The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic
Alberto Córdova-Aguilar,1 Willy Ramos,2 Daniel José Blanco-Victorio,1 Roxana Patricia López-Ramos,3 Pablo Yván Best Bandenay,1 Enrique Castañeda Saldaña,1 Jhony A De La Cruz-Vargas2 1Universidad Peruana Cayetano Heredia, Lima, Peru; 2Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Univ...
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Dove Medical Press
2025-06-01
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| author | Córdova-Aguilar A Ramos W Blanco-Victorio DJ López-Ramos RP Best Bandenay PY Castañeda Saldaña E De La Cruz-Vargas JA |
| author_facet | Córdova-Aguilar A Ramos W Blanco-Victorio DJ López-Ramos RP Best Bandenay PY Castañeda Saldaña E De La Cruz-Vargas JA |
| author_sort | Córdova-Aguilar A |
| collection | DOAJ |
| description | Alberto Córdova-Aguilar,1 Willy Ramos,2 Daniel José Blanco-Victorio,1 Roxana Patricia López-Ramos,3 Pablo Yván Best Bandenay,1 Enrique Castañeda Saldaña,1 Jhony A De La Cruz-Vargas2 1Universidad Peruana Cayetano Heredia, Lima, Peru; 2Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima, Peru; 3Postgraduate in Stomatology, Universidad Científica del Sur, Lima, PeruCorrespondence: Alberto Córdova-Aguilar, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, Urb Ingeniería, Lima, 15306, Perú, Email alberto.cordova@upch.peObjective: To estimate the social cost of nasal sequelae in patients with cleft lip and palate (CL/P) treated in a Peruvian university dental clinic.Methods: This is a cross-sectional study. The sample consisted of thirty patients over 18 years of age with nasal sequelae due to CL/P. This study conducted a partial economic analysis from a social perspective, by using the following questionnaires: ENAHO-Peru to assess sociodemographic variables, the Instituto de Salud del Niño - San Borja care guidelines and its tariff schedule to estimate health care costs, the Rhinoplasty Outcome Evaluation (ROE) scale to assess quality of life about the nasal sequela, and the “willingness to pay” (WTP) technique to calculate the monetary cost of the sequela from the patients’ perspective. Costs in soles, where the exchange rate was: 1 USD = S/3.878.Results: A total of 30 CL/P patients, who agreed to participate, were evaluated. Most of the patients were male (70.0%), aged 18– 39 years (73.0%), single (93.4%), students (73.4%), and had secondary education (50.0%). Additionally, most were attended with Seguro Integral de Salud (46.7%), most had no daily income (50.0%), and the average quality of life score was 8.1. The highest direct cost reported was dental treatment (S/5756.89 ± S/359.22) and hospitalization (S/5013.60 ± S/880.15), statistically significant (p< 0.05). The highest indirect cost was reported for absenteeism with a mean of 5288.6 ± 1280.23 (p< 0.05). Regarding direct, indirect, and intangible costs in the treatment of nasal sequelae due to CL/P, the lowest median (S/6000.00) was found in intangible costs, with significant differences (p< 0.05).Conclusion: About half of the social cost (12,000 Peruvian soles = 3094 US dollars) was assumed by the patients, a prohibitive cost considering that most of them come from low socio-economic backgrounds.Plain Language Summary: Cleft lip and palate (CL/P) cause a disproportionate economic burden. Despite advances in surgery, these patients very often develop sequelae.No health insurance in Peru covers rhinoplasty, as it is considered a surgery to improve the image and not necessarily function.This research estimated that the patients with CL/P bear almost half of the social cost. This could have implications for state insurance mechanisms that could improve coverage of surgical procedures aimed at improving the sequelae of CL/P, which would reduce the social cost borne by patients.Keywords: cleft lip, cleft palate, social cost, sequela, health economics |
| format | Article |
| id | doaj-art-584aa95ba89643e6b6ebc0ebea68dec8 |
| institution | Kabale University |
| issn | 1178-6981 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | ClinicoEconomics and Outcomes Research |
