Cost Implication of Oral Cancers Among Sudanese Population at Khartoum Dental Teaching Hospital: SMDA-24-RA-102

Cost Implication of Oral Cancers Among Sudanese Population at Khartoum Dental Teaching Hospital, Khartoum, Sudan
Khidir Faisal Mahmoud* and Eman Hafiz Suliman2
Dental Public Health Department, International University of Africa
Oral And Maxillofacial Surgery Department, Khartoum Dental Teaching Hospital
*Corresponding author: Khidir Faisal Mahmoud, Dental Public Health Department, International University of Africa, Sudan.
Received: April 04, 2024; Published: May 17, 2024

Abstract
Background: The incidence of oral cancer (OC) is increasing worldwide, rendering the problem as a considerable component of the global burden of cancers. In Sudan, OC is the fifth most common cancer type with a total of 920 cases per year and this represents 9% of the cases reported annually in Africa. The cost of treatment represents a significant burden on patients and their families. The objective of this study were to discuss the Cost implications of oral cancer on families and patients and to describe cases registered in Khartoum Teaching Dental hospital during (2014-2015).
Material and Methods: This is descriptive cross-sectional hospital-based study with two components: retrospective and exist survey. All files of the patients which were diagnosed as oral cancer and have been operated were selected. Record-based data collected using a form and exist survey data collected using a questionnaire. Data entered and analyzed using the SPSS.
Result: A total of 224 patients were studied. Their age ranged from 4 to 87 years and (33%) of them were 61 and above years. Around two thirds (59.8%) were male. And about one third (28.6 %) of the respondents were from Khartoum state. Squamous cell carcinoma (SCC) represents 60.8% of cases. A total of 125 cases (66.1%) showed good prognosis. The mean monthly direct expenditure was 24,201 SDG and this was covered by patient family in majority (72.8%). A total of 92 patients (41.1%) reported an income loss linked to the disease ranging between 10 to 30% and 68.8% of families claimed that the disease affected their income.
Conclusion: The study revealed that oral cancer is a major public health problem affecting the family income..

Keywords: Oral Cancer; Squamous Cell Carcinoma; Poor Prognosis; Family Income

References

1. Parkin DM (1998) The global burden of  cancer. Semin Cancer Biol 8: 219-235. 
2. Petersen PE (2009) Oral cancer prevention and control: The approach of the World Health Organization. Oral Oncol 45: 454-460.
3. Boyle P, Levin B (2008) World Cancer Report 2008. Lyon: International Agency for Research on Cancer 330-336.
4. Idris AM, Ibrahim SO, Vasstrand EN, Johannessen AC, Lillehaug JR, Magnusson B, et al. (1998) The Swedish snus and the Sudanese toombak: Are they different? Oral Oncol 34: 558-566.
5. Idris AM, Ibrahim YE, Warnakulasuriya KA, Cooper DJ, Johnson NW, Nilsen R (1998) Toombak use and cigarette smoking in the Sudan: Estimates of prevalence in the Nile state. Prev Med 27: 597-603