{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T02:32:38Z","timestamp":1785897158841,"version":"3.56.0"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cancer is a critical public health issue that imposes a considerable economic burden, especially in low\u2010resource countries. In Bangladesh, there has been a noticeable lack of research focusing on the economic burden associated with cancer. <jats:bold>Aims:<\/jats:bold> This study aimed to examine the economic burden of cancer care and the contributing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study included 623 cancer patients. Data were collected between January and May 2022. The magnitude of the economic burden (no burden to extreme burden) was the outcome variable. A logistic regression model was performed to determine the associated factors of the economic burden of cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 34% of cancer survivors experienced extreme economic burden due to treatment costs. Patients with prostate (relative risk ratio, RRR\u2009=\u200923.24; 95% confidence interval, CI: 1.97, 273.70), bone (RRR\u2009=\u20095.85; 95% CI: 1.10, 31.04), and liver cancer (RRR\u2009=\u20094.94; 95% CI: 1.29, 18.9) reported significantly higher extreme economic burden compared to patients with other cancers. The economic burden was significantly higher for patients diagnosed with Stage III (RRR\u2009=\u200938.69; 95% CI: 6.17, 242.72) and Stage IV (RRR\u2009=\u200924.74; 95% CI: 3.22, 190.11) compared to Stage 0. Patients from low\u2010income households suffered from nine times more extreme burden (RRR\u2009=\u20098.85; 95% CI: 4.05, 19.36) compared with those from high\u2010income households.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study found a disproportionately high economic burden among patients with cancer, across disease sites, stages, and income quintiles. The burden was significantly higher among patients with prostate, bone, and liver cancer, and those diagnosed with advanced stage. The findings underscore the importance of early cancer detection before metastasis which may lead to more efficient treatment, avoid disease progression, lower disease management costs, and better health outcomes. Patients from low\u2010income households experience an extreme economic burden due to cancer, highlighting the need for affordable healthcare services, financial support, and healthcare subsidies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cnr2.2144","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T07:06:06Z","timestamp":1723187166000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Economic Burden of Healthcare Services on Cancer Survivors in Bangladesh"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2218-8433","authenticated-orcid":false,"given":"Md.","family":"Shahjalal","sequence":"first","affiliation":[{"name":"Department of Public Health North South University  Dhaka Bangladesh"},{"name":"Research Rats  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padam\u00a0Kanta","family":"Dahal","sequence":"additional","affiliation":[{"name":"School of Health, Medical and Applied Sciences Central Queensland University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md.\u00a0Parvez","family":"Mosharaf","sequence":"additional","affiliation":[{"name":"School of Business and Centre for Health Research University of Southern Queensland  Toowoomba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad\u00a0Morshad","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Public Health North South University  Dhaka Bangladesh"},{"name":"Research Rats  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad\u00a0Delwer\u00a0Hossain","family":"Hawlader","sequence":"additional","affiliation":[{"name":"Department of Public Health North South University  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashidul\u00a0Alam","family":"Mahumud","sequence":"additional","affiliation":[{"name":"Health Economics and Health Technology Assessment Unit, NHMRC Clinical Trials Centre, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"The World Health Organization \u201cCancer \u201daccessed May 14 2024 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/cancer."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-022-01738-x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30091-3"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21731"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14133158"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2474-y"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2019.7305"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21556"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2022.7826"},{"key":"e_1_2_11_12_1","first-page":"763","article-title":"Estimating Surgery, Radiotherapy and Systemic Anti\u2010Cancer Therapy Treatment Costs for Cancer Patients by Stage at Diagnosis","volume":"1","author":"Wills L.","year":"2023","journal-title":"The European Journal of Health Economics"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2022.2047536"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol29040223"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djab192"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2020.01.011"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12094-018-1972-7"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1065737"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00160"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2017-053791"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01610-3"},{"key":"e_1_2_11_22_1","unstructured":"\u201cGlobal Cancer Observatory Report Bangladesh \u201d 2022 accessed May 17 2024 https:\/\/gco.iarc.who.int\/media\/globocan\/factsheets\/populations\/50\u2010bangladesh\u2010fact\u2010sheet.pdf."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227565"},{"key":"e_1_2_11_24_1","unstructured":"\u201cPopulation Trend in Asia and Pacific Bangladesh. 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