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

Author

Listed:
  • Zhe-Yu Yang

    (Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan)

  • Ching-Huang Lai

    (School of Public Health, National Defense Medical Center, Taipei 114, Taiwan)

  • Ching-Liang Ho

    (Division of Hematology/Oncology, Department of Medicine, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 114, Taiwan)

  • Chung-Ching Wang

    (Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
    Division of Occupational Medicine, Department of Family & Community Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan)

Abstract

Lung cancer is the second most common cancer and the leading cause of cancer-related deaths worldwide. Return to work (RTW) plays an important role for lung cancer survivors. Few studies focus solely on the relationship among possible variables and the RTW of lung cancer patients. The aim of our study was to examine sociodemographic, disease-related and work-related factors associated with RTW among lung cancer survivors in Taiwan. A total of 2206 employees who had been diagnosed with lung cancer at the Labor Insurance Database (LID), Taiwan Cancer Registry (TCR) and the National Health Insurance Research Database (NHIRD) during the period 2004–2015, were included in the study. We used the Cox proportional hazards model to investigate the associations between sociodemographic, disease-related and work-related factors on one hand and RTW on the other hand. The Kaplan–Meier method was used for analyzing the survival probability. Patients with an early cancer stage and those who underwent surgery had a higher likelihood of RTW. Factors including older age, male, higher monthly income and receipt of radiotherapy were inversely correlated with RTW. For lung cancer patients, RTW was a predictor of a lower risk of all-cause mortality in both the unadjusted and fully adjusted model. A better survival rate was found in stage III and IV lung cancer patients who had RTW. Sociodemographic and clinical-related variables had an impact on RTW among employees with lung cancer. RTW was correlated with a lower risk of all-cause mortality and better lung cancer survival. Our study showed the influence of RTW and independent confounding factors in lung cancer survivorship.

Suggested Citation

  • Zhe-Yu Yang & Ching-Huang Lai & Ching-Liang Ho & Chung-Ching Wang, 2021. "Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:309-:d:713120
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    References listed on IDEAS

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    1. Xin Zhang & Shuai Liu & Yang Liu & Jian Du & Wenqi Fu & Xiaowen Zhao & Weidong Huang & Xianming Zhao & Guoxiang Liu & Zhengzhong Mao & Teh-wei Hu, 2017. "Economic Burden for Lung Cancer Survivors in Urban China," IJERPH, MDPI, vol. 14(3), pages 1-9, March.
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    Cited by:

    1. Nicolas Bovio & Michel Grzebyk & Patrick Arveux & Jean-Luc Bulliard & Arnaud Chiolero & Evelyne Fournier & Simon Germann & Isabelle Konzelmann & Manuela Maspoli & Elisabetta Rapiti & Irina Guseva Canu, 2022. "Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990–2014)," IJERPH, MDPI, vol. 19(21), pages 1-16, October.

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