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Financial Burden in Families of Children with West Syndrome
Dhvani Raithatha1, Jitendra Kumar Sahu2, Singanamalla Bhanudeep3
1Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Caring for children with West syndrome (WS) creates a significant financial strain on families, with parental education and treatment choices impacting costs. This illness-related expenditure highlights a substantial economic burden.
Area of Science:
- Pediatric Neurology
- Health Economics
- Clinical Pediatrics
Background:
- West syndrome (WS) is a rare and severe form of epilepsy in infants and young children.
- The economic impact of chronic childhood illnesses, particularly neurological disorders, is a growing concern for families and healthcare systems.
- Understanding the financial burden associated with WS is crucial for developing targeted support strategies.
Purpose of the Study:
- To quantify the illness-related expenditure incurred by families during the first year of a child's West syndrome diagnosis.
- To identify key factors that determine the financial strain experienced by these families.
- To assess the overall economic impact of West syndrome on affected households.
Main Methods:
- A cross-sectional study involving 85 children diagnosed with West syndrome within one year of symptom onset.
- Data collection included parental interviews and case record reviews to capture direct medical and nonmedical costs over the first year.
- Statistical analysis explored determinants of financial burden, including parental education and treatment choices.
Main Results:
- The median annual treatment cost for West syndrome was substantial, reaching INR 27,035.
- Direct medical expenses (INR 18,802) and nonmedical expenses (INR 6,550) significantly contributed to the total financial drain.
- Parental education level and the selection of first-line treatment emerged as significant predictors of healthcare expenditure.
Conclusions:
- West syndrome imposes a considerable financial burden on families, necessitating robust support mechanisms.
- The study underscores the indirect economic impact on the broader healthcare system due to the management of this condition.
- Further research into cost-effective management and financial aid for WS families is warranted.
Objective:
To evaluate the illness-related expenditure by families of children with West syndrome (WS) during the first year of illness and to explore the potential determinants of the financial drain.
Methods:
This cross-sectional study was conducted at a tertiary care hospital between July 2018 and June 2020. Eighty-five children with WS who presented within one year from the onset of epileptic spasms were included. The details of the treatment costs (direct medical and nonmedical) incurred during the first year from the onset of epileptic spasms were noted from a parental interview and case record review. Unit cost was fixed for drugs and specific services. Total cost was estimated by multiplying the unit cost by the number of times a drug or service was availed. The determinants of the financial burden were also explored.
Results:
The median monthly per-capita income of the enrolled families (n = 85) was INR 3000 (Q1, Q3, 2000, 6000). The median cost of treatment over one year was INR 27035 (Q1, Q3, 17,894, 39,591). Median direct medical and nonmedical expenses amounted to INR 18802 (Q1, Q3, 12,179, 25,580) and INR 6550 (Q1, Q3, 3500, 15,000), respectively. Seven families had catastrophic healthcare expenditure. Parental education and choice of first-line treatment were important determinants driving healthcare expenses. The age at onset of epileptic spasms, etiology, treatment lag, the initial response to treatment, and relapse following initial response did not significantly influence the illness-related expenditure by the families.
Conclusion:
WS imposes a substantial financial burden on the families and indirectly on the healthcare system.
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