Evidence map›Paper›PMID 40682639›Full record

SynthesisPharmacoEconomics2025

The Burden of Informal Caregiving for Adults with Musculoskeletal Conditions: A Systematic Review.

Nanati Legese Alemu, Neha Das, Jennifer J Watts, Suzanne Robinson, Gang Chen, Lan Gao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PharmacoEconomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
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.

Nanati Legese AlemuSchool of Health & Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Melbourne Burwood Campus, 221 Burwood Hwy, Burwood, Melbourne, VIC, 3125, Australia. s224284089@deakin.edu.au.ORCID 0000-0003-1997-1272
Neha DasSchool of Health & Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Melbourne Burwood Campus, 221 Burwood Hwy, Burwood, Melbourne, VIC, 3125, Australia.
Jennifer J WattsSchool of Health & Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Melbourne Burwood Campus, 221 Burwood Hwy, Burwood, Melbourne, VIC, 3125, Australia.
Suzanne RobinsonSchool of Health & Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Melbourne Burwood Campus, 221 Burwood Hwy, Burwood, Melbourne, VIC, 3125, Australia.
Gang ChenCentre for Health Policy, University of Melbourne, 207 Bouverie St, Carlton, VIC, 3053, Australia.
Lan GaoSchool of Health & Social Development, Faculty of Health, Institute for Health Transformation, Deakin University, Melbourne Burwood Campus, 221 Burwood Hwy, Burwood, Melbourne, VIC, 3125, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveInformal caregivers play a critical role in supporting individuals with musculoskeletal conditions. This systematic review aimed to evaluate the psychological and economic burdens associated with caregiving for musculoskeletal conditions.

methodsWe conducted a systematic review in accordance with PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines, searching MEDLINE, Embase, CINAHL, EconLIT, and APA PsycINFO for studies published between 2000 and April 2025. Studies were eligible if they examined the psychological and economic burden of informal caregiving for adults with musculoskeletal conditions. Screening and data extraction were conducted using EndNote 21 and Covidence. Risk of bias was assessed using the CASP checklist for psychological burden studies and the EVERS criteria for economic burden studies. Data were synthesized narratively. An exploratory meta-analysis of informal care hours was conducted using a subset of studies with sufficient statistical data.

resultsA total of 41 studies were included, with 24 reporting psychological burdens, 16 economic burdens, and one for both. Caregiving burden included emotional, social, financial, and time-related impacts, impacting the caregivers' quality of life. Higher anxiety and depression were correlated with a greater caregiver burden. Informal care costs varied by musculoskeletal condition type, location, severity, intensity, and valuation method. Reported informal care hours showed substantial variation across studies. The overall risk of bias across included studies was low.

conclusionsThis systematic review highlights the considerable psychological, economic, and time-related burdens faced by informal caregivers of individuals with musculoskeletal conditions. Caregivers face high stress, physical strain, and opportunity costs. The lack of standardized assessments hinders accurate burden quantification, economic evaluation, and policy responses. Future efforts should focus on adopting consistent measurement instruments and valuation methods, alongside implementing structured policies, financial support, and psychological interventions to better support the caregivers.

Indexed as

Caregiver BurdenCaregiversCost of IllnessMusculoskeletal DiseasesAdultHumansQuality of Life

Identifiers

PMID40682639
PMCPMC12450227

What OpenQuestion holds

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Registered trials

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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.