The economic effects of kidney failure treatment on the household welfare of patients on Dialysis in Buea and Bamenda–Cameroon

Therence Nnwana Dingana, Stewart Ndutard Ngasa, Neh Chang Ngasa, Leo Fosso Fozeu, Fuein V Kum, Aloysius M Njong
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Abstract

Background: Noncommunicable diseases, such as kidney failure, diabetes, and cancer, are among the leading causes of death worldwide. There is a sharp increase in the incidence and prevalence of patients with kidney failure requiring replacement therapy. This has led to a very high cost, especially in resource-limited settings like Cameroon. The aim of this study is to determine the effects of direct and indirect costs of kidney failure treatment on their household income. Methods: A descriptive cross-sectional study design was used. Primary data was collected using a self-administered pre-tested questionnaire for the economic impact of chronic disease. For bivariate analysis, we used the Cochran-Mantel-Haenszel test to obtain crude Odd Ratios (OR) of factors associated with household welfare. Multivariate logistic regression, the OLS model was used to identify independent associations between kidney failure treatment and household welfare. This was presented as adjusted odd ratios along with their p-values. A p-value of <0.05 was used as a cut-off for statistical significance. Results: The mean age of participants was 44.6±15.5 years; most patients (83(62.4%)) were married. Seventy-nine (59.4%) were unemployed, and eighty-one (60.9%) had no financial support. Their annual household expenditure ranged from 300,000FCFA to 3,360,000FCFA, with a mean and standard deviation of 1,547,729FCFA and 781,882FCFA, respectively. The yearly total cost of kidney failure treatment ranged from 520,000FCFA to 10,000,000FCFA with a mean and standard deviation of 2,137,556FCFA and 1,541,163FCFA, respectively. The cost of consultation and laboratory tests had negative regression coefficients (P=0.001 and <0.001 respectively). Conclusion: kidney failure has a significant negative effect on the household welfare of patients on dialysis. Kidney disease screening and prevention programs are necessary to reduce the number of persons in need of hemodialysis. Health insurance schemes and universal health coverage should target patients on hemodialysis.
肾衰竭治疗对喀麦隆布埃亚和巴门达透析患者家庭福利的经济影响
背景:肾衰竭、糖尿病和癌症等非传染性疾病是导致全球死亡的主要原因之一。需要替代治疗的肾衰竭患者的发病率和流行率急剧上升。这导致了非常高昂的费用,尤其是在喀麦隆这样资源有限的国家。本研究旨在确定肾衰竭治疗的直接和间接费用对其家庭收入的影响:方法:采用描述性横断面研究设计。研究采用了描述性横断面研究设计,使用预先测试的自填式慢性病经济影响调查问卷收集原始数据。在双变量分析中,我们使用 Cochran-Mantel-Haenszel 检验法得出与家庭福利相关因素的粗略奇数比 (OR)。多变量逻辑回归、OLS 模型用于确定肾衰竭治疗与家庭福利之间的独立关联。结果显示为调整后的奇异比率及其 p 值。统计显著性的临界值为 p 值 0.05。结果参与者的平均年龄为(44.6±15.5)岁;大多数患者(83(62.4%)人已婚。79人(59.4%)失业,81人(60.9%)无经济来源。他们的家庭年支出从 300,000 非洲金融共同体法郎到 3,360,000 非洲金融共同体法郎不等,平均值和标准差分别为 1,547,729 非洲金融共同体法郎和 781,882 非洲金融共同体法郎。治疗肾衰竭的年度总费用从 520,000FCFA 到 10,000,000FCFA 不等,平均值和标准偏差分别为 2,137,556FCFA 和 1,541,163FCFA 。结论:肾衰竭对透析患者的家庭福利有显著的负面影响。为了减少需要血液透析的人数,有必要开展肾病筛查和预防计划。医疗保险计划和全民医保应针对血液透析患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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