The direct cost incurred by patients and caregivers in diagnosing and managing prostate cancer in Ghana

Table 2 Detailed stage-specific management price of prostate cancer

Invasive category	Gleason grade	TNM stage	Public Hospital		Private Hospital
Invasive category	Gleason grade	TNM stage	First line management option	Unit price GHC [$]	First line management option	Unit price GHC [$]
Localized	6 Low	1, 2 A	Extended Beam Radiotherapy (EBRT) alone	12,950.00 [2231.95]	Radical prostatectomy	15,000.00 [2585.27]
Localized	7 Moderate	2 B-C	EBRT (+ 6 months of Androgen Deprivation Therapy (ADT), depending on assessment of benefit outcome)	12,950.00 [2231.95] (+ 3000.00 [517.05])^a	Radical prostatectomy	15,000.00 [2585.27]
Locally advanced	8,9,10 High	3 A-C	EBRT (+ 18-24 months ADT)	12,950.00 [2231.95] (+ 3000.00 [517.05] per 6 months)	Radiotherapy (from a referral facility) + ADT	“Missing”
Metastasis	8,9,10 High	4 A-B	ADT alone or ADT + palliative radiotherapy or ADT + palliative radiotherapy + abiraterone acetate/docetaxel All options plus bisphosphonate (for bone metastasis)	“Missing”	ADT alone	“Missing”

EBRT Extended Beam Radiotherapy, ADT Androgen Deprivation Therapy, TNM Tumour, Node, Metastasis; “Missing”: Unable to determine the cost
^aOnly paid when ADT is included

ISSN: 1472-6963