The Initial Economic Burden of Femur Fractures on Informal Caregivers in Dar es Salaam, Tanzania

Abstract

BackgroundFemur fracture patients require significant in-hospital care. The burden incurred by caregivers of such patients amplifies the direct costs of these injuries and remains unquantified. Aim Here we aim to establish the in-hospital economic burden faced by informal caregivers of femur fracture patients. Methods
 70 unique caregivers for 46 femoral shaft fracture patients were interviewed. Incurred economic burden was determined by the Human Capital Approach, using standardized income data to quantify productivity loss (in $USD). Linear regression assessed the relationship between caregiver burden and patient time-in-hospital.ResultsThe average economic burden incurred was $149, 9% of a caregiver’s annual income and positively correlated with patient time in hospital (p<0.01). Conclusion Caregivers of patients treated operatively for femur fractures lost a large portion of their annual income, and this loss increased with patient time in hospital. These indirect costs of femur fracture treatment constitute an important component of the total injury burden.

Intramedullary nailing versus external fixation for open tibia fractures in Tanzania: a cost analysis

“…Indirect costs associated with caregiver lost productivity were inferred from the prospective study of patients with femur fractures. [19] In Tanzania, patient family members or other caregivers provide important care to hospitalized patients, including provision of food, assistance with bathing and toileting, and other tasks. Caregivers were interviewed during the patients' hospitalizations.…”