Employment status and work-related difficulties in lung cancer survivors compared with the general population

Young Ae Kim, Young Ho Yun, Yoon Jung Chang, Jongmog Lee, Moon Soo Kim, Hyun Sung Lee, Jae Ill Zo, Jhingook Kim, Yong Soo Choi, Young Mog Shim, Seok-Jun Yoon

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

OBJECTIVE:: To investigate the employment status of lung cancer survivors and the work-related problems they face. BACKGROUND:: Although the number of lung cancer survivors is increasing, little is known about their employment and work-related issues. METHODS:: We enrolled 830 lung cancer survivors 12 months after lung cancer curative surgery (median time after diagnosis, 4.11 years) and 1000 volunteers from the general population. All participants completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30-item and a questionnaire that included items relating to their jobs. We used logistic regression analysis to identify independent predictors of unemployment. RESULTS:: The employment rate of lung cancer survivors decreased from 68.6% at the time of diagnosis to 38.8% after treatment, which was significantly lower than the employment rate of the general population (63.5%; adjusted odds ratio = 2.31, 95% confidence interval: 1.66-3.22). The posttreatment unemployment rate was higher for women than for men. Among survivors, employment was inversely associated with older age, household income, number of comorbidities, and poor social functioning. Fatigue (78.6%) was the most common work-related problem reported by survivors. CONCLUSIONS:: Lung cancer survivors experienced more difficulties in employment than did the general population. Age, monthly household income, number of comorbidities, and social functioning appear to be important factors influencing employment status. These findings suggest that lung cancer survivors need support to cope with the financial impact of cancer.

Original languageEnglish
Pages (from-to)569-575
Number of pages7
JournalAnnals of Surgery
Volume259
Issue number3
DOIs
Publication statusPublished - 2014 Mar 1

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Survivors
Lung Neoplasms
Population
Unemployment
Comorbidity
Fatigue
Volunteers
Neoplasms
Logistic Models
Odds Ratio
Regression Analysis
Quality of Life
Organizations
Confidence Intervals
Therapeutics
Research

Keywords

  • employment
  • general population
  • lung cancer
  • survivor

ASJC Scopus subject areas

  • Surgery

Cite this

Employment status and work-related difficulties in lung cancer survivors compared with the general population. / Kim, Young Ae; Yun, Young Ho; Chang, Yoon Jung; Lee, Jongmog; Kim, Moon Soo; Lee, Hyun Sung; Zo, Jae Ill; Kim, Jhingook; Choi, Yong Soo; Shim, Young Mog; Yoon, Seok-Jun.

In: Annals of Surgery, Vol. 259, No. 3, 01.03.2014, p. 569-575.

Research output: Contribution to journalArticle

Kim, YA, Yun, YH, Chang, YJ, Lee, J, Kim, MS, Lee, HS, Zo, JI, Kim, J, Choi, YS, Shim, YM & Yoon, S-J 2014, 'Employment status and work-related difficulties in lung cancer survivors compared with the general population', Annals of Surgery, vol. 259, no. 3, pp. 569-575. https://doi.org/10.1097/SLA.0b013e318291db9d
Kim, Young Ae ; Yun, Young Ho ; Chang, Yoon Jung ; Lee, Jongmog ; Kim, Moon Soo ; Lee, Hyun Sung ; Zo, Jae Ill ; Kim, Jhingook ; Choi, Yong Soo ; Shim, Young Mog ; Yoon, Seok-Jun. / Employment status and work-related difficulties in lung cancer survivors compared with the general population. In: Annals of Surgery. 2014 ; Vol. 259, No. 3. pp. 569-575.
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AU - Lee, Hyun Sung

AU - Zo, Jae Ill

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AB - OBJECTIVE:: To investigate the employment status of lung cancer survivors and the work-related problems they face. BACKGROUND:: Although the number of lung cancer survivors is increasing, little is known about their employment and work-related issues. METHODS:: We enrolled 830 lung cancer survivors 12 months after lung cancer curative surgery (median time after diagnosis, 4.11 years) and 1000 volunteers from the general population. All participants completed the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Core 30-item and a questionnaire that included items relating to their jobs. We used logistic regression analysis to identify independent predictors of unemployment. RESULTS:: The employment rate of lung cancer survivors decreased from 68.6% at the time of diagnosis to 38.8% after treatment, which was significantly lower than the employment rate of the general population (63.5%; adjusted odds ratio = 2.31, 95% confidence interval: 1.66-3.22). The posttreatment unemployment rate was higher for women than for men. Among survivors, employment was inversely associated with older age, household income, number of comorbidities, and poor social functioning. Fatigue (78.6%) was the most common work-related problem reported by survivors. CONCLUSIONS:: Lung cancer survivors experienced more difficulties in employment than did the general population. Age, monthly household income, number of comorbidities, and social functioning appear to be important factors influencing employment status. These findings suggest that lung cancer survivors need support to cope with the financial impact of cancer.

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