Guadalupe R. Palos|Tito R. Mendoza|Kaiping Liao|Karen O. Anderson|Araceli García-González|Karin Hahn|Arlene Nazario|Lois M. Ramondetta|Vicente Valero|Garrett R. Lynch|Maria Jibaja?Weiss|Charles S. Cleeland
Caregiver symptom burden: The risk of caring for an underserved patient with advanced cancer
The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|Baylor College of Medicine|Baylor College of Medicine|The University of Texas MD Anderson Cancer Center
abstract background growing diversity population united states high burden cancerrelated symptoms reflect need caregiver research within underserved groups longitudinal study authors assessed changes symptom severity caregivers underserved minority patients diagnosed advanced solid tumors treated public hospitals methods total 85 matched patientcaregiver dyads completed anderson symptom inventory 3 times 20 weeks chemotherapy time point symptom severity interference daily activities assessed groupbased trajectory modeling used classify caregivers highsymptom lowsymptom burden groups results sadness distress prevalent among caregivers p 005 symptom burden remained stable among caregivers highsymptom group 40 whereas lowsymptom group 60 demonstrated statistically significant decrease time multivariate analysis found familymember caregiver adjusted odds ratio adjor 41 95 confidence interval 95 ci 14116 caring highly symptomatic patient adjor 80 95 ci 15414 rather race ethnicity sociodemographic characteristics significant predictors caregivers membership highsymptom burden group conclusions approximately 40 caregivers current study found increased risk moderate severe sadness distress remained severe throughout patients treatment course public hospitals authors knowledge study marks first time concept symptom burden used measure caregiver burden first time symptom burden measured documented dyads caregivers underserved minority patients cancer 2011 2010 american cancer society