Manipal Journal of Nursing and Health Sciences


Introduction: Hospitalization and surgery is a stressful period for the parents and the family. Families those children are undergoing surgery are faced with financial burden of direct and indirect costs.

Objective: To systematically analyse the available evidence on the economic burden of hospitalization among parents of children inpatient for surgery.

Methods and analysis: This systematic review protocol is developed based on “The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols” (PRISMA-P) guidelines. A comprehensive electronic bibliographic search will be conducted in MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index of Nursing and Allied Health Literature), ProQuest, Web of Science for full-text articles. The outcomes of this review will measure medical, non-medical and indirect costs related to hospitalization and surgery of the child. Consolidated Health Economic Evaluation Reporting Standards (CHEERS) and DRUMMOND checklist for economic evaluation quality assessment will be used. A quantitative synthesis of the data will be done to summarize the findings from the included studies.

Conclusion: This systematic review protocol will guide in understanding the economic burden of parents of children inpatient for surgery. Escalating health-care expenditures, knowing the health economics of child surgery is important for developing cost-cutting strategies and introducing beneficiary support programmes.

PROSPERO registration number: CRD42021236500

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