Evidence map›Paper›PMID 33478364›Full record

ArticlePalliative medicine2021

The monetary valuation of informal care to cancer decedents at end-of-life: Evidence from a national census survey.

Sean Urwin, Bernard Van den Berg, Yiu-Shing Lau, Christine Rowland, Barbara Hanratty, Gunn Grande

Abstract read
In one paragraph

Article in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Caregiver costs and financial burden in caregivers of African American cancer survivors.Journal of cancer survivorship : research and practice · 2024
    Article
  8. Cost consequences of unscheduled emergency admissions in cancer patients in the last year of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sean UrwinSchool of Health Sciences, University of Manchester, Manchester, UK.ORCID 0000-0002-9084-8368
Bernard Van den BergDepartment of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands.
Yiu-Shing LauSchool of Health Sciences, University of Manchester, Manchester, UK.
Christine RowlandSchool of Health Sciences, University of Manchester, Manchester, UK.
Barbara HanrattyPopulation Health Sciences Institute, Newcastle University, Newcastle, UK.
Gunn GrandeSchool of Health Sciences, University of Manchester, Manchester, UK.ORCID 0000-0003-2200-1680

Funding

Department of HealthWellcome Trust 212812/Z/18/Z
6 · The paper itself

Abstract

backgroundCarers' end-of-life caregiving greatly benefits society but little is known about the monetary value of this care.

aimWithin an end-of-life cancer setting: (1) to assess the feasibility and content validity of a post-bereavement measure of hours of care; and (2) to obtain a monetary value of this informal care and identify variation in this value among sub-groups. DESIGN AND

settingA census based cross-sectional survey of all cancer deaths from a 2-week period in England collected detailed data on caregiving activity (10 caregiving tasks and the time spent on each). We descriptively analyse the information carers provided in 'other' tasks to inform content validity. We assigned a monetary value of caregiving via the proxy good method and examined variation in the value via regression analysis.

resultsThe majority of carers (89.9%) were able to complete the detailed questions about hours and tasks. Only 153 carers reported engaging in 'other' tasks. The monetary value of caregiving at end-of-life was £948.86 per week with social and emotional support and symptom management tasks representing the largest proportion of this monetary valuation. Time of recall did not substantially relate to variation in the monetary value, whereas there was a stronger association for the relationship between the carer and recipient, carer gender and recipient daily living restrictions.

conclusionThe monetary valuation we produce for carers' work is substantial, for example the weekly UK Carers' Allowance only amounts to 7% of our estimated value of £948.86 per week. Our research provides further information on subgroup variation, and a valid carer time instrument and method to inform economic evaluation and policy.

Indexed as

CensusesNeoplasmsCaregiversCross-Sectional StudiesDeathEnglandHumansPatient CarecancerCaregivershealth economicspalliative care

Identifiers

PMID33478364
PMCPMC8022080

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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.