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Text
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<a href="http://doi.org/10.1016/j.jpeds.2004.06.023" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jpeds.2004.06.023</a>
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Title
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Economic and psychologic costs for maternal caregivers of gastrostomy-dependent children
Publisher
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The Journal Of Pediatrics
Date
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2004
Subject
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Child; Female; Humans; Adult; Socioeconomic Factors; Cost of Illness; quality of life; Depression/etiology; Mothers/psychology; Caregivers/economics/psychology; Enteral Nutrition/economics/psychology; Gastrostomy/economics/psychology; Home Nursing/economics/psychology
Creator
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Heyman MB; Harmatz P; Acree M; Wilson L; Moskowitz JT; Ferrando S; Folkman S
Description
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OBJECTIVE: To examine the economic and psychologic costs of care provided by maternal caregivers to children with gastrostomy tube (GT) feedings. STUDY DESIGN: We conducted a 3-site study of primary maternal caregivers of 101 chronically ill children, with (n = 50) and without (n = 51) enteral nutrition support by GT to determine the time spent providing technical care, nontechnical care, and health care management and to assess depressive mood and quality of life. Associated costs were determined. RESULTS: Caregivers spent 339.7 +/- 34.1 (SEM) min/d to provide all care. Children with a GT required more than twice as much care time as children without a GT: 484.5 +/- 54.6 versus 197.8 +/- 30.6 min/d ( P < .0001). The mean annual total value of home care by the primary caregiver for a child with a GT was 37,232 dollars, compared with 15,004 dollars for the child without a GT. Caregivers of children with GT were no more depressed or less satisfied with their lives than caregivers of children without GT. CONCLUSIONS: Use of a GT for enteral nutrition support is associated with significant increased care time by the primary caregiver but not at additional psychologic cost compared with caring for chronically ill children.
2004
Identifier
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<a href="http://doi.org/10.1016/j.jpeds.2004.06.023" target="_blank" rel="noreferrer">10.1016/j.jpeds.2004.06.023</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2004
Acree M
Adult
Backlog
Caregivers/economics/psychology
Child
Cost Of Illness
Depression/etiology
Enteral Nutrition/economics/psychology
Female
Ferrando S
Folkman S
Gastrostomy/economics/psychology
Harmatz P
Heyman MB
Home Nursing/economics/psychology
Humans
Journal Article
Moskowitz JT
Mothers/psychology
Quality Of Life
Socioeconomic Factors
The Journal Of Pediatrics
Wilson L