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 Publisher



A Darrudi ALI ; Ah Poupak Amir HOSSEIN ; R Darroudi RAJABALI ; N Sargazi NASRIN ; K Zendehdel KAZEM ; L Sallnow LIBBY ; Ag Ghanbarimotlagh Ali GANBARY ; M Tahmasebi MAMAK ; A Nahvijou AZIN
Source: Palliative Care and Social Practice Published:2024

Abstract

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. © 2024 Elsevier B.V., All rights reserved.