| spelling | doaj-art-584aa95ba89643e6b6ebc0ebea68dec82025-08-20T03:26:57ZengDove Medical PressClinicoEconomics and Outcomes Research1178-69812025-06-01Volume 17Issue 1429436103717The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental ClinicCórdova-Aguilar A0Ramos W1Blanco-Victorio DJ2López-Ramos RP3Best Bandenay PY4Castañeda Saldaña E5De La Cruz-Vargas JA6Faculty of MedicineInstituto de Investigaciones en Ciencias Biomédicas (INICIB)Faculty of Science and EngineeringFaculty of Public Health and AdministrationFaculty of Public Health and Administration.Faculty of Medicine.Instituto de Investigaciones en Ciencias Biomédicas (INICIB)Alberto Córdova-Aguilar,1 Willy Ramos,2 Daniel José Blanco-Victorio,1 Roxana Patricia López-Ramos,3 Pablo Yván Best Bandenay,1 Enrique Castañeda Saldaña,1 Jhony A De La Cruz-Vargas2 1Universidad Peruana Cayetano Heredia, Lima, Peru; 2Instituto de Investigaciones en Ciencias Biomédicas (INICIB), Universidad Ricardo Palma, Lima, Peru; 3Postgraduate in Stomatology, Universidad Científica del Sur, Lima, PeruCorrespondence: Alberto Córdova-Aguilar, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, Urb Ingeniería, Lima, 15306, Perú, Email alberto.cordova@upch.peObjective: To estimate the social cost of nasal sequelae in patients with cleft lip and palate (CL/P) treated in a Peruvian university dental clinic.Methods: This is a cross-sectional study. The sample consisted of thirty patients over 18 years of age with nasal sequelae due to CL/P. This study conducted a partial economic analysis from a social perspective, by using the following questionnaires: ENAHO-Peru to assess sociodemographic variables, the Instituto de Salud del Niño - San Borja care guidelines and its tariff schedule to estimate health care costs, the Rhinoplasty Outcome Evaluation (ROE) scale to assess quality of life about the nasal sequela, and the “willingness to pay” (WTP) technique to calculate the monetary cost of the sequela from the patients’ perspective. Costs in soles, where the exchange rate was: 1 USD = S/3.878.Results: A total of 30 CL/P patients, who agreed to participate, were evaluated. Most of the patients were male (70.0%), aged 18– 39 years (73.0%), single (93.4%), students (73.4%), and had secondary education (50.0%). Additionally, most were attended with Seguro Integral de Salud (46.7%), most had no daily income (50.0%), and the average quality of life score was 8.1. The highest direct cost reported was dental treatment (S/5756.89 ± S/359.22) and hospitalization (S/5013.60 ± S/880.15), statistically significant (p< 0.05). The highest indirect cost was reported for absenteeism with a mean of 5288.6 ± 1280.23 (p< 0.05). Regarding direct, indirect, and intangible costs in the treatment of nasal sequelae due to CL/P, the lowest median (S/6000.00) was found in intangible costs, with significant differences (p< 0.05).Conclusion: About half of the social cost (12,000 Peruvian soles = 3094 US dollars) was assumed by the patients, a prohibitive cost considering that most of them come from low socio-economic backgrounds.Plain Language Summary: Cleft lip and palate (CL/P) cause a disproportionate economic burden. Despite advances in surgery, these patients very often develop sequelae.No health insurance in Peru covers rhinoplasty, as it is considered a surgery to improve the image and not necessarily function.This research estimated that the patients with CL/P bear almost half of the social cost. This could have implications for state insurance mechanisms that could improve coverage of surgical procedures aimed at improving the sequelae of CL/P, which would reduce the social cost borne by patients.Keywords: cleft lip, cleft palate, social cost, sequela, health economicshttps://www.dovepress.com/the-social-cost-of-nasal-sequelae-in-patients-with-cleft-lip-and-palat-peer-reviewed-fulltext-article-CEORCleft lipcleft palatesocial costsequelahealth economics. |
| spellingShingle | Córdova-Aguilar A Ramos W Blanco-Victorio DJ López-Ramos RP Best Bandenay PY Castañeda Saldaña E De La Cruz-Vargas JA The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic ClinicoEconomics and Outcomes Research Cleft lip cleft palate social cost sequela health economics. |
| title | The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic |
| title_full | The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic |
| title_fullStr | The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic |
| title_full_unstemmed | The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic |
| title_short | The Social Cost of Nasal Sequelae in Patients with Cleft Lip and Palate in a Peruvian University Dental Clinic |
| title_sort | social cost of nasal sequelae in patients with cleft lip and palate in a peruvian university dental clinic |
| topic | Cleft lip cleft palate social cost sequela health economics. |
| url | https://www.dovepress.com/the-social-cost-of-nasal-sequelae-in-patients-with-cleft-lip-and-palat-peer-reviewed-fulltext-article-CEOR |
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