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

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 stu...

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Autores principales: Yang, Zhe-Yu, Lai, Ching-Huang, Ho, Ching-Liang, Wang, Chung-Ching
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744858/
https://www.ncbi.nlm.nih.gov/pubmed/35010569
http://dx.doi.org/10.3390/ijerph19010309
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author Yang, Zhe-Yu
Lai, Ching-Huang
Ho, Ching-Liang
Wang, Chung-Ching
author_facet Yang, Zhe-Yu
Lai, Ching-Huang
Ho, Ching-Liang
Wang, Chung-Ching
author_sort Yang, Zhe-Yu
collection PubMed
description 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.
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spelling pubmed-87448582022-01-11 Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors Yang, Zhe-Yu Lai, Ching-Huang Ho, Ching-Liang Wang, Chung-Ching Int J Environ Res Public Health Article 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. MDPI 2021-12-28 /pmc/articles/PMC8744858/ /pubmed/35010569 http://dx.doi.org/10.3390/ijerph19010309 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yang, Zhe-Yu
Lai, Ching-Huang
Ho, Ching-Liang
Wang, Chung-Ching
Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title_full Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title_fullStr Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title_full_unstemmed Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title_short Epidemiological Study of Return to Work and Mortality in Lung Cancer Survivors
title_sort epidemiological study of return to work and mortality in lung cancer survivors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8744858/
https://www.ncbi.nlm.nih.gov/pubmed/35010569
http://dx.doi.org/10.3390/ijerph19010309
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