The potential for lost productivity in lung cancer patients

• Published in: Journal of clinical oncology Vol. 24; no. 18_suppl; p. 6093
• Main Authors: Zawisza, D., Pepe, C., Mittmann, N., Feld, R., Shepherd, F., Leighl, N.
• Format: Journal Article
• Language: English
• Published: 20.06.2006
• ISSN: 0732-183X; 1527-7755
• DOI: 10.1200/jco.2006.24.18_suppl.6093

Abstract only 6093 Background: Lung cancer significantly impacts on a patient’s personal and professional life. Little is known about lung cancer patients’ lost productivity, which in turn has an important effect on society. We undertook this descriptive study to learn about lost productivity experienced by lung cancer patients and their caregivers. Methods: 40 consecutive patients attending outpatient lung clinics at a major cancer centre completed questionnaires assessing demographic details, patient and caregiver productivity, and quality of life (EQ5D, FACT-L). Results: 52.5% of respondents were male. Median age was 67 years (range 36 -81). Median disclosed income was $20,000–$39,999; 46.2% had pursued post-secondary training. 70% were ex-smokers, 40% had NSCLC, 27% SCLC, while a third did not know their diagnosis. Treatments received included IV chemotherapy (62.5%), oral therapy (20%), radiation (55%), surgery (42.5%) and 5% no treatment. Over 25% were working full-time prior to diagnosis, 40% were retired. None were able to continue full-time employment; 20% required disability or sick leave. 8 (20%) were able to work part-time. Of those still working, a median of 14 h were missed due to illness in the preceding 3 weeks, with a median of 32 h worked in that period. Patients reported an overall moderate (5/10) impact on their productivity and a significant (6/10) impact on their daily activities attributable to their cancer. Only 8.5% of patients received paid assistance, while 76% had their spouse, relative or friend as an unpaid caregiver. In the preceding 3 weeks, caregivers who assisted patients provided a median 24h of care; 25% of caregivers missed a median 12h of work. Overall, mobility, self-care and anxiety/depression were rated as mildly affected (1/3), while daily activities and pain/discomfort were rated as moderately affected (2/3). Median overall health state rated by the respondents was 60 {scale 0(worst)-100(best)}. Quality of life overall was poor - FACT-L median score was 93.2 (range 50 to 125). Conclusion: Lung cancer negatively impacts work productivity and significantly impairs activity. While many lung cancer patients are retired, there is a significant burden on caregivers, which may result in a substantial burden to society in lost productivity. No significant financial relationships to disclose.