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How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs

PURPOSE: Cancer treatment is increasingly delivered in an outpatient setting. This may entail a considerable economic burden for family members and friends who support patients/survivors. We estimated financial and time costs associated with informal care for colorectal cancer. METHODS: Two hundred...

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Autores principales: Hanly, Paul, Céilleachair, Alan Ó, Skally, Mairead, O’Leary, Eamonn, Kapur, Kanika, Fitzpatrick, Patricia, Staines, Anthony, Sharp, Linda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763575/
https://www.ncbi.nlm.nih.gov/pubmed/23649879
http://dx.doi.org/10.1007/s00520-013-1834-3
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author Hanly, Paul
Céilleachair, Alan Ó
Skally, Mairead
O’Leary, Eamonn
Kapur, Kanika
Fitzpatrick, Patricia
Staines, Anthony
Sharp, Linda
author_facet Hanly, Paul
Céilleachair, Alan Ó
Skally, Mairead
O’Leary, Eamonn
Kapur, Kanika
Fitzpatrick, Patricia
Staines, Anthony
Sharp, Linda
author_sort Hanly, Paul
collection PubMed
description PURPOSE: Cancer treatment is increasingly delivered in an outpatient setting. This may entail a considerable economic burden for family members and friends who support patients/survivors. We estimated financial and time costs associated with informal care for colorectal cancer. METHODS: Two hundred twenty-eight carers of colorectal cancer survivors diagnosed on October 2007–September 2009 were sent a questionnaire. Informal care costs included hospital- and domestic-based foregone caregiver time, travel expenses and out-of-pocket (OOP) costs during two phases: diagnosis and treatment and ongoing care (previous 30 days). Multiple regression was used to determine cost predictors. RESULTS: One hundred fifty-four completed questionnaires were received (response rate = 68 %). In the diagnosis and treatment phase, weekly informal care costs per person were: hospital-based costs, incurred by 99 % of carers, mean = €393 (interquartile range (IQR), €131–€541); domestic-based time costs, incurred by 85 %, mean = €609 (IQR, €170–€976); and domestic-based OOP costs, incurred by 68 %, mean = €69 (IQR, €0–€110). Ongoing costs included domestic-based time costs incurred by 66 % (mean = €66; IQR, €0–€594) and domestic-based OOP costs incurred by 52 % (mean = €52; IQR, €0–€64). The approximate average first year informal care cost was €29,842, of which 85 % was time costs, 13 % OOP costs and 2 % travel costs. Significant cost predictors included carer age, disease stage, and survivor age. CONCLUSION: Informal caregiving associated with colorectal cancer entails considerable time and OOP costs. This burden is largely unrecognised by policymakers, service providers and society in general. These types of studies may facilitate health decision-makers in better assessing the consequences of changes in cancer care organisation and delivery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00520-013-1834-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-67635752019-10-07 How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs Hanly, Paul Céilleachair, Alan Ó Skally, Mairead O’Leary, Eamonn Kapur, Kanika Fitzpatrick, Patricia Staines, Anthony Sharp, Linda Support Care Cancer Original Article PURPOSE: Cancer treatment is increasingly delivered in an outpatient setting. This may entail a considerable economic burden for family members and friends who support patients/survivors. We estimated financial and time costs associated with informal care for colorectal cancer. METHODS: Two hundred twenty-eight carers of colorectal cancer survivors diagnosed on October 2007–September 2009 were sent a questionnaire. Informal care costs included hospital- and domestic-based foregone caregiver time, travel expenses and out-of-pocket (OOP) costs during two phases: diagnosis and treatment and ongoing care (previous 30 days). Multiple regression was used to determine cost predictors. RESULTS: One hundred fifty-four completed questionnaires were received (response rate = 68 %). In the diagnosis and treatment phase, weekly informal care costs per person were: hospital-based costs, incurred by 99 % of carers, mean = €393 (interquartile range (IQR), €131–€541); domestic-based time costs, incurred by 85 %, mean = €609 (IQR, €170–€976); and domestic-based OOP costs, incurred by 68 %, mean = €69 (IQR, €0–€110). Ongoing costs included domestic-based time costs incurred by 66 % (mean = €66; IQR, €0–€594) and domestic-based OOP costs incurred by 52 % (mean = €52; IQR, €0–€64). The approximate average first year informal care cost was €29,842, of which 85 % was time costs, 13 % OOP costs and 2 % travel costs. Significant cost predictors included carer age, disease stage, and survivor age. CONCLUSION: Informal caregiving associated with colorectal cancer entails considerable time and OOP costs. This burden is largely unrecognised by policymakers, service providers and society in general. These types of studies may facilitate health decision-makers in better assessing the consequences of changes in cancer care organisation and delivery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00520-013-1834-3) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2013-05-07 2013 /pmc/articles/PMC6763575/ /pubmed/23649879 http://dx.doi.org/10.1007/s00520-013-1834-3 Text en © The Author(s) 2013 Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit (http://creativecommons.org/licenses/by-nc-nd/2.0/)
spellingShingle Original Article
Hanly, Paul
Céilleachair, Alan Ó
Skally, Mairead
O’Leary, Eamonn
Kapur, Kanika
Fitzpatrick, Patricia
Staines, Anthony
Sharp, Linda
How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title_full How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title_fullStr How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title_full_unstemmed How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title_short How much does it cost to care for survivors of colorectal cancer? Caregiver’s time, travel and out-of-pocket costs
title_sort how much does it cost to care for survivors of colorectal cancer? caregiver’s time, travel and out-of-pocket costs
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763575/
https://www.ncbi.nlm.nih.gov/pubmed/23649879
http://dx.doi.org/10.1007/s00520-013-1834-3
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