How Does Caregiver Well-Being Relate to Perceived Quality of Care in Patients With Cancer? Exploring Associations and Pathways
Open accessAbstract
Purpose: Perceived quality of care (QOC) is an increasingly important metric of care quality and can be affected by such factors among patients with cancer as quality of life and physician trust. This study sought to evaluate whether informal caregiver well-being was also associated with perceived QOC among patients with cancer and assessed potential pathways that link these factors. Methods: This study used data from the Cancer Care Outcomes Research and Surveillance (CanCORS) consortium. Patients with lung and colorectal cancer enrolled in CanCORS (N = 689) nominated an informal caregiver to participate in a caregiving survey. Both groups self-reported sociodemographic, psychosocial, and caregiving characteristics; cancer characteristics were obtained from the CanCORS core data set. Multivariable logistic regression was used to assess the association between caregiver psychosocial factors and subsequent patient-perceived QOC, controlling for earlier patient-perceived QOC and covariates. Secondary analysis examined potential pathways that link these factors. Results: Patients whose informal caregiver had higher levels of depressive symptoms were significantly more likely to report fair or poor QOC (odds ratio, 1.06; 95% CI, 1.01 to 1.13). When caregivers reported fair or poor self-rated health, patients were more than three times more likely to report fair or poor perceived QOC (odds ratio, 3.76; 95% CI, 1.76 to 9.55). Controlling for patient psychosocial factors and physician communication and coordination of medical care reduced the effect size and/or statistical significance of these relationships. Conclusion: Informal caregivers are an important part of the care team and their well-being is associated with patient-perceived QOC. Engaging informal cancer caregivers as part of the care team and conducting ongoing risk stratification screening and intervention to optimize their health may improve patient-reported outcomes and QOC.
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Caring for advanced cancer patients might have a negative impact on one's health.
“Studies have shown that caring for advanced cancer patients might have a negative impact on one's health [1, 10, 11].”
From Preparedness, resilience and unmet needs of informal caregivers of advanced cancer patients in a Regional Mission Hospital in Kenya: Qualitative Study (2023) · cites this paper as [11]
The Discussion (page unavailable) reports that patient depressive symptoms were associated with caregivers’ mental and physical health-related quality of life, so the paper supports a possible link between a patient’s condition and caregiver health. It does not establish that caregiving itself negatively affects health, or report that finding specifically for caregivers of advanced cancer patients. (LLM, conf=0.78)
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Self-citation
- Authors
- Litzelman, K., Kent, E. E., Mollica, M., & Rowland, J. H.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Litzelman, Kristin
- Venue
- Journal of Clinical Oncology
- Published
- 2016-10-10
- Volume
- 34
- Issue
- 29
- Pages
- 3554-3561
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC5074348
- OpenAlex
- W2514499626
- Cited by
- 140
- References
- 39
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 15 · 2023: 18 · 2022: 17 · 2021: 19 · 2020: 11 · 2019: 16 · 2018: 9 · 2017: 7
- FWCI
- 5.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs (CRS 02-164)
- Australian Government
- National Institutes of Health (5u01ca093344-08)
- National Cancer Institute (CRS 02-164, U01CA093339, U01CA093326, U01-CA093344, U01CA093348, U01CA093329, U01CA093332, U01CA093324)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- informal caregivers, caregiver well-being, perceived quality of care, cancer patients, depressive symptoms, lung cancer, colorectal cancer, patient-reported outcomes, trust in physicians, physician communication, care coordination
- MeSH terms
- Adult, Aged, Depression, Female, Health Status, Humans, Lung Neoplasms, Male, Middle Aged, Perception, Quality of Health Care, Surveys and Questionnaires, Colorectal Neoplasms, Caregivers
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