Supportive Care in Cancer

, Volume 21, Issue 12, pp 3461–3469

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

  • Chunyu Li
  • Steven B. Zeliadt
  • Ingrid J. Hall
  • Judith Lee Smith
  • Donatus U. Ekwueme
  • Carol M. Moinpour
  • David F. Penson
  • Ian M. Thompson
  • Thomas E. Keane
  • Scott D. Ramsey
Original Article

DOI: 10.1007/s00520-013-1931-3

Cite this article as:
Li, C., Zeliadt, S.B., Hall, I.J. et al. Support Care Cancer (2013) 21: 3461. doi:10.1007/s00520-013-1931-3

Abstract

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 1 year 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 55 years 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 14.0 h/week (SD = 17.6) to 10.9 h/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 65.9 h/year (SD = 172.4) and 76.2 h/year (SD = 193.3), respectively. The mean annual economic burden among partner caregivers was US$6,063 (range US$571–US$47,105) in 2009 dollars accounted for by a mean of 276.2 h (range 26–2,146) 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.

Keywords

Informal caregiving Prostate cancer Local stage Time cost Household chores Productivity 

Copyright information

© Springer-Verlag Berlin Heidelberg (outside the USA) 2013

Authors and Affiliations

  • 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. 1.Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health PromotionCenters for Disease Control & PreventionAtlantaUSA
  2. 2.Public Health Services DivisionFred Hutchinson Cancer Research CenterSeattleUSA
  3. 3.Health Services Research & Development Center of ExcellenceVA Puget Sound Health Care SystemSeattleUSA
  4. 4.Vanderbilt Institute for Medicine and Public HealthVanderbilt University Medical CenterNashvilleUSA
  5. 5.Department of UrologyUniversity of Texas Health Science Center at San AntonioSan AntonioUSA
  6. 6.Urology ServicesMedical University of South CarolinaCharlestonUSA