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dc.contributor.authorAmarasinghe, H
dc.contributor.authorJayasinghe, RD
dc.contributor.authorDharmagunawardene, D
dc.contributor.authorAttygalla, M
dc.contributor.authorKumara, DR
dc.contributor.authorKularatna, S
dc.contributor.authorJohnson, NW
dc.date.accessioned2021-05-19T00:22:11Z
dc.date.available2021-05-19T00:22:11Z
dc.date.issued2021
dc.identifier.issn0301-5661
dc.identifier.doi10.1111/cdoe.12639
dc.identifier.urihttp://hdl.handle.net/10072/404419
dc.description.abstractObjectives: Cancer of the oral cavity is the leading malignancy amongst males in Sri Lanka, and eighth amongst women. Almost all malignancies are developed from a clinically visible precursor stage called an oral potentially malignant disorder (OPMD). The objective of this study was to estimate costs of managing patients with OPMD in Sri Lanka for a 12-month period from diagnosis. Methods: A hospital-based costing study was conducted in Sri Lanka in the years 2016-2017. Three selected treatment centres participated. For societal perspectives, healthcare, household and indirect costs were used. Costs to the healthcare system included clinic visits, diagnostic biopsy, consumables and drug costs. Capital costs included apportioned value of land, buildings, equipment and furniture. Household costs consisted of out-of-pocket expenditure and indirect costs of lost income. Results: Sixty-two patients were recruited (39 male and 23 female). The majority had awareness of oral potentially malignant disorders (OPMDs). Total average cost of managing a single patient with an OPMD for 1 year was SLR 19 547 (US$ 140) which includes a health system cost of SLR 7320 (US$ 52) and household cost of SLR 12 227 (US$ 87). Travel loss and income loss were a substantial burden to patients and their families. Conclusions: Managing patients with an OPMD, even with annual monitoring, is less costly than managing patients with oral cancer. Out-of-pocket costs are very high, and these could be reduced by revising the National Management Guidelines to allow care closer to home.
dc.description.peerreviewedYes
dc.languageen
dc.publisherWiley
dc.relation.ispartofjournalCommunity Dentistry and Oral Epidemiology
dc.subject.fieldofresearchDentistry
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode1105
dc.subject.fieldofresearchcode1117
dc.titleEconomic cost of managing patients with oral potentially malignant disorders in Sri Lanka
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAmarasinghe, H; Jayasinghe, RD; Dharmagunawardene, D; Attygalla, M; Kumara, DR; Kularatna, S; Johnson, NW, Economic cost of managing patients with oral potentially malignant disorders in Sri Lanka, Community Dentistry and Oral Epidemiology, 2021
dc.date.updated2021-05-17T00:04:41Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.rights.copyright© 2021 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Economic cost of managing patients with oral potentially malignant disorders in Sri Lanka, Community Dentistry and Oral Epidemiology, 2021, which has been published in final form at https://doi.org/10.1111/cdoe.12639. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorJohnson, Newell W.
gro.griffith.authorAmarasinghe, Hemantha H.
gro.griffith.authorKularatna, Sanjeewa M.


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