1. Quantifying the economic impact of caregiving for Duchenne muscular dystrophy (DMD) in Spain.
- Author
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Flores D, Ribate MP, Montolio M, Ramos FJ, Gómez M, and García CB
- Subjects
- Adolescent, Caregiver Burden psychology, Caregivers psychology, Child, Child, Preschool, Cost of Illness, Employment economics, Employment statistics & numerical data, Health Expenditures statistics & numerical data, Health Status, Humans, Infant, Male, Mental Health, Muscular Dystrophy, Duchenne epidemiology, Muscular Dystrophy, Duchenne physiopathology, Obsessive-Compulsive Disorder epidemiology, Quality of Life, Socioeconomic Factors, Spain, Caregiver Burden economics, Caregivers economics, Muscular Dystrophy, Duchenne economics
- Abstract
Aim: To establish the potential economic burden in caregivers to patients with DMD and the potential causative factors., Method: Caregivers to patients with DMD were recruited through the DMD patients Register and questioned about several economic aspects using "ad-hoc" questionnaires., Results: All families, apart from one (97.2% n = 36), incurred in monthly medical costs (44% of the families more than 50 euros/month). 97.2% of the households considered looking after a patient of DMD as financially burdensome, and 80.5% of households declared to have suffered work changes, especially the mothers (job timetable-related mainly). The presence of obsessive-compulsive disorders (OCD) in patients was significantly associated with caregivers' high financial burden as these were six times more likely to have this perception OR = 6468 IC 95% (1056-39,601), p = 0.043. Also, when patients had learning difficulties, caregivers had up to six times more chances to incur in monthly expenditure for formal care OR = 6089 IC 95% (1112-33,342), p = 0.037., Interpretation: Caregivers have relevant financial burden that might be conditioned by the clinical condition of the patient., What This Paper Adds: Quantitative data about financial burden in DMD Spanish families providing informal care. Identification of the patient's main clinical issues associated with financial burden.
- Published
- 2020
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