Evidence map›Paper›PMID 40696322›Full record

Observational studyBMC pediatrics2025

Healthcare resource utilization and caregiver burden associated with rotavirus gastroenteritis hospitalizations in Taiwan.

Yhu-Chering Huang, Chih-Hsien Chuang, Chia-Jung Hsieh, Chiu-Mei Hsieh, Ying Hui Wu, Questa Lin, Joanne Lin, Fei Qin, Janine Verstraete, Michael Herdman and 1 more

Abstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Yhu-Chering HuangDepartment of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chih-Hsien ChuangSchool of Medicine, College of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan.
Chia-Jung HsiehDepartment of Pediatrics, Hungchi Women & Children's Hospital, Taoyuan, Taiwan.
Chiu-Mei HsiehDepartment of Pediatrics, Dr. Hsieh Clinic, Taoyuan, Taipei, Taiwan.
Ying Hui WuMSD, Taipei, Taiwan.
Questa LinOracle Life Sciences, Taipei, Taiwan.
Joanne LinOracle Life Sciences, Taipei, Taiwan.
Fei QinCerner Enviza, Shanghai, China.
Janine VerstraeteDepartment of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Michael HerdmanSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Cristina CariasMerck & Co., Inc, Rahway, NJ, USA. dasilvcr@merck.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRotavirus infection is a leading cause of acute gastroenteritis in children aged < 5 years. However, few studies assessed the spillover effect on caregivers' health-related quality of life (HRQoL) and out-of-pocket costs associated with rotavirus gastroenteritis (RGE) in Taiwan.

methodsThis is a prospective, observational, survey-based study conducted in Northern Taiwan between March 2021-September 2023. Caregivers were interviewed during the RGE-hospitalization episode and after patient discharge. One caregiver per child aged ≤ 9 years with clinical presentation of a new RGE hospitalization was enrolled. Outcomes assessed included caregiver HRQoL, emotional state, impact on daily routine, healthcare resource utilization (HCRU), and direct and indirect costs.

resultsThe mean age of inpatients was 3.03 years and 69.0% were male. Rotavirus genotype G3P[8] was detected in 61.2% of patients. Caregivers' mean age was 33.7 years, 79.3% were female, and 65.5% had monthly household income < NT$80,000. Caregivers reported significantly higher health state (EQ visual analog scale) after discharge (86.21) than during RGE hospitalization (74.48) (p = 0.049). Among the caregivers, 65.5% and 69.0% experienced disruptions in sleep and leisure activities, respectively. About 45% were worried about complications and 41.4% were concerned about their child's recovery. The total medical costs associated with hospitalization, reimbursed by National Health Insurance, averaged US$575.56. Additional out-of-pocket costs included US$82.51 for medical visits, US$44.95 for transportation, US$5.47 for medication, and US$90.41 for meals outside the home. The caregivers also reported taking an average of 0.12, 1.18, and 1.82 days of child/parental, paid, and unpaid leave, respectively. The estimated wage loss associated with the days not working was US$246.67.

conclusionRGE poses a significant burden on caregivers' HRQoL, daily activities, and out-of-pocket costs. Interventions aimed at mitigating the spillover effects of RGE on caregivers are essential to improve family well-being. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Caregiver BurdenCaregiversCost of IllnessGastroenteritisHospitalizationPatient Acceptance of Health CareRotavirus InfectionsAdultChildChild, PreschoolFemaleHealth ExpendituresHumansInfantMaleProspective StudiesCaregivers burdenHealth-related quality of lifeOut-of-pocket costsRotavirus gastroenteritisWork productivity and activity impairment

Identifiers

PMID40696322
PMCPMC12285146

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.