Details:

Alternative Title:
Pediatrics
Personal Author:
Guy, Gery P. ; Berkowitz, Zahava ; Ekwueme, Donatus U. ; Rim, Sun Hee ; Robin Yabroff, K.
Guy, Gery P. ; Berkowitz, Zahava ; Ekwueme, Donatus U. ; Rim, Sun Hee ; Robin Yabroff, K. Less -
Description:
BACKGROUND AND OBJECTIVES:

Although adult survivors of childhood cancers have poorer health and greater health limitations than other adults, substantial gaps remain in understanding the economic consequences of surviving childhood cancer. Therefore, we estimated the economic burden of productivity losses among adult survivors of childhood cancers.

METHODS:

We examined health status, functional limitations, and productivity loss among adult survivors of childhood cancers (n = 239) diagnosed at ≤14 years of age compared with adults without a history of cancer (n = 304 265) by using the 2004–2014 National Health Interview Survey. We estimated economic burden using the productivity loss from health-related unemployment, missed work days, missed household productivity, and multivariable regression models controlling for age, sex, race/ethnicity, education, comorbidities, and survey year.

RESULTS:

Childhood cancer survivorship is associated with a substantial economic burden. Adult survivors of childhood cancers are more likely to be in poorer health, need assistance with personal care and routine needs, have work limitations, be unable to work because of health, miss more days of work, and have greater household productivity loss compared with adults without a history of cancer (all P < .05). The annual productivity loss for adult survivors of childhood cancer is $8169 per person compared with $3083 per person for individuals without a history of cancer.

CONCLUSIONS:

These findings underscore the importance of efforts to reduce the health and economic burden among adult survivors of childhood cancer. In addition, this study highlights the potential productivity losses that could be avoided during adulthood from the prevention of childhood cancer in the United States.


Keywords:
[+]
Absenteeism Adolescent Adult Child Child, Preschool Cost Of Illness Efficiency Female Health Status Humans Infant Male Neoplasms Survivors Unemployment Young Adult
Source:
Pediatrics. 138(Suppl 1):S15-S21
Pubmed ID:
27940973
Pubmed Central ID:
PMC6047347
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0867b8010db7882b0956afd25ddcaec37df54134faac3ced6cb1615cbfa8b3ae
Download URL:
https://stacks.cdc.gov/view/cdc/57171/cdc_57171_DS1.pdf
File Type:

Supporting Files

• nihms-980395.nxml

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