Evidence mapPaperPMID 37548803Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2024

Losses of lifetime employment duration and productivity for patients with different subtypes and stages of lung cancer.

Szu-Chun Yang, Wu-Wei Lai, Tzu-I Wu, Jing-Shiang Hwang, Jung-Der Wang, Fuhmei Wang

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Szu-Chun YangDepartment of Internal Medicine, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.ORCID http://orcid.org/0000-0003-4120-0394
Wu-Wei LaiDepartment of Surgery, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan.
Tzu-I WuDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jing-Shiang HwangInstitute of Statistical Science, Academia Sinica, Taipei, Taiwan.
Jung-Der WangDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID http://orcid.org/0000-0002-3176-4500
Fuhmei WangDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan. fmwang@mail.ncku.edu.tw.ORCID http://orcid.org/0000-0002-8279-8700

Funding

Ministry of Science and Technology, Taiwan 110-2314-B-006-100-MY2Ministry of Science and Technology, Taiwan 110-2627-M-006-010Ministry of Science and Technology, Taiwan 111-2627-M-006-003National Cheng Kung University Hospital NCKUH-11203001
6 · The paper itself

Abstract

backgroundHow different subtypes and stages of lung cancer affect morbidity- and mortality-associated productivity have not been investigated. This study quantified the losses of lifetime employment duration and productivity among patients with various subtypes and stages of lung cancer.

methodsWe identified nationwide lung cancer patients diagnosed at the ages of 50-64 between 2011 and 2019. Monthly survival probabilities were weighted by monthly employed-to-population ratios and working salaries to estimate lifetime employment duration and productivity. We compared lifetime employment duration and productivity of patients with those of the age-, sex-, calendar year-matched general population for losses of lifetime employment duration and productivity, which were multiplied by pathology and stage shifts based on the first-round screening of Taiwan Lung Cancer Screening in Never Smoker Trial (TALENT) to calculate the savings of lifetime employment duration and productivity.

resultsLung cancer patients had shorter survival and employment duration than the referents. Patients with lung cancers other than adenocarcinoma experienced greater losses of lifetime employment duration and productivity as compared to adenocarcinoma patients. Applying the estimations of never-smoking patients to 100 lung cancer patients with pathology and stage shifts based on the TALENT, the savings of lifetime employment duration and productivity were 132.2 (95% prediction interval: 116.2-147.4) years and 3353 (95% prediction interval: 2914-3802) thousand US dollars, respectively.

conclusionsEarly diagnosis of lung cancer would save the losses of employment duration and lifetime productivity. Future evaluation of the cost-effectiveness of lung cancer screening could consider incorporating these societal impacts.

Indexed as

EmploymentLung NeoplasmsEfficiencyFemaleHumansMaleMiddle AgedNeoplasm StagingTaiwanTime FactorsEmploymentHuman capitalLDCT screeningLung cancerProductivity

Identifiers

PMID37548803
PMCPMC11192829

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.