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Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent

OBJECTIVES: The aim of this study is to examine caregiver burden of spousal caregivers of patients with esophageal cancer after curative treatment with neoadjuvant chemoradiation followed by resection and to assess factors associated with caregiver burden. METHODS: In this exploratory, cross-section...

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Autores principales: Haj Mohammad, N., Walter, A. W., van Oijen, M. G. H., Hulshof, M. C. C. M., Bergman, J. J. G. H. M., Anderegg, M. C. J., van Berge Henegouwen, M. I., Henselmans, I., Sprangers, M. A. G., van Laarhoven, H. W. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624832/
https://www.ncbi.nlm.nih.gov/pubmed/25894882
http://dx.doi.org/10.1007/s00520-015-2727-4
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author Haj Mohammad, N.
Walter, A. W.
van Oijen, M. G. H.
Hulshof, M. C. C. M.
Bergman, J. J. G. H. M.
Anderegg, M. C. J.
van Berge Henegouwen, M. I.
Henselmans, I.
Sprangers, M. A. G.
van Laarhoven, H. W. M.
author_facet Haj Mohammad, N.
Walter, A. W.
van Oijen, M. G. H.
Hulshof, M. C. C. M.
Bergman, J. J. G. H. M.
Anderegg, M. C. J.
van Berge Henegouwen, M. I.
Henselmans, I.
Sprangers, M. A. G.
van Laarhoven, H. W. M.
author_sort Haj Mohammad, N.
collection PubMed
description OBJECTIVES: The aim of this study is to examine caregiver burden of spousal caregivers of patients with esophageal cancer after curative treatment with neoadjuvant chemoradiation followed by resection and to assess factors associated with caregiver burden. METHODS: In this exploratory, cross-sectional study, spousal caregivers and patients were eligible if the caregiver was the patient’s spouse and the patient had been treated with chemoradiation followed by surgery after esophageal carcinoma diagnosis. Forty-seven couples were included. Spousal caregivers completed a questionnaire, examining caregivers’ burden (Self-Perceived Pressure from Informal Care (SPPIC, Dutch)), caregiver unmet needs (SCNS-P&S), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and marital satisfaction (Maudsley Marital Questionnaire (MMQ)). Patients completed the latter two questionnaires and a cancer specific quality of life questionnaire (EORTC-QLQ C30 and OES18 (oesophageal module). Logistic regression analysis was performed to identify correlates for caregiver burden. RESULTS: The median time after esophagectomy was 38 months. Thirty-four percent of the spousal caregivers reported moderate or high burden. Spousal caregivers most frequently reported unmet needs were managing concerns about the cancer coming back (43 %), dealing with others not acknowledging the impact on your life of caring for a person with cancer (38 %), and balancing the needs of the person with cancer and one’s own needs. A comparable proportion of spousal caregivers and patients showed symptoms of anxiety (23 vs 17 %) and depression (17 vs 17 %). Spousal caregivers reported significantly more dissatisfaction than patients on the marital scale (p < 0.01). Factors independently associated with higher caregiver burden were fatigue of the patient (OR = 1.66, 95 % CI 1.12–2.47) and depression of the spousal caregiver (OR = 1.44, 95 % CI 1.11–1.86). CONCLUSIONS: More than a third of the spousal caregivers of patients with esophageal cancer treated with curative intent report moderate or high burden 3 years after treatment. Fatigue of the patient and depression of the spousal caregiver are associated with caregiver burden. To improve clinical care, identification of spousal caregivers at risk for experiencing higher caregiver burden and implementation of specific interventions is needed. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00520-015-2727-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-46248322015-11-03 Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent Haj Mohammad, N. Walter, A. W. van Oijen, M. G. H. Hulshof, M. C. C. M. Bergman, J. J. G. H. M. Anderegg, M. C. J. van Berge Henegouwen, M. I. Henselmans, I. Sprangers, M. A. G. van Laarhoven, H. W. M. Support Care Cancer Original Article OBJECTIVES: The aim of this study is to examine caregiver burden of spousal caregivers of patients with esophageal cancer after curative treatment with neoadjuvant chemoradiation followed by resection and to assess factors associated with caregiver burden. METHODS: In this exploratory, cross-sectional study, spousal caregivers and patients were eligible if the caregiver was the patient’s spouse and the patient had been treated with chemoradiation followed by surgery after esophageal carcinoma diagnosis. Forty-seven couples were included. Spousal caregivers completed a questionnaire, examining caregivers’ burden (Self-Perceived Pressure from Informal Care (SPPIC, Dutch)), caregiver unmet needs (SCNS-P&S), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and marital satisfaction (Maudsley Marital Questionnaire (MMQ)). Patients completed the latter two questionnaires and a cancer specific quality of life questionnaire (EORTC-QLQ C30 and OES18 (oesophageal module). Logistic regression analysis was performed to identify correlates for caregiver burden. RESULTS: The median time after esophagectomy was 38 months. Thirty-four percent of the spousal caregivers reported moderate or high burden. Spousal caregivers most frequently reported unmet needs were managing concerns about the cancer coming back (43 %), dealing with others not acknowledging the impact on your life of caring for a person with cancer (38 %), and balancing the needs of the person with cancer and one’s own needs. A comparable proportion of spousal caregivers and patients showed symptoms of anxiety (23 vs 17 %) and depression (17 vs 17 %). Spousal caregivers reported significantly more dissatisfaction than patients on the marital scale (p < 0.01). Factors independently associated with higher caregiver burden were fatigue of the patient (OR = 1.66, 95 % CI 1.12–2.47) and depression of the spousal caregiver (OR = 1.44, 95 % CI 1.11–1.86). CONCLUSIONS: More than a third of the spousal caregivers of patients with esophageal cancer treated with curative intent report moderate or high burden 3 years after treatment. Fatigue of the patient and depression of the spousal caregiver are associated with caregiver burden. To improve clinical care, identification of spousal caregivers at risk for experiencing higher caregiver burden and implementation of specific interventions is needed. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00520-015-2727-4) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2015-04-18 2015 /pmc/articles/PMC4624832/ /pubmed/25894882 http://dx.doi.org/10.1007/s00520-015-2727-4 Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Haj Mohammad, N.
Walter, A. W.
van Oijen, M. G. H.
Hulshof, M. C. C. M.
Bergman, J. J. G. H. M.
Anderegg, M. C. J.
van Berge Henegouwen, M. I.
Henselmans, I.
Sprangers, M. A. G.
van Laarhoven, H. W. M.
Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title_full Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title_fullStr Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title_full_unstemmed Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title_short Burden of spousal caregivers of stage II and III esophageal cancer survivors 3 years after treatment with curative intent
title_sort burden of spousal caregivers of stage ii and iii esophageal cancer survivors 3 years after treatment with curative intent
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4624832/
https://www.ncbi.nlm.nih.gov/pubmed/25894882
http://dx.doi.org/10.1007/s00520-015-2727-4
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