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Cited by 18Health Systems, Economic Evaluations, Quality of LifeCancer survivorship and careNursing care and research

Health utility scores of family caregivers for leukemia patients measured by EQ-5D-3L: a cross-sectional survey in China

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Yu, Hongjuan, Zhang, Huan, Yang, Jinjin, Liu, Chaojie, Lu, Chengfang, Yang, Hongbin, Huang, Weidong, Zhou, Jin +5 more·2018·BMC Cancer
DOI 10.1186/s12885-018-4855-yPMC PMC6171222
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Abstract

BACKGROUND: This study assessed the health related quality of life of family caregivers (FCs) of leukemia patients by using the health utility scores derived from the EuroQol five-dimensional (EQ-5D) questionnaire. METHODS: A cross-sectional survey was undertaken on 306 family caregivers of leukemia patients to assess their health utility using the EQ-5D-3L. Participants were recruited from three hospitals in China's Heilongjiang province. The health utility scores of the participants were estimated based on the Chinese EQ-5D-3L value set and compared with those of the local general population. Factors predicting the health utility scores were identified through the Kruskal-Wallis analysis of variance and median regression analyses. RESULTS: FCs had lower health utility scores than the general population (p < 0.001). The participants with a lower socioeconomic status had lower utility scores and reported more problems than those with a higher socio-economic status. Better family function and higher social support were associated with higher health utility scores. The type of leukemia, household income, and social support are significant predictors of health utility scores of the FCs. Chronic lymphocytic leukemia, low socio-economic status, and low social support are associated with lower health utility scores of the FCs. CONCLUSIONS: FCs for leukemia patients have lower health utility scores than the local general population, as measured by the EQ-5D-3L. There is an immediate need to address the health concerns of FCs, who play an important role in the Chinese health care system.

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  • 10 studies emphasized the need of enhancing social support by reinforcing support networks and facilitating access to support groups and associations.

    “Among the strategies described, 10 studies [28,29,31,32,36,39,41,50,54,57] emphasized the need of enhancing social support by means of reinforcing the support networks and facilitating access to support groups and associations.”

    From Quality of Life in Caregivers of Cancer Patients: A Literature Review (2023) · cites this paper as [39]

    The Discussion says social support is important for family caregivers of leukemia patients and notes that caregiver-support programs are lacking in China. It does not recommend reinforcing support networks or facilitating access to support groups and associations as specific strategies. The count of 10 studies is the citing authors’ synthesis, not a finding attributed to this individual paper. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • 10 studies described financial problems of caregivers, resulting from costs associated with the disease, lack of financial support of other family members, or difficulty reconciling role as caregivers with work activity.

    “In the economic sphere, 10 studies [25,27,39,44,53,56,57] described the financial problems of people caregivers, resulting from the costs associated with the disease, the lack of financial support of other family members, or the difficulty of reconciling their role as caregivers with their work activity.”

    From Quality of Life in Caregivers of Cancer Patients: A Literature Review (2023) · cites this paper as [39]

    The Background (page unavailable) says families of cancer patients face a heavy economic burden and risk catastrophic health spending, supporting the disease-cost aspect. The Results (page unavailable) associate caregivers’ low income and unemployment with lower health utility, but the paper does not describe a lack of financial support from other family members or difficulty reconciling caregiving with work. The citing paper’s count of 10 studies is not a finding attributed to this individual source. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • One study pointed out the need of providing financial support to caregivers in order to improve their well-being.

    “One study [39] pointed out the need of providing financial support to caregivers in order to improve their well-being.”

    From Quality of Life in Caregivers of Cancer Patients: A Literature Review (2023) · cites this paper as [39]

    The Discussion (page not available) reports lower health utility among caregivers with the lowest household income, which supports concern about their financial circumstances. It does not recommend providing financial support as a way to improve well-being; instead, it cautions that financial support alone may not solve caregivers’ low health utility. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Care provision by caregivers of adults with cancer causes financial problems, including lack of financial support, costs derived from the disease process, and difficulty developing work activity.

    “Several review studies [25,27,39,44,53,56,57] mentioned the financial problems of caregivers, highlighting among the possible causes, the lack of financial support, the costs derived from the disease process itself, or the difficulty of developing their work activity.”

    From Quality of Life in Caregivers of Cancer Patients: A Literature Review (2023) · cites this paper as [39]

    The Background states that families of cancer patients in China bear a heavy economic burden and are vulnerable to catastrophic health spending. It does not identify lack of financial support or difficulty working as causes of caregivers’ financial problems. The cited paper is a cross-sectional survey, not a review study; page numbers were not available in our copy. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

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Cited by

Sorted by citations

Authors
Yu, H., Zhang, H., Yang, J., Liu, C., Lu, C., Yang, H., Huang, W., Zhou, J., Fu, W., Shi, L., Yan, Y., Liu, G., & Li, L.
Affiliations
  • Harbin Medical University (CN)
  • La Trobe University (AU)
Corresponding author
  • Huang, Weidong
  • Liu, Guoxiang
  • Li, Limin
ORCID
Venue
BMC Cancer
Publisher
Springer Science and Business Media LLC
Published
2018-10-03
Volume
18
Issue
1
Pages
950-950
ISSN
1471-2407 (ISSN-L)
DOI
10.1186/s12885-018-4855-y
PMC
PMC6171222
OpenAlex
W2895701095
Cited by
18
References
2
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 1
FWCI
3.04
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Cancer (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • the National Natural Scientific Foundation of China (71503062)
  • China Postdoctoral Fund (2017M611402)
  • the Heilongjiang Postdoctoral Fund (LBH-Z16137, LBH-Z16240)
  • Key Lab of Health Technology Assessment, National Health and Family Planning Commission of the People’s Republic of China (FHTA2017-08)
  • the HMU Innovation Fund (2017RWZX08)
  • the Health and Family Planning Commission of Heilongjiang Province (2009–230)
  • the Hospital Foundation of the First Affiliated Hospital of Harbin Medial University (2015B019)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
Keywords
family caregivers, leukemia, health-related quality of life, health utility, EQ-5D-3L, socioeconomic status, social support, family functions, chronic lymphocytic leukemia, caregiver burden
MeSH terms
Adult, China, Cross-Sectional Studies, Family, Female, Humans, Leukemia, Male, Middle Aged, Patient Acceptance of Health Care, Quality of Life, Social Support, Socioeconomic Factors, Caregivers, Public Health Surveillance

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