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Table 1 Costs of procedures (in thousands of LBP)

From: Cost of bladder cancer in Lebanon before and after the economic collapse: a probabilistic modeling study

Procedure

Pre-collapse cost (1,000 LBP)

 

Post-collapse cost (1,000 LBP)

TPP

OOP

 

TPP

OOP

BDL

Physician consultation

80

20

 

80

320

-

Urinalysis

5.6

1.4

 

5.6

46

-

Urine culture

24

6

 

24

196

-

Pelvic ultrasound

118

29

 

118

582

-

CT urogram

224

56

 

224

1,176

-

TAP scan with contrast

224

56

 

224

3,116

-

MMC instillation

444

111

 

444

467

5,250

BCG instillation

314

79

 

314

471

2,800

Radio-Chemo TMT

6,373

12,200

 

6,373

89,133

9,660

Palliative radiotherapy

2,000

3,000

 

2,000

32,000

-

Cystoscopy

798

63

 

1,883

4,762

-

TURBT

1,796

135

 

4,673

10,290

-

Radical cystectomy

8,579

697

 

19,667

52,017

-

ddMVAC 4 cycles

7,028

563

 

7,028

6,189

64,512

Gem-Cisplatin 4 cycles

5,856

427

 

5,856

6,121

47,600

Gem-Carboplatin 4 cycles

5,279

356

 

5,279

6,318

38,472

Immunotherapy 1st line

30,548

-

 

30,548

-

74,455

Immunotherapy 2nd line

100,884

-

 

100,884

-

1,244,547

  1. BCG, Bacille Calmette-Guérin; BDL, Banque du Liban; ddMVAC, Dose-Dense Methotrexate, Vinblastine, Adriamycin, Cisplatin; Gem, Gemcitabine; OOP, Out-Of-Pocket; LBP, Lebanese Pound; MMC, Mitomycin C; TAP, Thoraco-Abdomino-Pelvic; TMT, Tri-Modal Therapy; TPP, Third-Party Payers; TURBT, Transurethral Resection of Bladder Tumor
  2. For each procedure, we collected the direct costs paid by TPPs and households, before and after the economic collapse. TPP and OOP payments were obtained by consulting the coverage databases of the various TPPs, taking into account the proportion of the Lebanese population covered by each TPP [15]. Drug costs were obtained from the Lebanese National Drug Database issued by the Ministry of Public Health [27]. In the post-collapse scenario, BDL subsidies amounted to 93% of drug prices at the time the modeling was performed