Health-related quality of life and the perceived palliative care needs among oral cancer patients

Kumar, CV Deepan; Joseph, Jeena; Janakiram, Chandrashekar; Gopinath, M. A.

doi:10.4103/jiaphd.jiaphd_35_17

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…However, these advances have contributed to increased costs of treatment, significantly impacting the cost of care for both providers and out of pocket expenditure for patients. Furthermore, in most LMICs, accessibility to health services is low, which coupled with poor health literacy results in a majority of cases presenting with advanced disease [8,9]. Approximately 10% of the patients have progressive disease that makes them untreatable and can only be offered palliative care [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, in most LMICs, accessibility to health services is low, which coupled with poor health literacy results in a majority of cases presenting with advanced disease [8,9]. Approximately 10% of the patients have progressive disease that makes them untreatable and can only be offered palliative care [8,9]. Most of those who receive some form of curative treatment are left unemployed due to the debilitating process of the disease and become an economic and psychological burden on their friends and family.…”

Section: Introductionmentioning

confidence: 99%

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A prospective study to determine the cost of illness for oral cancer in India

Singh¹,

Chaukar²,

Gupta³

et al. 2021

ecancer

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India accounts for almost a third of the global burden of oral cancer, a situation worsened by the inability to afford care. When available, aid is often insufficient, and costing is based on informal estimations. This study objectively determines direct healthcare costs of oral cancer in India. The study was performed from a healthcare provider's perspective using a validated bottom-up method. Care pathways were determined by prospectively observing the natural management of 100 oral cancer patients treated between October 2019 and March 2020. Specific costing categories were built across services, and apportioned values for each interaction was averaged. Costs of treatment and service utilisation were obtained using probabilistic sensitivity analyses. The unit cost of treating advanced stages (United States Dollar (USD) 2,717) was found to be 42% greater than early stages (USD1,568). There was an 11% reduction in unit costs with increases in socioeconomic status. Medical equipment accounted for 97.8% of capital costs, with the highest contributor being imaging services. Variable costs for surgery in advanced stages were 1.4 times higher than early stages. Compared to surgery alone, the average cost of treatment increased by 44.6% with adjuvant therapy. These results show that over the next decade, India will incur an economic burden of USD 3 billion towards the direct healthcare of oral cancer. Early detection and prevention strategies leading to 20% reduction in advanced stage disease could save USD 30 million annually. These results are critical to deliver a disease-driven and objective reform for oral cancer care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A prospective study to determine the cost of illness for oral cancer in India

Singh¹,

Chaukar²,

Gupta³

et al. 2021

ecancer

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Survivorship care in head neck cancer

Mali¹

2023

Oral Oncology Reports

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Influences of facial disfigurement and social support for psychosocial adjustment among patients with oral cancer in Taiwan: a cross-sectional study

Wang

Kuo

et al. 2018

BMJ Open

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ObjectiveTo explore the influences of facial disfigurement and social support for psychosocial adjustment in patients with oral cancer.DesignA cross-sectional design was used for the study.Participants and settingA convenience sample of 77 patients with oral cancer was recruited from the otolaryngology and oral and maxillofacial surgery outpatient clinics of three general hospitals in Taiwan.MeasuresData were collected using the study questionnaires, including the Facial Disfigurement Scale, the Social Support Scale and the Psychosocial Adjustment to Illness Scale.ResultsThe mean score on the Psychosocial Adjustment to Illness Scale was 413.01 (SD=32.32); 71.4% of the participants were maladjusted. Results of multiple regression analysis showed statistically significant main effects of tumour site (beta=0.37), facial disfigurement (beta=0.35) and social support (beta=−1.01), and the interaction effect of facial disfigurement and social support (beta=0.79) (all p<0.05) on psychosocial adjustment after controlling for other sociodemographic and clinical variables. All variables together explained 62% of the variance in psychosocial adjustment (F(16, 55)=14.98, p<0.001).ConclusionsThe level of psychosocial adjustment in patients with oral cancer was suboptimal. Poorer psychosocial adjustment was reported by patients with more severe facial disfigurement and less social support. Patients with cancers in other areas of the oral cavity also reported poorer psychosocial adjustment than patients with cancers in the buccal mucosa. Medical professionals may use these variables to identify higher risk groups for early intensive intervention.

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Health-related quality of life and the perceived palliative care needs among oral cancer patients

Cited by 4 publications

References 3 publications

A prospective study to determine the cost of illness for oral cancer in India

A prospective study to determine the cost of illness for oral cancer in India

Survivorship care in head neck cancer

Influences of facial disfigurement and social support for psychosocial adjustment among patients with oral cancer in Taiwan: a cross-sectional study

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