Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
More competent informal caregivers reduce advanced cancer patients' unplanned healthcare use and costs.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- معلومة اضافية
- المصدر:
Publisher: John Wiley & Sons Ltd Country of Publication: United States NLM ID: 101595310 Publication Model: Print Cited Medium: Internet ISSN: 2045-7634 (Electronic) Linking ISSN: 20457634 NLM ISO Abbreviation: Cancer Med Subsets: MEDLINE
- بيانات النشر:
Original Publication: [Malden, MA] : John Wiley & Sons Ltd., c2012-
- الموضوع:
- نبذة مختصرة :
Background: Patients with metastatic cancer experience high healthcare use and costs, most of which are unplanned. We aimed to assess whether patients with more competent informal caregivers have lower unplanned healthcare use and costs.
Methods: This study used data from a prospective cohort of patients with solid metastatic cancer. Patients and their informal family caregivers were surveyed every 3 months until patients' death. Patients' unplanned healthcare use/costs were examined through hospital records. Caregivers responded to the 4-item Caregiver Competence Scale. First, in a deceased subsample of patients and their caregivers, we used patients' last 2 years of data (226 dyads) to assess the association between caregivers' competency (independent variable) and patients' unplanned healthcare use/costs (outcomes). Next, in a prospective sample of patient-caregiver dyads (up to 15 surveys), we assessed whether patients' functional well-being and psychological distress moderated the association between caregivers' competency and unplanned healthcare use/costs (311 dyads).
Results: In the deceased subsample, during last 2 years of patients' life, caregivers' higher competency lowered the odds of patients' unplanned healthcare use [OR (CI) = 0.86 (0.75, 0.98), p = 0.03], and was associated with a significant reduction in unplanned healthcare costs [Coeff (CI) = -0.19 (-0.36, -0.01), p = 0.03]. In the prospective sample, patients' functional well-being and psychological distress moderated the association between caregivers' competency and patients' unplanned healthcare use/costs.
Conclusion: With deterioration in patients' condition and an increase in caregiving demands, improving caregivers' competency can reduce patients' unplanned healthcare use and costs. This should be further tested in future trials.
(© 2024 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd.)
- References:
Curr Treat Options Oncol. 2022 Apr;23(4):494-513. (PMID: 35286571)
J Cancer Surviv. 2021 Oct;15(5):729-737. (PMID: 33169190)
Support Care Cancer. 2022 Sep;30(9):7341-7353. (PMID: 35610320)
J Nutr Health Aging. 2018;22(10):1238-1245. (PMID: 30498832)
Eur J Cancer Care (Engl). 2018 Mar;27(2):e12796. (PMID: 29143390)
Am J Geriatr Psychiatry. 2021 Mar;29(3):295-303. (PMID: 32718853)
J Pain Symptom Manage. 2009 Jan;37(1):23-32. (PMID: 18504093)
JAMA Netw Open. 2019 Sep 4;2(9):e1910878. (PMID: 31490539)
Psychooncology. 2022 Jul;31(7):1152-1160. (PMID: 35165978)
Gerontologist. 1990 Oct;30(5):583-94. (PMID: 2276631)
Psychooncology. 1998 Jan-Feb;7(1):3-13. (PMID: 9516646)
Cancer Med. 2023 Apr;12(8):9956-9965. (PMID: 36934452)
Cancer Med. 2018 Sep;7(9):4434-4446. (PMID: 30117313)
Psychol Health. 2016 Nov;31(11):1293-310. (PMID: 27356241)
Palliat Support Care. 2018 Jun;16(3):269-277. (PMID: 28464972)
J Natl Compr Canc Netw. 2022 Sep;20(9):997-1004.e3. (PMID: 36075386)
CA Cancer J Clin. 2010 Sep-Oct;60(5):317-39. (PMID: 20709946)
Singapore Med J. 2017 May;58(5):258-261. (PMID: 27090600)
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719875636. (PMID: 31550971)
J Oncol Pract. 2019 Jan;15(1):e20-e29. (PMID: 30523749)
BMC Palliat Care. 2022 May 16;21(1):73. (PMID: 35578270)
Cancer Med. 2024 Jun;13(11):e7366. (PMID: 38872395)
Support Care Cancer. 2023 Mar 4;31(3):201. (PMID: 36869930)
J Support Oncol. 2012 Mar-Apr;10(2):57-64. (PMID: 22222251)
Cancer Nurs. 2022 Sep-Oct 01;45(5):363-368. (PMID: 34608049)
Qual Life Res. 2021 May;30(5):1379-1387. (PMID: 33835413)
Palliat Med. 2012 Oct;26(7):930-8. (PMID: 21908520)
J Pain Symptom Manage. 2015 Mar;49(3):497-504. (PMID: 25131891)
Proc Natl Acad Sci U S A. 2017 Jul 11;114(28):7319-7324. (PMID: 28655841)
Aging Ment Health. 2012;16(8):1004-15. (PMID: 22838393)
J Gerontol B Psychol Sci Soc Sci. 2009 Nov;64(6):799-807. (PMID: 19465748)
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. (PMID: 6880820)
J Am Geriatr Soc. 2017 Oct;65(10):2220-2226. (PMID: 28836269)
Patient Educ Couns. 2008 Jun;71(3):356-64. (PMID: 18372142)
Am J Geriatr Psychiatry. 2011 Apr;19(4):382-91. (PMID: 20808120)
Int J Geriatr Psychiatry. 2000 Mar;15(3):234-41. (PMID: 10713581)
BMJ Support Palliat Care. 2020 Dec;10(4):435-442. (PMID: 31806656)
BMC Cancer. 2018 Apr 23;18(1):459. (PMID: 29688843)
Support Care Cancer. 2020 Aug;28(8):3781-3789. (PMID: 31832824)
Psychooncology. 2022 Jul;31(7):1161-1168. (PMID: 35199404)
J Natl Cancer Inst. 2023 Aug 8;115(8):896-908. (PMID: 37279594)
Age Ageing. 2022 Jan 6;51(1):. (PMID: 34673931)
J Cancer Surviv. 2021 Dec;15(6):825-836. (PMID: 33409857)
Med Decis Making. 2023 Feb;43(2):191-202. (PMID: 36113405)
J Clin Oncol. 1993 Mar;11(3):570-9. (PMID: 8445433)
JCO Oncol Pract. 2020 Nov;16(11):e1291-e1303. (PMID: 32574133)
BMC Geriatr. 2021 Jan 19;21(1):67. (PMID: 33468059)
Eur J Cardiovasc Nurs. 2017 Dec;16(8):707-714. (PMID: 28513209)
Psychooncology. 2010 Oct;19(10):1013-25. (PMID: 20014159)
Cancer. 2017 Mar 1;123(5):832-840. (PMID: 27787881)
- Grant Information:
2015-SM-0003 Singapore Millennium Foundation; LCPC-IN14-0003 Lien Centre for Palliative Care
- Contributed Indexing:
Keywords: advanced cancer; cancer caregivers; caregiver competency; unplanned healthcare costs; unplanned healthcare use
- الموضوع:
Date Created: 20240614 Date Completed: 20240614 Latest Revision: 20240618
- الموضوع:
20240618
- الرقم المعرف:
PMC11176569
- الرقم المعرف:
10.1002/cam4.7366
- الرقم المعرف:
38872395
No Comments.