C Verkade, L Brouwers, J Stijns, V van Dal, D K Wasowicz, M de Kiefte, F van Tilborg, D D E Zimmerman
Validation of a 3D-printed model of cryptoglandular perianal fistulas
Techniques in coloproctology
available data cost cancer treatment outofpocket payment reimbursement limited india estimated treatment costs outofpocket payment reimbursement cohort breast cancer patients sought treatment publicly funded tertiary cancer care hospital india prospective longitudinal study conducted june 2019 march 2022 tata memorial centre tmc mumbai data expenditure visit treatment collected team trained medical social workers primary outcome variables total cost tc treatment outofpocket payment oop reimbursement tc included cost incurred breast cancer patients treatment tmc oop defined total cost incurred tmc less reimbursement reimbursement form financial assistance cashless repayment including social health insurance private health insurance employee health schemes assistance charitable trusts received patients breast cancer treatment 500 patients included study 45 discontinued treatment due financial reasons 26 died treatment mean tc breast cancer treatment 258095us3531 95 ci 238225 277934 direct medical cost mc accounted 563 tc systemic therapy costs 50869us696 higher radiotherapy 33483us458 surgery costs 25075us343 744 patients availed form financial assistance tmc 8 patients received full reimbursement mean oop breast cancer treatment 186461us2551 95 ci 167666 205257 accounting 722 tc social health insurance shi reasonable coverage 331 followed charitable trusts 296 employee health insurance 51 private health insurance 44 256 reimbursement shi covered 401 tc treatment compared private health insurance covered much 571 tc oop higher patients younger belonged rural areas comorbidity diagnosed advanced stage outside maharashtra india cost oop breast cancer treatment high reimbursement treatment flows multiple sources though many patients receive form reimbursement insufficient prevent high oop hence wider insurance coverage well higher cap insurance packages health insurance schemes suggested allowing automatic inclusion cancer treatment shi mitigate financial burden cancer patients india work funded extramural grant womens cancer initiative nag foundation intramural grant international institute population sciences mumbai