Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan

Salikhanov, Islam; Kunirova, Gulnara; Aitbaeva, Aliya; Crape, Byron; Wieser, Simon; Katapodi, Maria

doi:10.1016/j.vhri.2023.07.001

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan
Authors:	Salikhanov, Islam Kunirova, Gulnara Aitbaeva, Aliya Crape, Byron Wieser, Simon Katapodi, Maria
et. al:	No
DOI:	10.1016/j.vhri.2023.07.001
Published in:	Value in Health Regional Issues
Volume(Issue):	38
Page(s):	69
Pages to:	76
Issue Date:	14-Aug-2023
Publisher / Ed. Institution:	Elsevier
ISSN:	1098-3015 1524-4733
Language:	English
Subjects:	End-of-life care; Hospice-based care; Low- and middle-income countries; Quality of life; Resource-limited setting; Sensitivity analysis
Subject (DDC):	362.1041: Health economics
Abstract:	Objectives: In Kazakhstan, palliative care is offered through hospices, cancer centers, general hospitals, and mobile teams to approximately 107 000 patients in need. As a country with a transitional economy and a newly implemented social healthcare insurance system, Kazakhstan seeks a cost-effective allocation of limited resources for end-of-life care. This study aimed to assess cost-effectiveness of hospice-based palliative care for patients with cancer compared with the current standard of care provided in cancer centers across the country and, thereby, provide a better understanding for policy making regarding palliative care. Methods: A total of 182 family caregivers were recruited, 104 from 3 hospices and 78 from 3 palliative care units of cancer centers. Patients’ state of health and family caregivers’ burden were assessed with the Palliative Outcome Scale and the Zarit Burden Interview. Direct medical and nonmedical costs and family caregivers’ out-of-pocket expenses associated with palliative care were collected. One-way and probabilistic sensitivity analysis was conducted by generating 1000 resamples using bootstrapping with Monte-Carlo simulation. Results: After 14 days of inpatient palliative care, patients’ mean Palliative Outcome Scale score was 2.5 points better in the hospice group than the cancer center group. Family caregiver burden was 4.5 points better in the hospice group. Mean treatment costs were $31 lower for the hospice group. There was a statistically significant correlation between the total cost of treatment and patients’ quality of life (r = 0.58). Probabilistic sensitivity analysis showed that hospice-based care has better outcomes and lower costs than care provided in cancer centers in 80% of tested scenarios. Conclusion: Hospice-based palliative care is cost-effective compared with the care provided in palliative units of cancer centers in resource-limited settings in Kazakhstan.
URI:	https://digitalcollection.zhaw.ch/handle/11475/29710
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Management and Law
Organisational Unit:	Winterthur Institute of Health Economics (WIG)
Appears in collections:	Publikationen School of Management and Law

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Salikhanov, I., Kunirova, G., Aitbaeva, A., Crape, B., Wieser, S., & Katapodi, M. (2023). Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan. Value in Health Regional Issues, 38, 69–76. https://doi.org/10.1016/j.vhri.2023.07.001

Salikhanov, I. et al. (2023) ‘Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan’, Value in Health Regional Issues, 38, pp. 69–76. Available at: https://doi.org/10.1016/j.vhri.2023.07.001.

I. Salikhanov, G. Kunirova, A. Aitbaeva, B. Crape, S. Wieser, and M. Katapodi, “Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan,” Value in Health Regional Issues, vol. 38, pp. 69–76, Aug. 2023, doi: 10.1016/j.vhri.2023.07.001.

SALIKHANOV, Islam, Gulnara KUNIROVA, Aliya AITBAEVA, Byron CRAPE, Simon WIESER und Maria KATAPODI, 2023. Cost-effectiveness of hospice palliative care for patients with cancer and family caregivers : a multicenter study in Kazakhstan. Value in Health Regional Issues. 14 August 2023. Bd. 38, S. 69–76. DOI 10.1016/j.vhri.2023.07.001

Salikhanov, Islam, Gulnara Kunirova, Aliya Aitbaeva, Byron Crape, Simon Wieser, and Maria Katapodi. 2023. “Cost-Effectiveness of Hospice Palliative Care for Patients with Cancer and Family Caregivers : A Multicenter Study in Kazakhstan.” Value in Health Regional Issues 38 (August): 69–76. https://doi.org/10.1016/j.vhri.2023.07.001.

Salikhanov, Islam, et al. “Cost-Effectiveness of Hospice Palliative Care for Patients with Cancer and Family Caregivers : A Multicenter Study in Kazakhstan.” Value in Health Regional Issues, vol. 38, Aug. 2023, pp. 69–76, https://doi.org/10.1016/j.vhri.2023.07.001.