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Estimating Productivity Loss from Breast and Non–Small-Cell Lung Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using the Multiplier Method
Background. Traditional approaches to capturing health-related productivity loss (e.g., the human capital method) focus only on the foregone wages of affected patients, overlooking the losses caregivers can incur. This study estimated the burden of productivity loss among breast cancer (BC) and non–...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354140/ https://www.ncbi.nlm.nih.gov/pubmed/35936828 http://dx.doi.org/10.1177/23814683221113846 |
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author | Chiu, Kevin MacEwan, Joanna P. May, Suepattra G. Bognar, Katalin Peneva, Desi Zhao, Lauren M. Yong, Candice Amin, Suvina Bolinder, Bjorn Batt, Katharine Baumgardner, James R. |
author_facet | Chiu, Kevin MacEwan, Joanna P. May, Suepattra G. Bognar, Katalin Peneva, Desi Zhao, Lauren M. Yong, Candice Amin, Suvina Bolinder, Bjorn Batt, Katharine Baumgardner, James R. |
author_sort | Chiu, Kevin |
collection | PubMed |
description | Background. Traditional approaches to capturing health-related productivity loss (e.g., the human capital method) focus only on the foregone wages of affected patients, overlooking the losses caregivers can incur. This study estimated the burden of productivity loss among breast cancer (BC) and non–small-cell lung cancer (NSCLC) patients and individuals caring for such patients using an augmented multiplier method. Design. A cross-sectional survey of BC and NSCLC patients and caregivers measured loss associated with time absent from work (absenteeism) and reduced effectiveness (presenteeism). Respondents reported pre- and postcancer diagnosis income, hours worked, and time to complete tasks. Exploratory multivariable analyses examined correlations between respondents’ clinical/demographic characteristics—including industry of employment—and postdiagnosis productivity. Results. Of 204 patients (104 BC, 100 NSCLC) and 200 caregivers (100 BC, 100 NSCLC) who completed the survey, 319 participants (162 BC, 157 NSCLC) working ≥40 wk/y prediagnosis were included in the analysis. More than one-third of the NSCLC (33%) and BC (43%) patients left the workforce postdiagnosis, whereas only 15% of caregivers did. The traditional estimate for the burden of productivity loss was 66% lower on average than the augmented estimate (NSCLC patients: 60%, BC patients: 69%, NSCLC caregivers: 59%, and BC caregivers: 73%). Conclusions. Although patients typically experience greater absenteeism, productivity loss incurred by caregivers is also substantial. Failure to account for such impacts can result in substantial underestimation of productivity gains novel cancer treatments may confer by enabling patients and caregivers to remain in the workforce longer. Our results underscore the importance of holistic approaches to understanding this impact on both patients and their caregivers and accounting for such considerations when making decisions about treatment and treatment value. HIGHLIGHTS: Cancer can have a profound impact on productivity. This study demonstrates how the disease affects not only patients but also the informal or unpaid individuals who care for patients. An augmented approach to calculating health-related productivity loss suggests that productivity impacts are much larger than previously understood. A more comprehensive understanding of the economic burden of cancer for both patients and their caregivers suggests the need for more support in the workplace for these individuals and a holistic approach to accounting for these impacts in treatment decision making. |
format | Online Article Text |
id | pubmed-9354140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-93541402022-08-06 Estimating Productivity Loss from Breast and Non–Small-Cell Lung Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using the Multiplier Method Chiu, Kevin MacEwan, Joanna P. May, Suepattra G. Bognar, Katalin Peneva, Desi Zhao, Lauren M. Yong, Candice Amin, Suvina Bolinder, Bjorn Batt, Katharine Baumgardner, James R. MDM Policy Pract Original Research Article Background. Traditional approaches to capturing health-related productivity loss (e.g., the human capital method) focus only on the foregone wages of affected patients, overlooking the losses caregivers can incur. This study estimated the burden of productivity loss among breast cancer (BC) and non–small-cell lung cancer (NSCLC) patients and individuals caring for such patients using an augmented multiplier method. Design. A cross-sectional survey of BC and NSCLC patients and caregivers measured loss associated with time absent from work (absenteeism) and reduced effectiveness (presenteeism). Respondents reported pre- and postcancer diagnosis income, hours worked, and time to complete tasks. Exploratory multivariable analyses examined correlations between respondents’ clinical/demographic characteristics—including industry of employment—and postdiagnosis productivity. Results. Of 204 patients (104 BC, 100 NSCLC) and 200 caregivers (100 BC, 100 NSCLC) who completed the survey, 319 participants (162 BC, 157 NSCLC) working ≥40 wk/y prediagnosis were included in the analysis. More than one-third of the NSCLC (33%) and BC (43%) patients left the workforce postdiagnosis, whereas only 15% of caregivers did. The traditional estimate for the burden of productivity loss was 66% lower on average than the augmented estimate (NSCLC patients: 60%, BC patients: 69%, NSCLC caregivers: 59%, and BC caregivers: 73%). Conclusions. Although patients typically experience greater absenteeism, productivity loss incurred by caregivers is also substantial. Failure to account for such impacts can result in substantial underestimation of productivity gains novel cancer treatments may confer by enabling patients and caregivers to remain in the workforce longer. Our results underscore the importance of holistic approaches to understanding this impact on both patients and their caregivers and accounting for such considerations when making decisions about treatment and treatment value. HIGHLIGHTS: Cancer can have a profound impact on productivity. This study demonstrates how the disease affects not only patients but also the informal or unpaid individuals who care for patients. An augmented approach to calculating health-related productivity loss suggests that productivity impacts are much larger than previously understood. A more comprehensive understanding of the economic burden of cancer for both patients and their caregivers suggests the need for more support in the workplace for these individuals and a holistic approach to accounting for these impacts in treatment decision making. SAGE Publications 2022-08-03 /pmc/articles/PMC9354140/ /pubmed/35936828 http://dx.doi.org/10.1177/23814683221113846 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Article Chiu, Kevin MacEwan, Joanna P. May, Suepattra G. Bognar, Katalin Peneva, Desi Zhao, Lauren M. Yong, Candice Amin, Suvina Bolinder, Bjorn Batt, Katharine Baumgardner, James R. Estimating Productivity Loss from Breast and Non–Small-Cell Lung Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using the Multiplier Method |
title | Estimating Productivity Loss from Breast and Non–Small-Cell Lung
Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using
the Multiplier Method |
title_full | Estimating Productivity Loss from Breast and Non–Small-Cell Lung
Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using
the Multiplier Method |
title_fullStr | Estimating Productivity Loss from Breast and Non–Small-Cell Lung
Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using
the Multiplier Method |
title_full_unstemmed | Estimating Productivity Loss from Breast and Non–Small-Cell Lung
Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using
the Multiplier Method |
title_short | Estimating Productivity Loss from Breast and Non–Small-Cell Lung
Cancer among Working-Age Patients and Unpaid Caregivers: A Survey Study Using
the Multiplier Method |
title_sort | estimating productivity loss from breast and non–small-cell lung
cancer among working-age patients and unpaid caregivers: a survey study using
the multiplier method |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354140/ https://www.ncbi.nlm.nih.gov/pubmed/35936828 http://dx.doi.org/10.1177/23814683221113846 |
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