ArticleJournal of the American Geriatrics Society2017
Association Between Spousal Caregiver Well-Being and Care Recipient Healthcare Expenditures.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- International depiction of the cost of functional independence limitations among older adults living in the community: a systematic review and cost-of-impairment study.BMC geriatrics · 2022Pooled it
- A randomized wait-list controlled trial of a social support intervention for caregivers of patients with primary malignant brain tumor.BMC health services research · 2021Trial
- Resilience and Protective Factors Associated with Well-Being Among Older Informal Caregivers: A Convergent Segregated Mixed Studies Systematic Review.European journal of investigation in health, psychology and education · 2026Review
- The Impact of Dementia Caregiving on the Health of the Spousal Caregiver.Medicina (Kaunas, Lithuania) · 2026Review
- The Family Caregiver Role From the Perspective of Older Women Experiencing Poverty in a High-Income Country: A Qualitative Study.Journal of advanced nursing · 2026Article
- "Better Sleep Means I'm Better Able to Provide Care": Caregivers' Perceived Impacts of an Internet-Delivered Insomnia Intervention.International journal of behavioral medicine · 2026Article
- AutoFOCUS: A mindfulness-based intervention for caregivers of autologous hematopoietic stem cell transplant recipients.Palliative & supportive care · 2025Article
- The costs of dementia care by US state: Medical spending and the cost of unpaid caregiving.Journal of Alzheimer's disease : JAD · 2025Article
- Experiences in Coping with Stress-A Qualitative Study of Family Caregivers of Children with Medical Complexity.Children (Basel, Switzerland) · 2024Article
- More competent informal caregivers reduce advanced cancer patients' unplanned healthcare use and costs.Cancer medicine · 2024Article
- The Hemodialysis Distress Thermometer for Caregivers (HD-DT-C): development and testing of the psychometric properties of a new tool for screening psychological distress among family caregivers of adults on hemodialysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Prevalence Estimates of Arthritis and Activity-Limiting Pain Among Family Caregivers to Older Adults.The Gerontologist · 2024Article
- Feasibility and acceptability of C-PRIME: A health promotion intervention for family caregivers of patients with colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Gatekeepers: The Association of Caregiving Network Characteristics With Emergency Department Use by Persons Living With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Association of rurality, type of primary caregiver and place of death with end-of-life medical expenditures among the oldest-old population in China.International journal for equity in health · 2023Article
- Public spending on acute and long-term care for Alzheimer's disease and related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- "The Impact of Demographic Change on Transfers of Care and Associated Well‑being".Population research and policy review · 2022Article
- Assessing Health Care Use Trajectories After the Onset of Functional Disability: Application of a Group-Based Trajectory Model.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Posttraumatic Stress Disorder Symptom Clusters in Surrogate Decision Makers of Patients Experiencing Chronic Critical Illness.Critical care explorations · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo measure the association between spousal depression, general health, fatigue and sleep, and future care recipient healthcare expenditures and emergency department (ED) use.
designProspective cohort study.
settingHealth and Retirement Study.
participantsHome-dwelling spousal dyads in which one individual (care recipient) was aged 65 and older and had one or more activity of daily living or instrumental activity of daily living disabilities and was enrolled in Medicare Part B (N = 3,101). EXPOSURE: Caregiver sleep (Jenkins Sleep Scale), depressive symptoms (Center for Epidemiologic Studies Depression-8 Scale), and self-reported general health measures. MEASUREMENTS: Primary outcome was care recipient Medicare expenditures. Secondary outcome was care recipient ED use. Follow-up was 6 months.
resultsCaregiver depressive symptoms score and six of 17 caregiver well-being measures were prospectively associated with higher care recipient expenditures after minimal adjustment (P < .05). Higher care recipient expenditures remained significantly associated with caregiver fatigue (cost increase, $1,937, 95% confidence interval (CI) = $770-3,105) and caregiver sadness (cost increase, $1,323, 95% CI = $228-2,419) after full adjustment. Four of 17 caregiver well-being measures, including severe fatigue, were significantly associated with care recipient ED use after minimal adjustment (P < .05). Greater odds of care recipient ED use remained significantly associated with caregiver fatigue (odds ratio (OR) = 1.24, 95% CI = 1.01-1.52) and caregiver fair to poor health (OR = 1.23, 95% CI = 1.04-1.45) after full adjustment. Caregiver total sleep score was not associated with care recipient outcomes.
conclusionPoor caregiver well-being, particularly severe fatigue, is independently and prospectively associated with higher care recipient Medicare expenditures and ED use.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.