Methods used to account for caregivers' sex and gender within studies examining the financial burden of caregivers of children and adolescents : Results from a scoping review

Clinicoecon Outcomes Res. 2024 Jan 26:16:35-53. doi: 10.2147/CEOR.S443077. eCollection 2024.

Abstract

Background: Interest in the financial burden of informal caregivers has been growing. Unfortunately, it remains unclear which method(s) should be used when quantifying this burden.

Purpose: We conducted a scoping review aimed at identifying which methods have been used to conduct such work and quantified their performance. We were also interested in examining how sex and gender considerations were considered within selected studies.

Data sources: Using a standardized approach, we identified studies published between 2012 and 2022 that aimed to document the financial burden of caregivers to child and adolescent patients. Our search strategy was applied to the MEDLINE, Embase, CINHAL, and Academic Search Premier databases.

Study selection: Manuscript selection was performed by pairs of reviewers.

Data extraction: Data extraction was performed by one reviewer with a second reviewer performing quality control. Results were reported using a narrative approach.

Data synthesis: We identified 9801 unique citations, of which 200 were included in our review. Selected studies covered various disease area (eg, infection/parasitic diseases [n = 31, 16%]) and included quantitative (n = 180, 90%), qualitative (n = 4, 2%) and mixed study designs (n = 16, 8%). Most studies (n = 182, 91%) used questionnaires/surveys, either alone or in combination with other methods, to assess caregivers' financial burden. Less than half (n = 93, 47%) of studies reported on caregivers' sex and none reported on their gender.

Conclusion: We conducted an unrestricted review of published studies examining caregiver's financial burden which allowed us to identify general methodological trends observed in this literature. We believe this work may help improve future studies focusing on this important issue.

Keywords: caregivers; financial burden; methods; scoping review; sex and gender considerations.

Publication types

  • Review

Grants and funding

The work presented in this manuscript was funded by the Quebec Cell, Tissue and Gene Therapy Network - ThéCell (a thematic network supported by the Fonds de recherche du Québec-Santé). JRG is the recipient of a Chercheur-boursier Junior 2 career award from the Fonds de recherche du Québec-Santé (Award #330678). MGO currently holds a Tier 2 Canada Research Chair in Sex and Gender in Occupational Health. AL currently holds a Tier 1 Canada Research Chair in Knowledge Mobilization and Integration in Practice. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.