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Published on: December 10, 2021
Disease Burden of Huntington's Disease (HD) on People Living with HD and Care Partners in Canada
Eileen Shaw1, Michelle Mayer1, Paul Ekwaru1
1Medlior Health Outcomes Research Ltd., Calgary, AB, Canada.
Insights
Huntington's disease significantly impacts quality of life and healthcare use for Canadian patients and their care partners. This study quantifies this burden, highlighting a critical gap in understanding for healthcare access.
Area of Science:
- Neurology
- Public Health
- Health Economics
Background:
- Huntington's disease (HD) is known internationally to reduce health-related quality of life (HRQoL) and increase healthcare resource utilization (HRU).
- Previous research has not specifically characterized the burden of HD within the Canadian healthcare context.
Purpose of the Study:
- To quantify the impact of Huntington's disease on the HRQoL and HRU for individuals with HD and their care partners in Canada.
- To identify specific areas of burden and strain experienced by patients and caregivers.
Main Methods:
- An online survey was conducted from September to November 2020, distributed via patient organizations.
- Data collected included demographics, clinical characteristics, HRQoL (SF-36v1), HRU (CSRI), and care partner burden (CSI, HDQoL-C).
- Descriptive statistics were used for data analysis and subgroup comparisons.
Main Results:
- The study included 62 individuals with HD and 48 care partners.
- Individuals with HD reported the lowest HRQoL in the Role-Physical scale; increased HRU was noted for those experiencing motor onset transition.
- Over half (55.3%) of care partners reported high strain (CSI), with significant burden on feelings about life (HDQoL-C).
Conclusions:
- This study provides the first quantification of the substantial burden of Huntington's disease on Canadian patients and care partners.
- Findings address a critical knowledge gap, informing healthcare service availability and access for this population.
Background:
Huntington's disease (HD) has been shown to reduce health-related quality of life (HRQoL) and affect healthcare resource utilization (HRU) among patients and care partners internationally but has not been studied specifically in the Canadian context.
Objective:
To characterize the burden of HD on individuals with HD and care partners of individuals with HD in Canada.
Methods:
An online survey was distributed (September 14-November 23, 2020) through patient organizations to collect data on demographic and clinical characteristics, as well as: HRQoL, measured using the 36-Item Short-Form Health Survey (SF-36v1); HRU, measured using the Client Service Receipt Inventory (CSRI); and care partner burden, measured using the Caregiver Strain Index (CSI) and Huntington's Disease Quality of Life Battery for Carers (HDQoL-C). Descriptive statistics were used to report data and compare subgroups.
Results:
A total of 62 adult individuals with HD (or their proxies) and 48 care partners met defined eligibility criteria. The mean [standard deviation] age was 51.2 [13.8] and 58.1 [13.9] years for individuals with HD and care partner respondents, respectively. For individuals with HD, the greatest HRQoL burden (i.e., lowest score) was for the SF-36v1 Role -Physical scale (46.8 [42.9]). HRU was higher for some services (e.g., general practitioner visits) for respondents who had experienced motor onset transition. Among care partners, 55.3% experienced high strain, as indicated by the CSI. The HDQoL-C showed the greatest HRQoL burden in feelings about life (45.1 [17.9]).
Conclusion:
This study quantified the substantial burden on individuals with HD and care partners in Canada, addressing a critical knowledge gap that can affect the availability of and access to healthcare services.
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