Abstract
Objective
The burden on caregivers of patients with eye disease is exacerbated by competing
priorities and their own advancing age. The objective of this paper is to identify
and characterize the burden of caregiving for patients with eye diseases.
Design
Systematic review and meta-analysis.
Methods
A comprehensive review of the literature was conducted accessing the main databases
up to March 25, 2021: Medline (Ovid), Embase, CINAHL, Cochrane Library, PsycINFO,
and PubMed. Studies included referred to the burden experienced by caregivers of adults
with any eye disease. Review studies, editorials, commentaries, opinion studies, and
single case reports were excluded as well as studies that described only the quality
of life and (or) burdens of the care recipient. Two independent reviewers carried
2-level screening. Risk of bias assessment was determined according to the Modified
Downs and Black Checklist. Demographic data and measures of burden were extracted
and tabulated.
Results
In total, 2421 articles were identified after duplicate removal; 17 progressed to
data extraction after full-text screening, and 7 were included in the meta-analysis.
Overall, caregiving was associated with significant burden (65%; 95% CI, 12%–17%).
Meta-analysis indicated significant severe burden (24%; 95% CI, 3%–45%), moderate
burden (18%; 95% CI, 9%–28%), and mild burden (34%; 95% CI, 7%–61%) on caregivers
of visually impaired patients.
Conclusions
Awareness of the psychosocial impact and risk of severe burden experienced by caregivers
of eye disease patients is required to aid health care providers to develop proactive
interventions for both providers and recipients of care.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Canadian Journal of OphthalmologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Prevalence and determinants of visual impairment in Canada: cross-sectional data from the Canadian Longitudinal Study on Aging.Can J Ophthalmol. 2018; 53: 291-297
- Family caregivers on the job: moving beyond ADLs and IADLs.Generations. 2003; 27: 17-23
- Family caregiver social problem-solving abilities and adjustment to caring for a relative with vision loss.Invest Ophthalmol Vis Sci. 2009; 50: 1585-1592
- Feelings of usefulness to others, disability, and mortality in older adults: the MacArthur study of successful aging.J Gerontol B Psychol Sci Soc Sci. 2007; 62: P28-P37
- Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis.Psychol Aging. 2003; 18: 250-267
- Relatives of the impaired elderly: correlates of feelings of burden.Gerontologist. 1980; 20: 649-655
- Burden and depression among caregivers of visually impaired patients in a Canadian population.Adv Med. 2016; 20164683427
- Depression and burden among the caregivers of visually impaired patients: a systematic review.Int Ophthalmol. 2017; 37 (–7): 767
- If they are OK, we are OK: the experience of partners living with neuromyelitis optica.Disabil Rehabil. 2017; 39: 1279-1286
- The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.BMJ. 2021; 372: n71
Covidence Systematic Review Software. Veritas Health Innovations, Melbourne, Australia; 2020. Accessed May 15, 2021. https://www.covidence.org.
- Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children.Epilepsia. 2009; 50: 2344-2354
- Sleep outcomes associated with dry eye disease: a systematic review and meta-analysis.Can J Ophthalmol. 2019; 54: 180-189
- Primary support persons for individuals who are visually impaired: who they are and the support they provide.J Vis Impair Blind. 2007; 101: 113-118
- Nonmedical economic consequences attributable to visual impairment: a nationwide approach in France.Eur J Health Econ. 2006; 7: 158-164
- Taking the strain? Impact of glaucoma on patients’ informal caregivers.Eye (Lond). 2020; 34: 197-204
- Association of impairments of older persons with caregiver burden among family caregivers: findings from rural South India.Arch Gerontol Geriatr. 2017; 68: 143-148
- Family concerns and older people who are blind.J Vis Impair Blind. 1993; 87: 6-11
- The burden of neovascular age-related macular degeneration: a patient's perspective.Clin Ophthalmol. 2018; 12: 2483-2491
- Experience of anti-VEGF treatment and clinical levels of depression and anxiety in patients with wet age-related macular degeneration.Am J Ophthalmol. 2017; 177: 213-224
- Disease burden in the treatment of age-related macular degeneration: findings from a time-and-motion study.Am J Ophthalmol. 2015; 160 (.e1): 725-731
- The emotional and physical impact of wet age-related macular degeneration: findings from the wAMD Patient and Caregiver Survey.Clin Ophthalmol. 2016; 10: 257-267
- Burden of family caregivers of ophthalmic patients in a university teaching hospital in southwest Nigeria.Malawi Med J. 2019; 31: 39-44
- The impact of different anti–vascular endothelial growth factor treatment regimens on reducing burden for caregivers and patients with wet age-related macular degeneration in a single-center real-world Japanese setting.PLoS One. 2017; 12: 1-17
- Caregiver burden in patients receiving ranibizumab therapy for neovascular age related macular degeneration.PLoS One. 2015; 10e0129361
- Predictors of psychological distress in caregivers of older persons with wet age-related macular degeneration.Aging Ment Health. 2015; 19: 239-246
- The individual and household impacts of cataract surgery on older blind adults in ethiopia.Ophthalmic Epidemiol. 2019; 26: 7-18
- Caregiver perceptions about the impact of caring for patients with wet age-related macular degeneration.Eye (Lond). 2016; 30: 413-421
- Burden and depression in primary caregivers of persons with visual impairment.Indian J Ophthalmol. 2016; 64: 572-577
Article Info
Publication History
Published online: April 28, 2022
Accepted:
April 4,
2022
Received in revised form:
February 24,
2022
Received:
June 14,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.