Burden among partner caregivers of patients diagnosed with localized prostate cancer within 1year after diagnosis: an economic perspective

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• 作者：Chunyu Li (1)
  Steven B. Zeliadt (2) (3)
  Ingrid J. Hall (1)
  Judith Lee Smith (1)
  Donatus U. Ekwueme (1)
  Carol M. Moinpour (2)
  David F. Penson (4)
  Ian M. Thompson (5)
  Thomas E. Keane (6)
  Scott D. Ramsey (2)
  
• 关键词：Informal caregiving ; Prostate cancer ; Local stage ; Time cost ; Household chores ; Productivity
• 刊名：Supportive Care in Cancer
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：21
• 期：12
• 页码：3461-3469
• 全文大小：
• 作者单位：Chunyu Li (1)
  Steven B. Zeliadt (2) (3)
  Ingrid J. Hall (1)
  Judith Lee Smith (1)
  Donatus U. Ekwueme (1)
  Carol M. Moinpour (2)
  David F. Penson (4)
  Ian M. Thompson (5)
  Thomas E. Keane (6)
  Scott D. Ramsey (2)
  
  1. Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control & Prevention, 4770 Buford Highway NE, MS F-76, Atlanta, GA, 30341-3724, USA
  2. Public Health Services Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
  3. Health Services Research & Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA, USA
  4. Vanderbilt Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA
  5. Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
  6. Urology Services, Medical University of South Carolina, Charleston, SC, USA
  
• ISSN：1433-7339

文摘

Purpose Informal care plays an important role in the overall care for people with cancer. This study estimates lost productivity and informal caregiving and associated costs among partner caregivers of localized prostate cancer patients within 1year after diagnosis. Methods We applied data from the Family and Cancer Therapy Selection study, a three-wave self-administered survey among patients diagnosed with localized prostate cancer and their partner caregivers in multiple clinics in the USA. Time spent was measured by the sum of working hours lost, informal caregiving hours performed, and hours spent on household chores. The national median income for women 55years or older was used to calculate costs associated with the time spent using the opportunity cost method. Descriptive and bivariate analyses were conducted. Results The average working hours decreased from 14.0h/week (SD=17.6) to 10.9h/week (SD=15.9), without a significant change in responsibility/intensity at work. The mean annual time spent on informal caregiving and household chores was 65.9h/year (SD=172.4) and 76.2h/year (SD=193.3), respectively. The mean annual economic burden among partner caregivers was US$6,063 (range US$571S$47,105) in 2009 dollars accounted for by a mean of 276.2h (range 26,146) in the study sample. The time spent on informal caregiving and household chores varied by patient and caregiver characteristics. Conclusions Pilot estimates on non-medical economic burden among partner caregivers (spouses) during the initial phase of the treatment provide important information for comprehensive estimation of disease burden and can be used in cost-effectiveness analyses of prostate cancer interventions.