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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Autores principales:	Ganapathy V, Graham GD, DiBonaventura MD, Gillard PJ, Goren A, Zorowitz RD
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	burden caregiver productivity spasticity stroke Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/f5fdc249906045669c74628d71c9429e
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spelling	oai:doaj.org-article:f5fdc249906045669c74628d71c9429e2021-12-02T00:16:06ZCaregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity1178-1998https://doaj.org/article/f5fdc249906045669c74628d71c9429e2015-11-01T00:00:00Zhttps://www.dovepress.com/caregiver-burden-productivity-loss-and-indirect-costs-associated-with--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Vaidyanathan 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, strokeGanapathy VGraham GDDiBonaventura MDGillard PJGoren AZorowitz RDDove Medical PressarticleburdencaregiverproductivityspasticitystrokeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1793-1802 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	burden caregiver productivity spasticity stroke Geriatrics RC952-954.6
spellingShingle	burden caregiver productivity spasticity stroke Geriatrics RC952-954.6 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
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
format	article
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
title	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_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_sort	caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/f5fdc249906045669c74628d71c9429e
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_version_	1718403900110798848

Caregiver burden, productivity loss, and indirect costs associated with caring for patients with poststroke spasticity

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