Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity
Vaidyanathan Ganapathy,1 Glenn D Graham,2 Marco D DiBonaventura,3 Patrick J Gillard,1 Amir Goren,3 Richard D Zorowitz41Allergan, Irvine, CA, USA; 2Department of Veterans Affairs, San Francisco, CA, USA; 3Health Outcomes Practice, Kantar Health, New York, NY, USA; 4Johns Hopkins Bayview Medical Cente...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2015-11-01
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| Series: | Clinical Interventions in Aging |
| Subjects: | |
| Online Access: | https://www.dovepress.com/caregiver-burden-productivity-loss-and-indirect-costs-associated-with--peer-reviewed-article-CIA |
| _version_ | 1818433184675659776 |
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| author | Ganapathy V Graham GD DiBonaventura MD Gillard PJ Goren A Zorowitz RD |
| author_facet | Ganapathy V Graham GD DiBonaventura MD Gillard PJ Goren A Zorowitz RD |
| author_sort | Ganapathy V |
| collection | DOAJ |
| description | Vaidyanathan Ganapathy,1 Glenn D Graham,2 Marco D DiBonaventura,3 Patrick J Gillard,1 Amir Goren,3 Richard D Zorowitz41Allergan, Irvine, CA, USA; 2Department of Veterans Affairs, San Francisco, CA, USA; 3Health Outcomes Practice, Kantar Health, New York, NY, USA; 4Johns Hopkins Bayview Medical Center, Baltimore, MD, USAObjective: Many stroke survivors experience poststroke spasticity and the related inability to perform basic activities, which necessitates patient management and treatment, and exerts a considerable burden on the informal caregiver. The current study aims to estimate burden, productivity loss, and indirect costs for caregivers of stroke survivors with spasticity.Methods: Internet survey data were collected from 153 caregivers of stroke survivors with spasticity including caregiving time and difficulty (Oberst Caregiver Burden Scale), Work Productivity and Activity Impairment measures, and caregiver and patient characteristics. Fractional logit models examined predictors of work-related restriction, and work losses were monetized (2012 median US wages).Results: Mean Oberst Caregiver Burden Scale time and difficulty scores were 46.1 and 32.4, respectively. Employed caregivers (n=71) had overall work restriction (32%), absenteeism (9%), and presenteeism (27%). Caregiver characteristics, lack of nursing home coverage, and stroke survivors’ disability predicted all work restriction outcomes. The mean total lost-productivity cost per employed caregiver was US$835 per month (>$10,000 per year; 72% attributable to presenteeism).Conclusion: These findings demonstrate the substantial burden of caring for stroke survivors with spasticity illustrating the societal and economic impact of stroke that extends beyond the stroke survivor.Keywords: burden, caregiver, productivity, spasticity, stroke |
| first_indexed | 2024-12-14T16:17:04Z |
| format | Article |
| id | doaj.art-f5fdc249906045669c74628d71c9429e |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-14T16:17:04Z |
| publishDate | 2015-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-f5fdc249906045669c74628d71c9429e2022-12-21T22:54:54ZengDove Medical PressClinical Interventions in Aging1178-19982015-11-01Volume 101793180224520Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticityGanapathy VGraham GDDiBonaventura MDGillard PJGoren AZorowitz RDVaidyanathan Ganapathy,1 Glenn D Graham,2 Marco D DiBonaventura,3 Patrick J Gillard,1 Amir Goren,3 Richard D Zorowitz41Allergan, Irvine, CA, USA; 2Department of Veterans Affairs, San Francisco, CA, USA; 3Health Outcomes Practice, Kantar Health, New York, NY, USA; 4Johns Hopkins Bayview Medical Center, Baltimore, MD, USAObjective: Many stroke survivors experience poststroke spasticity and the related inability to perform basic activities, which necessitates patient management and treatment, and exerts a considerable burden on the informal caregiver. The current study aims to estimate burden, productivity loss, and indirect costs for caregivers of stroke survivors with spasticity.Methods: Internet survey data were collected from 153 caregivers of stroke survivors with spasticity including caregiving time and difficulty (Oberst Caregiver Burden Scale), Work Productivity and Activity Impairment measures, and caregiver and patient characteristics. Fractional logit models examined predictors of work-related restriction, and work losses were monetized (2012 median US wages).Results: Mean Oberst Caregiver Burden Scale time and difficulty scores were 46.1 and 32.4, respectively. Employed caregivers (n=71) had overall work restriction (32%), absenteeism (9%), and presenteeism (27%). Caregiver characteristics, lack of nursing home coverage, and stroke survivors’ disability predicted all work restriction outcomes. The mean total lost-productivity cost per employed caregiver was US$835 per month (>$10,000 per year; 72% attributable to presenteeism).Conclusion: These findings demonstrate the substantial burden of caring for stroke survivors with spasticity illustrating the societal and economic impact of stroke that extends beyond the stroke survivor.Keywords: burden, caregiver, productivity, spasticity, strokehttps://www.dovepress.com/caregiver-burden-productivity-loss-and-indirect-costs-associated-with--peer-reviewed-article-CIAburdencaregiverproductivityspasticitystroke |
| spellingShingle | Ganapathy V Graham GD DiBonaventura MD Gillard PJ Goren A Zorowitz RD Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity Clinical Interventions in Aging burden caregiver productivity spasticity stroke |
| title | Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity |
| title_full | Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity |
| title_fullStr | Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity |
| title_full_unstemmed | Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity |
| title_short | Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity |
| title_sort | caregiver burden productivity loss and indirect costs associated with caring for patients with poststroke spasticity |
| topic | burden caregiver productivity spasticity stroke |
| url | https://www.dovepress.com/caregiver-burden-productivity-loss-and-indirect-costs-associated-with--peer-reviewed-article-CIA |
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