Economic Burden for Informal Caregivers of Lung and Colorectal Cancer Patients
Economic Burden for Informal Caregivers of Lung and Colorectal Cancer Patients
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DOI：
10.1634/theoncologist.2010-0005
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发表时间：
2010-08-01
期刊：
影响因子：
5.8
通讯作者：
van Ryn, Michelle
中科院分区：
文献类型：
--
作者：
Van Houtven, Courtney Harold;Ramsey, Scott D.;van Ryn, Michelle
背景非正式护理为癌症患者提供了许多好处，但对护理人员来说可能是昂贵的。本研究量化了肺癌（LC）和结直肠癌（CRC）患者的非正式照顾者的经济负担，检查癌症类型，疾病阶段，诊断阶段，患者年龄和关系的差异。LC和CRC患者的照顾者参与了一项横断面调查的分享思考护理调查进行。经济负担的计算使用照顾者时间的机会成本，工作时间损失的价值，和自付支出。采用固定效应广义最小二乘估计对影响照顾者经济负担的因素进行建模。非正规护理人员（1 629人）完成了邮寄调查。其中，663、822和144例分别在患者的初始阶段（诊断后第一年，不在死亡后6个月内）、持续阶段（1年后，不在死亡后6个月内）和终末期（死亡后6个月内）进行了调查。在患者疾病的初始阶段、持续阶段和末期，接受评估的护理人员的累计经济负担分别为7，028美元、19，701美元和14，234美元。LC患者的照顾者的经济负担高于CRC患者（p = 0.044），4期患者的照顾者的经济负担高于1期患者（p = 0.001）。配偶面临的经济负担高于其他亲属（p = .000）或朋友（p = .000）。LC和CRC患者的非正式护理人员的经济负担是巨大的，应包括在癌症护理的社会成本估计。肿瘤学家2010;15：883-893
Background. Informal care provides many benefits to cancer patients, but can be costly to caregivers. This study quantified the economic burden for informal caregivers of lung cancer (LC) and colorectal cancer (CRC) patients, examining differences by cancer type, phase of disease, stage at diagnosis, patient age, and relationship.Methods. A cross-sectional survey of caregivers of LC and CRC patients participating in the Share Thoughts on Care survey was conducted. Economic burden was calculated using the opportunity cost of caregiver time, the value of work hours lost, and out-of-pocket expenditures. Factors associated with economic burden to caregivers were modeled using fixed-effects generalized least squares estimation.Results. Informal caregivers (1,629) completed mailed surveys. Of these, 663, 822, and 144 were surveyed during the patient's initial phase (first year after diagnosis, not within 6 months of death), continuing phase (after 1 year, not within 6 months of death), and terminal phase (within 6 months of death) of disease, respectively. The accumulated economic burdens for caregivers were $7,028, $19,701, and $14,234 for those evaluated during the patient's initial phase, continuing phase, and terminal phase of disease, respectively. Economic burden was higher for caregivers of LC patients than CRC patients (p = .044) and for caregivers of patients diagnosed at stage 4 versus stage 1 (p = .001). Spouses faced higher economic burden than other relatives (p = .000) or friends (p = .000).Conclusions. Economic burden for informal caregivers of LC and CRC patients is substantial and should be included in estimates of the societal cost of cancer care. The Oncologist 2010;15:883-893