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.
Abstract

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