expenditures on use of services were collected from women treated for BC (n=202) using an online survey and a face-to-face interview at two tertiary hospitals in 2019. Total expenditures on diagnosis and initial BC treatment were presented in terms of the mean, standard deviation, and range for each type of service use. A generalised linear model (GLM) was used to assess the relationship between total cost and socio-demographic characteristics.Results: 19.3% of respondents had stage 0/I BC, 68.8% had stage II, 9.4% had stage III, none had stage IV. The most expensive OOP elements were targeted therapy with mean cost equal to 649.5 million VND ($28,025) and chemotherapy at 36.5 million VND ($1,575). Mean total OOP cost related to diagnosis and initial BC treatment (excluding targeted therapy cost) was 61.8 million VND ($2,667). The mean OOP costs among patients with stage II and III BC were, respectively, 66% and 148% higher than stage I.Conclusions: BC patients in Vietnam incur significant OOP costs. The cost of BC treatment was driven by use of therapies and presentation stage at diagnosis. It is likely that OOP costs of BC patients would be reduced by earlier detection through raised awareness and screening programs and by providing a higher insurance coverage rate for targeted therapy.

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Section: Study Design and Participantsmentioning

confidence: 99%

Costs of Breast Cancer Treatment Incurred by Women in Vietnam

Ngan

Nguyen

Minh

et al. 2021

Preprint

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Financial toxicity due to breast cancer treatment in low- and middle-income countries: evidence from Vietnam

Ngan

Minh

Donnelly

et al. 2021

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Background This study examined the financial toxicity faced by breast cancer (BC) patients in Vietnam and the factors associated with the risk and degree of that toxicity. Methods A total of 309 BC patients/survivors completed an online survey (n=209) or a face-to-face interview (n=100) at two tertiary hospitals. Descriptive statistics and χ2 tests were used to identify and analyse the forms and degree of financial toxicity faced by BC patients/survivors. A Cragg hurdle model assessed variation in risk and the degree of financial toxicity due to treatment. Results 41% of respondents faced financial toxicity due to BC treatment costs. The mean amount of money that exceeded BC patients/survivors’ ability to pay was 153 million Vietnamese Dong (VND) ($6602) and ranged from 2.42 million VND to 1358 million VND ($104–58,413). A diagnosis at stage II or III of BC was associated with 16.0 and 18.0 million VND (~$690–777) more in the degree of financial toxicity compared with patients who were diagnosed at stage 0/I, respectively. Being retired or married or having full (100%) health insurance was associated with a decrease in the degree of financial toxicity. Conclusions A significant proportion of Vietnamese BC patients/survivors face serious financial toxicity due to BC treatment costs. There is a need to consider the introduction of measures that would attenuate this hardship and promote uptake of screening for the reduction in financial toxicity as well as the health gains it may achieve through earlier detection of cancer.

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Health-related quality of life among breast cancer patients compared to cancer survivors and age-matched women in the general population in Vietnam

Cited by 2 publications

References 25 publications

Costs of Breast Cancer Treatment Incurred by Women in Vietnam

Costs of Breast Cancer Treatment Incurred by Women in Vietnam

Financial toxicity due to breast cancer treatment in low- and middle-income countries: evidence from Vietnam

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