Direct Cost of Managing Retinoblastoma at a Tertiary Eye Hospital in Nigeria

Paediatric Ophthamology & Strabismus

Authors

  • M Bature National Eye Centre, Kaduna, Nigeria.
  • S Bello National Eye Centre, Kaduna, Nigeria.
  • AA AbdulRahman National Eye Centre, Kaduna, Nigeria.
  • A Hassan National Eye Centre, Kaduna, Nigeria.

Abstract

Introduction: Retinoblastoma is a malignant ocular tumor affecting 1 in 15,000 - 20,000 live births.1 2 Survival rate is as low as 6.8% in  less developed countries such as Zaire.3 Challenges with management–financial constraint, late presentation, refusal of enucleation, default to follow up1 . Management of retinoblastoma requires interventions that are costly and restricted to few specialized centres in  Nigeria. The aim of this study was to assess the direct cost of health care in managing retinoblastoma at National Eye Centre,  Kaduna, Nigeria.

Methods: A cross-sectional observational study involving 44 patients with retinoblastoma who were managed at National Eye Centre  Kaduna between January and June 2017. Patients who are on treatment for retinoblastoma with at least a single course of cytotoxic  therapy with or without enucleation were included. The direct health costs (hospital accommodation, investigations, examination  under anaesthesia (EUA), chemotherapy, blood transfusion and surgery) and the direct non-health costs (transportation and feeding)  were calculated. 

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References

Bekibele CO, Ayede AI, Asaolu OO, Brown BJ. Retinoblastoma. 2009; 31(8): 552-555.

Soliman SE, Dimaras H, Souka AA, Ashry MH, Gallie BL. Socioeconomic and psychological impact of treatment for unilateral intraocular retinoblastoma. J Fr Ophtalmol. 2015;38(6):550-558. doi: 10.1016/j.jfo.2015.03.003.

Shields C, Shields J. Diagnosis and management of retinoblastoma. Cancer Control. 2004. https://www.moffitt.org/ File Library/Main Nav/Research and Clinical Trials/Cancer Control Journal/ v11n5/317.pdf.

Ji X, Xuan Y, Li J, et al. Direct Costs for Retinoblastoma Treatment During the First Year of Comprehensive Therapy in China. J Pediatr Ophthalmol Strabismus. 2012;49(6):353-358. doi:10.3928/0191 3913-20120710-04.

Aziz, H. A., LaSenna, C. E., Vigoda, M., Fernandes, C., Feuer, W., Aziz-Sultan, M. A., & Murray, T. G. (2012). Retinoblastoma treatment burden and economic cost: Impact of age at diagnosis and selection of primary therapy. Clinical Ophthalmology, 6(1), 1601–1606. https://doi.org/ 10.2147/OPTH.S33094

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Published

2023-03-31

How to Cite

Bature, M., Bello, S., AbdulRahman, A., & Hassan , A. (2023). Direct Cost of Managing Retinoblastoma at a Tertiary Eye Hospital in Nigeria: Paediatric Ophthamology & Strabismus. Transactions of the Ophthalmological Society of Nigeria, 2(1). Retrieved from https://tosn.org.ng/index.php/home/article/view/202