Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
The PATIENTS Program, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Expert Rev Pharmacoecon Outcomes Res. 2022 Oct;22(7):1051-1060. doi: 10.1080/14737167.2022.2080056. Epub 2022 Jun 2.
INTRODUCTION: Economic evaluations typically focus solely on patient-specific costs with economic spillovers to informal caregivers less frequently evaluated. This may systematically underestimate the burden resulting from disease. AREAS COVERED: Cost-of-illness (COI) analyses that identified costs borne to caregiver(s) were identified using PubMed and Embase. We extracted study characteristics, clinical condition, costs, and cost methods. To compare caregiver costs reported across studies, estimated a single 'annual caregiver cost' amount in 2021 USD. EXPERT OPINION: A total of 51 studies met our search criteria for inclusion with estimates ranging from $30 - $86,543. The majority (63%, 32/51) of studies estimated caregiver time costs with fewer studies reporting productivity or other types of costs. Caregiver costs were frequently reported descriptively (69%, 35/51), with fewer studies reporting more rigorous methods of estimating costs. Only 27% (14/51) of studies included used an incremental analysis approach for caregiver costs. In a subgroup analysis of dementia-focused studies (n = 16), we found the average annual cost of caregiving time for patients with dementia was $30,562, ranging from $4,914 to $86,543. We identified a wide range in annual caregiver cost estimates, even when limiting by condition and cost type.
简介:经济评估通常仅关注患者特定的成本,而经济溢出对非正式照顾者的影响评估较少。这可能会系统地低估疾病带来的负担。
涵盖领域:使用 PubMed 和 Embase 确定了识别出照顾者承担的成本的疾病成本(COI)分析。我们提取了研究特征、临床状况、成本和成本方法。为了比较跨研究报告的照顾者成本,我们在 2021 年美元中估计了一个单一的“年度照顾者成本”金额。
专家意见:共有 51 项研究符合我们的纳入标准,估计范围从 30 美元到 86543 美元不等。大多数(63%,32/51)研究估计了照顾者的时间成本,而较少的研究报告了生产力或其他类型的成本。照顾者成本经常以描述性方式报告(69%,35/51),而较少的研究报告了更严格的成本估算方法。只有 27%(14/51)的研究包括使用增量分析方法来估算照顾者成本。在以痴呆症为重点的研究(n=16)的亚组分析中,我们发现痴呆症患者照顾者时间的平均年度成本为 30562 美元,范围从 4914 美元到 86543 美元。即使按条件和成本类型进行限制,我们也发现年度照顾者成本估算值存在很大差异。
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