Interventions to Reduce Caregiver Burden Among Caregivers of Chronic Kidney Disease (CKD) Patients: A Scoping Review

Chu, Sin Yee; Ibrahim, Norhayati; Amit, Noh; Gafor, Abdul Halim Abdul; Ismail, Rozmi; Lee, Kai Wei; Siau, Ching Sin

doi:10.1177/21582440231178703

Cited by 3 publications

(2 citation statements)

References 66 publications

(181 reference statements)

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“…In contrast, the health-related quality of life of CKD patients decreases with the advancing stages of CKD [ 9 ]. CKD has a high caregiving burden with attendant loss of productivity [ 10 ]. Patients with CKD incur non-medical costs such as transportation and loss of productivity from absenteeism, unemployment, and disability [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Agada-Amade,

Ogbuabor,

Obikeze

et al. 2024

BMC Nephrol

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Background Evidence of willingness to pay for kidney replacement therapy is scarce in low-middle-income countries, including Nigeria’s Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patients in Abuja, Nigeria. Methods The study adopted a cross-sectional survey design. We used the contingent valuation method to estimate the maximum stated willingness to pay (WTP) for haemodialysis among end-stage kidney disease (ESKD) patients. We obtained informed written consent from respondents before data collection. The socio-demographic characteristics and willingness to pay data were summarized using descriptive statistics. We evaluated the mean differences in respondents’ WTP using Mann-Whitney and Kruskal-Wallis tests. All variables that had p < 0.25 in the bivariate analysis were included in the Generalized Linear Model (gamma with link function) to determine the predictors of the WTP for one’s and another’s haemodialysis. The level of significance in the final model was ρ < 0.05. Results About 88.3% and 64.8% of ESKD patients were willing to pay for personal and altruistic haemodialysis, correspondingly. The mean annual WTP for haemodialysis for one’s and altruistic haemodialysis was USD25,999.06 and USD 1539.89, respectively. Private hospital patients were likelier to pay for their haemodialysis (β = 0.39, 95%CI: 0.21 to 0.57, p < 0.001). Patients attending public-private partnership hospitals were less likely to pay for altruistic haemodialysis than those attending public hospitals (β = -1.65, 95%CI: -2.51 to -0.79, p < 0.001). Conclusions The willingness to pay for haemodialysis for themselves and others was high. The type of facility ESKD patients attended influenced their willingness to pay for haemodialysis. The findings highlight the need for policies to enhance affordable and equitable access to haemodialysis in Nigeria through pre-payment mechanisms and altruistic financing strategies.

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Section: Introductionmentioning

confidence: 99%

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Agada-Amade,

Ogbuabor,

Obikeze

et al. 2024

BMC Nephrol

View full text Add to dashboard Cite

show abstract

“…In contrast, the health-related quality of life of CKD patients decreases with the advancing stages of CKD [9]. CKD has a high caregiving burden with attendant loss of productivity [10]. Patients with CKD incur nonmedical costs such as transportation and loss of productivity from absenteeism, unemployment, and disability [11,12].…”

Section: Introductionmentioning

confidence: 99%

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Agada-Amade,

Ogbuabor,

Obikeze

et al. 2023

Preprint

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Background Evidence of willingness to pay for renal replacement therapy is scarce in low-middle-income countries, including Nigeria's Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patients in Abuja, Nigeria. Methods The study adopted a cross-sectional survey design. We used the contingent valuation method to estimate the maximum stated willingness to pay (WTP) for haemodialysis among end-stage renal disease (ESRD) patients. The socio-demographic characteristics and willingness to pay data were summarized using descriptive statistics. We evaluated the mean differences in respondents' WTP using Mann-Whitney and Kruskal-Wallis tests. All variables that had p < 0.25 in the bivariate analysis were included in the Generalized Linear Model (gamma with link function) to determine the predictors of the WTP for one's and another's haemodialysis. The level of significance in the final model was ρ < 0.05. Results About 88.3% and 64.8% of patients receiving haemodialysis were willing to pay for their haemodialysis and others, correspondingly. The mean annual WTP for haemodialysis for one’s and altruistic haemodialysis was USD25,999.06 and USD 1539.89, respectively. Private hospital patients were likelier to pay for their haemodialysis (β = 0.39, 95%CI: 0.21 to 0.57, p < 0.001). Patients attending public-private partnership hospitals were less likely to pay for altruistic haemodialysis than those attending public hospitals (β = -1.65, 95%CI: -2.51 to -0.79, p < 0.001). Conclusions The findings highlight the need for policies to promote affordable access to haemodialysis for all socioeconomic groups. Pre-payment mechanisms should be explored rather than out-of-pocket payments which pose financial hardships. The potential for altruistic financing strategies should also inform the redesign of funding policies to enhance equitable access.

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Caregiver burden in pediatric acute kidney injury and chronic kidney disease

Raina,

Myneni,

Sethi

2024

Pediatr Res

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Interventions to Reduce Caregiver Burden Among Caregivers of Chronic Kidney Disease (CKD) Patients: A Scoping Review

Cited by 3 publications

References 66 publications

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria

Caregiver burden in pediatric acute kidney injury and chronic kidney disease

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