Social impacts of the work loss in cancer survivors

Yamauchi, Hideko; Nakagawa, Chizuko; Fukuda, Takashi

doi:10.1007/s12282-017-0759-y

Cited by 18 publications

(14 citation statements)

References 14 publications

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“…This study found that costs related to absenteeism, presenteeism, and indirect costs were significantly higher among caregivers (Table 6). A study in Japan examining the economic burden of cancer treatment on patients and their caregivers found that factors associated with work productivity loss among caregivers included treatment intensity, travel for treatment, and time spent on treatmentrelated activities necessitating altered working hours 39 . The need for informal caregivers in these situations that causes absence from work could be mitigated by initiatives for improved nursing care providing better support for patients during treatment administration, and innovative healthcare service offerings, for example, patient transport service to the site of treatment.…”

Section: Discussionmentioning

confidence: 99%

Humanistic and economic burden among caregivers of patients with cancer in Japan

Ohno

Chen²,

Sakamaki

et al. 2019

Journal of Medical Economics

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Aims: As the number of cancer patients increases in Japan, and people are living longer with cancer, the need for caregivers of cancer patients is expected to increase substantially. This study intended to reveal the humanistic and economic burden among caregivers of cancer patients, and to compare it with the burden among caregivers of patients with other conditions (other caregivers) and non-caregivers. Materials and methods: This cross-sectional analysis used data from the Japan National Health and Wellness Survey 2017. Outcome measures included the Short Form 12-item Health Survey for healthrelated quality of life (HRQoL), EuroQol 5-dimension scale (EQ-5D) for health states utilities, Work Productivity and Activity Impairment questionnaire for the impact of health on productivity and activity, and indirect costs. Multivariate analysis was used to compare across groups, with adjustment for potential confounding effects. Results: A total of 251 caregivers of cancer patients, 1,543 other caregivers, and 27,300 non-caregivers were identified. Caregivers of cancer patients (average 48.0 years old) tended to be younger than noncaregivers (51.5) and other caregivers (54.4) and had the highest education level (57.8% completed university education). Fewer non-caregivers had stress-related comorbidities than caregivers. Noncaregivers had significantly higher EQ-5D index scores than caregivers (average 0.81 vs. 0.73 vs. 0.74). Caregivers of cancer patients had significantly lower mental component summary scores than noncaregivers (40.18 vs. 46.70), and the difference indicated a clinically meaningful decrease in HRQoL. Caregivers of cancer patients had significantly higher presenteeism (37.31% vs. 20.43%), total work productivity impairment (38.85% vs. 21.98%), and activity impairment (40.94% vs. 25.78%) than noncaregivers. Additionally, caregivers of cancer patients had significantly higher total indirect costs (36.34% vs. 20.03% of average annual income). Conclusions: These results have implications for future healthcare planning, suggesting the importance of healthcare systems in Japan to consider the substantial burden borne by caregivers of cancer patients.

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Section: Discussionmentioning

confidence: 99%

Humanistic and economic burden among caregivers of patients with cancer in Japan

Ohno

Chen²,

Sakamaki

et al. 2019

Journal of Medical Economics

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“…Nevertheless, 41.0% of survivors took a leave of absence or quit their jobs. Cancer survivors' return to their jobs and household labor after the end of treatment is important to them and their families [6]. Di culty in returning to the role function they had before their cancer diagnosis negatively affects their QoL [42].…”

Section: Discussionmentioning

confidence: 99%

“…Cancer survivors experience different physiological, psychological, functional, and social changes postrecovery [4][5][6]. When they adapt well to these changes, they are able to live a healthy life and improve their quality of life (QoL) [7].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting the Quality of Life of Gastric Cancer Survivors

