Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors

Yang, Zheyu; Lai, Chao Hung; Ho, Ching‐Liang; Wang, Chung‐Ching

doi:10.3390/ijerph19010309

Cited by 5 publications

(8 citation statements)

References 32 publications

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“…This study also reported that patients who returned to work had a significantly reduced risk of all-cause mortality with a hazard ratio of 0.46 (95%-CI: 0.44–0.48), after controlling for age, treatment, income range, industrial classification, company size, and cancer stage. Other results confirmed that a better survival rate was seen in patients with stage III and IV lung cancer who returned to work [ 14 ]. In line with these findings, a systematic review revealed that lung cancer survivors in employment had a better quality of life regarding their physical functioning [ 13 ].…”

Section: Discussionmentioning

confidence: 56%

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Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990–2014)

Bovio

Grzebyk

Arveux

et al. 2022

IJERPH

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While previous Swiss studies have demonstrated differences in lung cancer mortality between occupational groups, no estimates are available on the association of occupation-related factors with lung cancer survival. This study aimed at determining whether occupation or work-related factors after diagnosis affect lung cancer survival. We used cancer registry records to identify lung cancer patients diagnosed between 1990 and 2014 in western Switzerland (n = 5773) matched with the Swiss National Cohort. The effect of occupation, the skill level required for the occupation, and the socio-professional category on 5-year lung cancer survival was assessed using non-parametric and parametric methods, controlling for histological type and tumour stage. We found that the net survival varied across skill levels and that the lowest skill level was associated with worse survival in both men and women. In the parametric models with minimal adjustment, we identified several occupational groups at higher risk of mortality compared to the reference category, particularly among men. After adjustment for histological type of lung cancer and tumour stage at diagnosis, most hazard ratios remained higher than 1, though non-statistically significant. Compared to top managers and self-employed workers, workers in paid employment without specific information on occupation were identified as the most at-risk socio-professional category in nearly all models. As this study was conducted using a relatively small sample and limited set of covariates, further studies are required, taking into account smoking habits and administrated cancer treatments. Information on return to work and working conditions before and after lung cancer diagnosis will also be highly valuable for analysing their effect on net lung cancer survival in large nationwide or international studies. Such studies are essential for informing health and social protection systems, which should guarantee appropriate work conditions for cancer survivors, beneficial for their quality of life and survival.

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Section: Discussionmentioning

confidence: 56%

“…Work plays an important role in lung cancer survival [ 13 ]. A better survival rate was found in stage III and IV lung cancer patients who had returned to work [ 14 ]. However, the return to work among cancer survivors is not always possible due to sociodemographic, work-related, and clinical-related factors.…”

Section: Introductionmentioning

confidence: 99%

Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990–2014)

Bovio

Grzebyk

Arveux

et al. 2022

IJERPH

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“…Unfortunately, the heterogenous nature of the studies, including control groups used, precluded a quantitative analysis of the return to work-rate of lung cancer survivors [ 7 ]. On the other hand, registry studies in patient populations originating in societies characterized by free healthcare and social security programs much like Denmark, have found return to work rates for lung cancer patients in general to be between 33 and 45% [ 10 , 33 , 34 ]. Among these, Rashid et al [ 10 ] found that 33% of working age (<65 years of age) German lung cancer survivors were affiliated with the labor market about one year following diagnosis, with the mean time to return to work being 13 months [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Lung cancer patients with anaplastic lymphoma kinase rearrangement lose affiliation with labor market at diagnosis

Andersen,

Johansen,

Urbanska

et al. 2024

Lung Cancer Management

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Aim: The main purpose of the present study was to investigate the labor market affiliation of ALK+ NSCLC patients in long-term treatment as well as overall survival and incidence/prevalence. Materials & methods: Nationwide retrospective study of all patients with ALK+ NSCLC in Denmark diagnosed between 2012 and 2018. Results: During the study period ALK+ NSCLC patients had a median overall survival of 44.0 months and a 7.8-fold increase in disease prevalence. Six months prior to diagnosis, 81% of ALK+ NSCLC patients ≤60 years of age were employed. At the end of the 18-month follow-up period, 36% were employed. Conclusion: ALK+ NSCLC patients have prolonged survival following diagnosis, but a large fraction of patients lose affiliation with the labor market.

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“…Presenting the duration of the employee's treatment for cancer 66 ( mortality in lung cancer survivors reported higher survival rates for patients with stage III and IV lung cancer who returned to work. 10 Return of employees with cancer to the workplace is an important contributor to cancer patient survival rate, mental health, and QOL. The most common support provided by business establishments for employees with cancer was "Sickness and injury benefits" (49.7%), followed by "Paid leave on an hourly basis" (42.5%), and "Shorter working hours" (26.8%).…”

Section: Content To Be Performed With the Permission Of The Individualmentioning

confidence: 99%

“…8 It has been reported that returning to the workplace by patients with cancer who had previously worked improves their mental health and prognosis. 9,10 For employees with cancer to balance work and treatment, support from employers and coworkers and their understanding of cancer and its treatments are important.…”

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confidence: 99%

Research on Cancer Screening Promotion and Employment Support for Employees with Cancer at Business Establishments

et al. 2023

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Background Increasing cancer screening rates among working-age populations and providing employment support for employees with cancer are issues that need to be addressed in Japan. Therefore, this study aimed to clarify the situation regarding cancer screening promotion and employment support for employees with cancer at business establishments and the support they seek from medical professionals regarding these issues. Methods This survey covered 1,058 business establishments and included the following items: attributes of the business establishments, cancer screening rate, support for employees to promote cancer screening, support sought by business establishments from medical professionals to promote cancer screening, presence of employees with cancer, support programs for employees with cancer, awareness of the resources available for employment support for employees with cancer, difficulties in supporting employees with cancer in the workplace, and support sought by business establishments from medical professionals in providing employment support for employees with cancer. Data analysis was primarily conducted using summary statistics. Results This study included 153 establishments. The median cancer screening rate ranged from 50.00 to 99.15. Employee support for promoting cancer screening ranged from approximately 30% to 40% for "ensuring time for screening" and from 20% to 30% for "providing full subsidies for cancer screening cost." The median screening rate for breast and cervical cancers was 50.00, and support for promoting screening was less than 30% for each. Business establishments sought support from medical professionals regarding cancer and study sessions on cancer prevention to promote cancer screening. Regarding support systems for employees with cancer, 49.7% of the establishments offered sickness benefits, and 42.5% offered paid leave on an hourly basis. Less than 10% were aware of the websites provided by public organizations regarding employment support for patients with cancer. Approximately 50% of the establishments reported difficulties regarding treatment policies and duration uncertainties. Conclusion Business establishments sought the provision of relevant knowledge and specific information to increase cancer screening rates and provide employment support for employees with cancer. Furthermore, this study suggests that employees with cancer need to manage the information they provide their establishments.

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Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors

Cited by 5 publications

References 32 publications

Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990–2014)

Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990–2014)

Lung cancer patients with anaplastic lymphoma kinase rearrangement lose affiliation with labor market at diagnosis

Research on Cancer Screening Promotion and Employment Support for Employees with Cancer at Business Establishments

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