{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:25:23Z","timestamp":1790342723426,"version":"4.1.0"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"7","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Cutaneous leishmaniasis (CL) is a disease associated with low-income populations. Thus, in assessing the burden of this disease, it is important to include its economic impact on individuals. We aimed to evaluate CL economic impact on patients treated at a referral service in the State of Minas Gerais, Brazil. This is a cross-sectional study based on the analysis of interviews and medical records from which we assembled direct medical and non-medical costs related to CL, from a societal perspective. One hundred patients were included; 50% had a monthly per capita income of up to USD 259.60 and spent on average USD 187.32 with the disease, representing an average monthly impact of 22.5% (USD 133.80). The disease imposed direct medical costs, such as: private medical appointments, medications, medical exams, dressing material, and co-participation in health insurances. Direct non-medical costs were mainly related to patients\u2019 transportation to health centers (USD 4,911.00), but also included medically-necessary care, food, and domestic and business outsourcing services. Although the Brazilian public health system guarantees access to health care, CL still represents a substantial economic impact for patients. The main action to reduce the expenses with this disease is decentralizing services for CL diagnosis and therapeutic approach, as well as increasing their efficiency.<\/jats:p>","DOI":"10.1590\/0102-311x00136419","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T11:57:03Z","timestamp":1595246223000},"source":"Crossref","is-referenced-by-count":12,"title":["Economic impact of localized cutaneous leishmaniasis on adult patients of a referral service in Belo Horizonte, Minas Gerais State, Brazil"],"prefix":"10.1590","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5648-3932","authenticated-orcid":false,"given":"Endi Lanza","family":"Galv\u00e3o","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Universidade Federal dos Vales do Jequitinhonha e Mucuri,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5682-2981","authenticated-orcid":false,"given":"Talia Santana Machado de","family":"Assis","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil; Centro Federal de Educa\u00e7\u00e3o Tecnol\u00f3gica de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2494-6178","authenticated-orcid":false,"given":"Mariana Junqueira","family":"Pedras","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0538-7403","authenticated-orcid":false,"given":"Gl\u00e1ucia Fernandes","family":"Cota","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5849-343X","authenticated-orcid":false,"given":"Tayn\u00e3na C\u00e9sar","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5821-4069","authenticated-orcid":false,"given":"Ana","family":"Rabello","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0035671","article-title":"Leishmaniasis worldwide and global estimates of its incidence","volume":"7","author":"Alvar J","year":"2012","journal-title":"PLoS One"},{"key":"ref2","series-title":"Neglected tropical diseases."},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0000285","article-title":"Leishmaniases' burden of disease ways forward for getting from speculation to reality","volume":"2","author":"Reithinger R","year":"2008","journal-title":"PLoS Negl Trop Dis"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0005739","article-title":"A new perspective on cutaneous leishmaniasis implications for global prevalence and burden of disease estimates","volume":"11","author":"Bailey F","year":"2017","journal-title":"PLoS Negl Trop Dis"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/S1473-3099(16)00003-7","article-title":"Global burden of cutaneous leishmaniasis a cross-sectional analysis from the Global Burden of Disease Study 2013","volume":"16","author":"Karimkhani C","year":"2016","journal-title":"Lancet Infect Dis"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.2310\/7750.2014.13216","article-title":"Correlation between socioeconomic status and clinical course in patients with cutaneous leishmaniasis","volume":"19","author":"Mashayekhi-Ghoyonlo V","year":"2015","journal-title":"J Cutan Med Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"489","DOI":"10.4269\/ajtmh.15-0408","article-title":"Social and economic burden of human leishmaniasis","volume":"94","author":"Okwor I","year":"2016","journal-title":"Am J Trop Med Hyg"},{"issue":"5","key":"ref8","article-title":"The economic impact of cutaneous leishmaniasis in Sri Lanka.","author":"Wijerathna T","year":"2018","journal-title":"Biomed Res Int"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1080\/14787210.2019.1555471","article-title":"Understanding the economic impact of leishmaniasis on households in endemic countries a systematic review","volume":"17","author":"Sunyoto T","year":"2019","journal-title":"Expert Rev Anti Infect Ther"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0203378","article-title":"Development and initial validation of a cutaneous leishmaniasis impact questionnaire","volume":"13","author":"Galv\u00e3o EL","year":"2018","journal-title":"PLoS One"},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0211374","article-title":"How cutaneous leishmaniasis and treatment impacts in the patients' lives a cross-sectional study","volume":"14","author":"Galv\u00e3o EL","year":"2019","journal-title":"PLoS One"},{"key":"ref12","series-title":"Manual de vigil\u00e2ncia da leishmaniose tegumentar americana","year":"2013"},{"key":"ref13","series-title":"Compara\u00e7\u00e3o de pre\u00e7os Brasil vs. Sri Lanka."},{"key":"ref14","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s40249-018-0389-4","article-title":"Health economic evaluation of moist wound care in chronic cutaneous leishmaniasis ulcers in Afghanistan.","volume":"7","author":"Stahl H-C","year":"2018","journal-title":"Infect Dis Poverty"},{"key":"ref15","article-title":"Lei n\u00ba 9.656, de 3 de junho de 1998. 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