Choi¹,

Kim²,

Choi³

et al. 2021

Preprint

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Background: The number of gastric cancer survivors has been increasing, and such survivors experience various changes in their lives post-recovery. Adapting to these changes requires appropriate interventions that can improve their quality of life (QoL). This study was conducted to investigate the factors affecting the QoL of gastric cancer survivors to provide basic data for effective intervention.Methods: Data were collected between September 8 and September 29, 2017 from the Gastric Cancer Center at a tertiary hospital. Questionnaire surveys were conducted using the EORTC QLQ-C30/STO22, Self-Efficacy-Scale, Multidimensional Scale of Perceived Social Support, and Quality of Life-Cancer Survivors Questionnaire on gastric cancer survivors who were followed up for three years after gastrectomy. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression analysis.Results: A total of 136 gastric cancer survivors completed the questionnaire survey. There were significant positive correlations of QoL with self-efficacy, functional status, and social support (r=.35, p<.001; r=.53, p<.001; r=.26, p<.001, respectively). There were significant negative correlations of QoL with general symptoms, gastric cancer-specific symptoms (r=-.39, p<.001; r=-.51, p<.001). The regression model explained 48.3% of the QoL, and the affecting factors were gastric cancer-specific symptoms (β=-.397, p<.001), religious belief (β=.299, p<.001), functional status (β=.251, p=.003), and self-efficacy (β=.191, p=.004).Conclusion: This study confirmed that gastric cancer-specific symptoms, spiritual well-being, self-efficacy and functional status affect the QoL of gastric cancer survivors. Hence, these factors should be considered in the interventions to improve the QoL of gastric cancer survivors.

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“…For indirect cost incurred by the impairment of work productivity, higher annual indirect costs were associated with younger age and currently smoking. In Japan, Yamauchi et al 40 found breast cancer to be the leading cause of loss of work productivity in Japan because this frequently occurs during the most productive years of life, with half of breast cancer patients in Japan diagnosed while in their 30s to 50s. Our study also found a mere 14.2% of breast cancer patients were still in the labor force full time, and this was similar to females among colorectal and any types of cancer patients, indicating a need for support systems for working cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with humanistic burden and indirect cost among patients with cancer in Japan

Ohno

Chen²,

Sakamaki

et al. 2020

Journal of Medical Economics

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Aims: Patients with cancer experienced reduced health-related quality-of-life (HRQoL), increased work productivity and activity impairment (WPAI), and indirect costs. With the current emphasis on economic evaluation of health technology in Japan, it is important to understand how indirect costs correlate with HRQoL and patient characteristics. It is also crucial to assess the patient characteristics associated with the HRQoL, WPAI, and indirect costs among patients with any types of cancer. Materials and methods: This cross-sectional study used data from the 2017 Japan National Health and Wellness Survey (NHWS). Respondents self-reported their HRQoL and WPAI by answering validated SF-12v2 and WPAI questionnaires, respectively. Indirect costs were derived using the human capital method. Correlation between HRQoL components and indirect costs were assessed using Spearman's rank-order correlation. Correlation between patient characteristics and HRQoL, WPAI, and indirect costs were analyzed using generalized linear models. Results: A total of 1,540 patients with any types of cancer, 254 with breast cancer, and 144 with colorectal cancer were included in the analyses. There was significant negative correlation between the indirect costs and HRQoL components among patients with any types of cancer. Patients with lower comorbid burden, higher household income, employed, married, or living with partner, never smokers, and exercised tended to have higher HRQoL. Being never smokers, having lower comorbid burden, normal weight, and exercised were associated with lower WPAI measures. Additionally, patients who were older, not married, not obese, and not smoking tended to incur lower indirect costs. Conclusions: The negative correlation between HRQoL and indirect costs among patients with cancer emphasized the needs to improve health outcomes and reduce indirect costs of patients. The factors associated with cancer burden identified in this study provide insights to allow targeted intervention to improve HRQoL and lessen the WPAI and indirect cost among cancer patients in Japan.

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Social impacts of the work loss in cancer survivors

Cited by 18 publications

References 14 publications

Humanistic and economic burden among caregivers of patients with cancer in Japan

Humanistic and economic burden among caregivers of patients with cancer in Japan

Factors Affecting the Quality of Life of Gastric Cancer Survivors

Factors associated with humanistic burden and indirect cost among patients with cancer in Japan

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