INFORMAL CARE AND PRODUCTIVITY LOSSES ARE IMPORTANT IN ADVANCED CUTANEOUS MELANOMA- RESULTS OF THE DUTCH MELANOMA TREATMENT REGISTRY

Author(s)

Franken M1, Leeneman B1, Jochems A2, Schouwenburg M2, Aarts M3, van Akkooi A4, van den Berkmortel F5, van den Eertwegh A6, Groenewegen G7, de Groot J8, Haanen J4, Hospers G9, Kapiteijn H10, Koornstra R11, Kruit W12, Louwman M13, Piersma D14, van Rijn R15, ten Tije A16, Vreugdenhil G17, Wouters M4, van Zeijl M2, van der Hoeven J1, Uyl-de Groot C18
1Erasmus University Rotterdam, Rotterdam, The Netherlands, 2Dutch Institute for Clinical Auditing, Leiden, The Netherlands, 3Maastricht University Medical Center, Maastricht, The Netherlands, 4Netherlands Cancer Institute, Amsterdam, The Netherlands, 5Zuyderland Hospital, Heerlen, The Netherlands, 6VU University Medical Center, Amsterdam, The Netherlands, 7University Medical Center Utrecht, Utrecht, The Netherlands, 8Isala Hospital, Zwolle, The Netherlands, 9University Medical Center Groningen, Groningen, The Netherlands, 10Leiden University Medical Center, Leiden, The Netherlands, 11Radboud University Medical Center, Nijmegen, The Netherlands, 12Erasmus Medical Center, Rotterdam, The Netherlands, 13Netherlands Comprehensive Cancer Organisation, Eindhoven, The Netherlands, 14Medical Spectrum Twente, Enschede, The Netherlands, 15Medical Center Leeuwarden, Leeuwarden, The Netherlands, 16Amphia Hospital, Breda, The Netherlands, 17Maxima Medical Center, Eindhoven, The Netherlands, 18Erasmus University, Rotterdam, The Netherlands

O OBJECTIVES: In many countries, economic evaluations require using a societal perspective. There is, however, a lack of evidence on the societal costs of advanced melanoma. We investigated informal care, work status, paid and unpaid work, and productivity losses in Dutch advanced cutaneous melanoma patients. METHODS: We included all advanced cutaneous melanoma patients participating in the Dutch Melanoma Treatment Registry (DMTR) who completed the resource use questionnaire for melanoma (RUQ-M). We assessed informal care in hours of care received in the last four weeks. Similarly, paid and unpaid work and productivity losses were assessed in hours and days in the last four weeks. RESULTS: A total of 145 patients (median age: 63 years; male: 60%) completed the RUQ-M questionnaire between November 2014 and April 2016. Halve of the patients (50%) received on average 50.9 hours of informal care. Informal care was provided, on average, as i) 29 hours of assistance with household activities to 79% of patients, ii) 33 hours of personal care to 26% of patients, and iii) 26.1 hours of practical support to 73% of patients. Regarding work status, 41% was either employed or self-employed, 37% was retired, 10% was houseman/ housewife, and 3% was jobless. Employed and self-employed patients worked on average 29.3 hours per week; most of them worked 3 (19%), 4 (21%) or 5 (47%) days per week. Regarding productivity losses, 6% of patients was unable to work due to illness (sickness-benefit). Of the patients who were able to work, 77% was on average 12 days absent of work due to illness. Moreover, 22% of patients suffered physical and/ or psychological problems at work during 8.6 days. Furthermore, 29% of patients performed 9.5 less days of unpaid work. CONCLUSIONS: Informal care and productivity losses are important in advanced cutaneous melanoma, and are, therefore, relevant societal costs in economic evaluations.

Conference/Value in Health Info

2016-10, ISPOR Europe 2016, Vienna, Austria

Value in Health, Vol. 19, No. 7 (November 2016)

Code

PCN207

Topic

Patient-Centered Research

Topic Subcategory

Stated Preference & Patient Satisfaction

Disease

Oncology, Sensory System Disorders

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