Skip to main content

Advertisement

Table 4 Median pre-treatment and treatment costs in tuberculosis patients diagnosed through active case finding (ACF) and passive case finding (PCF), Nepal, 2018

From: The role of active case finding in reducing patient incurred catastrophic costs for tuberculosis in Nepal

Cost itemACF
(n = 50)
PCF
(n = 49)
Total
(n = 100)
P-valueb
Pre-treatment periodMedian (IQR)Median (IQR)Median (IQR) 
Direct medical
 Consultation fee0.0 (0.0–0.1)0.2 (0.0–4.5)0.0 (0.0–1.0)0.003
 Radiography0.5 (0.0–3.2)3.2 (0.0–9.9)1.6 (0.0–5.6)0.003
 Lab tests1.1 (0.0–3.4)2.7 (0.0–5.7)1.8 (0.0–4.1)0.092
 Medicines5.9 (0.0–16.8)18.3 (1.5–36.7)8.1 (0.5–25.6)0.021
 Other medical0.0 (1.8–4.5)3.3 (1.4–6.6)2.7 (0.0–5.8)0.013
 Total direct medical14.3 (4.5–27.7)31.6 (11.0–79.1)19.2 (6.3–46.3)0.001
Direct non-medical
 Transportation3.3 (0.9–7.2)5.4 (1.8–15.5)3.7 (1.8–10.4)0.031
 Food0.0 (0.0–10.8)0.0 (0.0–2.7)0.006
 Total direct non-medical3.4 (1.8–10.4)9.7 (2.7–37.9)5.4 (2.1–22.4)0.004
Indirect
 Time lossa4.4 (1.9–8.1)13.4 (5.6–21.8)7.8 (3.7–15.0)< 0.001
 Income loss51.4 (0.0–240.1)30.7 (0.0–201.8)40.6 (0.0–212.9)0.629
 Total indirect63.5 (5.0–255.1)43.3 (14.3–248.2)51.1 (8.4–251.6)0.430
Total cost pre-treatment132.3 (22.6–258.0)172.3 (59.9–405.4)147.3 (41.6–304.9)0.103
Intensive phase
Direct medical
 Consultation fee/charges
 Radiography/lab tests
 Medicines0.0 (0.0–1.8)0.045
 Total direct medical0.0 (0.0–4.0)0.070
Direct non-medical
 Transportation0.0 (0.0–7.2)0.4 (0.0–17.3)0.0 (0.0–8.5)0.041
 Food0.0 (0.0–6.8)0.0 (0.0–19.5)0.0 (0.0–7.7)0.547
 Total direct non-medical0.0 (0.0–14.4)1.3 (0.0–44.8)0.0 (0.0–28.0)0.034
Indirect
 Time lossa29.9 (15.0–44.9)31.0 (11.7–59.8)29.9 (15.0–56.1)0.816
 Income loss18.1 (0.0–49.7)9.6 (0.0–45.2)17.1 (0.0–45.2)0.377
 Total indirect54.9 (29.9–95.9)59.6 (34.9–82.7)55.1 (29.9–90.5)0.817
Other
 Nutritional supplements13.6 (7.5–25.4)15.5 (9.3–35.3)14.9 (8.1–27.8)0.404
Total costs intensive phase84.7 (56.1–144.0)103.7 (45.3–193.2)96.6 (51.8–176.9)0.557
Total cost pre-treatment and intensive phase
 Total direct medical costs14.9 (4.5–46.1)34.1 (13.1–87.5)22.6 (6.7–63.8)0.002
 Total direct non-medical costs29.6 (15.6–55.1)54.0 (21.5–124.6)37.5 (17.8–83.5)0.022
 Total direct costs40.2 (26.1–91.7)114.9 (45.3–250.5)68.5 (31.7–148.6)0.001
 Total indirect costs128.2 (34.9–357.4)106.1 (57.8–340.9)112.4 (52.4–343.7)0.942
Total c252.8 (80.9–452.8)315.3 (125.8–543.9)290.1 (88.7–476.7)0.161
  1. a Hourly minimum wage: USD 0.62; Daily minimum wage: USD 4.67 (http://www.pioneerlaw.com/news/minimum-wage-remuneration-2018–2075)
  2. b Wilcoxon-Mann-Whitney
  3. c Total cost: from the 1st TB symptoms until the end of intensive phase