{"entity":{"id":"paper-wuraola-breast-cancer-out-of-pocket-nigeria-jcpo-2024","kind":"paper","name":"The out-of-pocket cost of breast cancer care in Nigeria: a prospective study at one teaching hospital","aka":[],"tldr":"Among 71 patients treated for breast cancer with curative intent at a teaching hospital in south-west Nigeria, the mean cost of care was 5,193 US dollars and between 79% and all of them faced catastrophic health spending.","summary":"Consecutive patients starting curative-intent treatment for newly diagnosed breast cancer at a single tertiary hospital in south-west Nigeria between August 2019 and September 2022 reported household income, capacity to pay and all direct and indirect costs, at admission and at six-month follow-up. Catastrophic health expenditure was defined three ways: spending above 40% of capacity to pay, or above 10% or 25% of annual income.","asOf":"2026-11-04","links":[{"label":"J Cancer Policy 2024","url":"https://doi.org/10.1016/j.jcpo.2024.100518"},{"label":"PubMed","url":"https://pubmed.ncbi.nlm.nih.gov/39522636/"}],"tags":[],"related":[],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"journal":"Journal of Cancer Policy","year":2024,"doi":"10.1016/j.jcpo.2024.100518","pmid":"39522636","authors":"Wuraola FO, Blackman C, Olasehinde O, et al.","paperType":"observational","findings":["Mean cost of care was 5,192.77 US dollars against a mean annual capacity to pay of 2,866.93 US dollars.","Between 56 (78.9%) and 71 (100%) of the 71 patients experienced catastrophic health expenditure, depending on the costs included and the threshold.","66.2% presented at stage III or later, 95.8% received chemotherapy and 23.9% received adjuvant radiotherapy; 66% had no health insurance."],"whatItMeans":"For most patients in this study, paying for breast cancer treatment cost more than their household could afford, which is why insurance cover for cancer is a central question in Nigeria.","caveats":["One hospital and 71 patients; costs elsewhere in Nigeria may differ.","Costs are self-reported by patients."],"participants":71},"route":"/key-papers/paper-wuraola-breast-cancer-out-of-pocket-nigeria-jcpo-2024/","neighbours":{"institution":[{"id":"nhia","kind":"institution","name":"National Health Insurance Authority (NHIA)","route":"/institutions/nhia/"}]}}