Economic Burden for Informal Caregivers of Lung and Colorectal Cancer Patients

• Published in: The oncologist (Dayton, Ohio) Ohio), 2010-08, Vol.15 (8), p.883-893
• Main Authors: Van Houtven, Courtney Harold, Ramsey, Scott D., Hornbrook, Mark C., Atienza, Audie A., Ryn, Michelle
• Format: Article
• Language: English
• Subjects: Aged; Cancer caregiving; Caregivers - economics; Colorectal cancer; Colorectal Neoplasms - economics; Cost of Illness; Cross-Sectional Studies; Female; Humans; Informal care; Lung cancer; Lung Neoplasms - economics; Male; Middle Aged; Opportunity costs; Outcomes Research; Out‐of‐pocket costs; Phase of disease; Retrospective Studies; Stage of disease; United States
• ISSN: 1083-7159; 1549-490X
• DOI: 10.1634/theoncologist.2010-0005

Background. Informal care provides many benefits to cancer patients, but can be costly to caregivers. This study quantified the economic burden for informal caregivers of lung cancer (LC) and colorectal cancer (CRC) patients, examining differences by cancer type, phase of disease, stage at diagnosis, patient age, and relationship. Methods. A cross‐sectional survey of caregivers of LC and CRC patients participating in the Share Thoughts on Care survey was conducted. Economic burden was calculated using the opportunity cost of caregiver time, the value of work hours lost, and out‐of‐pocket expenditures. Factors associated with economic burden to caregivers were modeled using fixed‐effects generalized least squares estimation. Results. Informal caregivers (1,629) completed mailed surveys. Of these, 663, 822, and 144 were surveyed during the patient's initial phase (first year after diagnosis, not within 6 months of death), continuing phase (after 1 year, not within 6 months of death), and terminal phase (within 6 months of death) of disease, respectively. The accumulated economic burdens for caregivers were $7,028, $19,701, and $14,234 for those evaluated during the patient's initial phase, continuing phase, and terminal phase of disease, respectively. Economic burden was higher for caregivers of LC patients than CRC patients (p = .044) and for caregivers of patients diagnosed at stage 4 versus stage 1 (p = .001). Spouses faced higher economic burden than other relatives (p = .000) or friends (p = .000). Conclusions. Economic burden for informal caregivers of LC and CRC patients is substantial and should be included in estimates of the societal cost of cancer care. This study quantified the economic burden for informal caregivers of lung cancer and colorectal cancer patients, by cancer type, phase of disease, stage at diagnosis, patient age, and relationship, and found this burden to be substantial.