Document Detail


Indirect economic effects of long-term breast cancer survival.
MedLine Citation:
PMID:  12236838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The indirect morbidity/disability costs of breast cancer may be rising as a consequence of the growth in the population of long-term survivors. This study was conducted to test whether women who have survived breast cancer for at least 5 years experience long-lasting or continuing economic consequences that are attributable to their disease. DESCRIPTION OF STUDY: A group of 105 women who initially had been treated for breast cancer approximately 5 years before were interviewed to obtain data on economic, demographic, and health changes in the period since diagnosis. An age-matched and work-matched group of 105 women without cancer also was interviewed to obtain the same data for the same time period. Key changes in the economic position of subjects and their families were measured, including changes in work effort, pay rates, and annual earnings of working women and changes in household earnings, income, and assets of all women. RESULTS: These preliminary empirical findings suggest that breast cancer exacts an economic toll from long-term survivors. In particular, survivors who were working at the time of their diagnosis experienced significantly larger reductions in annual market earnings over the 5-year study period than did working control subjects. These losses appear to arise mostly from reduced work effort, not changes in pay rates. Also, changes in total household earnings were lower for survivors, suggesting the presence of family adjustments to the disease. However, no significant differences were detected between the groups in changes in total income or assets over the study period. CLINICAL IMPLICATIONS: Clinicians and policy makers must seek ways to minimize the indirect economic losses that are attributable to breast cancer.
Authors:
Thomas N Chirikos; Anita Russell-Jacobs; Alan B Cantor
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Cancer practice     Volume:  10     ISSN:  1065-4704     ISO Abbreviation:  Cancer Pract     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-09-18     Completed Date:  2002-10-16     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9312355     Medline TA:  Cancer Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-55     Citation Subset:  N    
Affiliation:
Cancer Control, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida 33612-9497, USA.
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MeSH Terms
Descriptor/Qualifier:
Breast Neoplasms / economics*,  therapy
Cost of Illness*
Cost-Benefit Analysis
Disabled Persons
Employment*
Family Relations
Female
Follow-Up Studies
Humans
Income / trends*
Middle Aged
Quality of Life
Survival
Grant Support
ID/Acronym/Agency:
1R03CA83236/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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