Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990-2014).

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_390AE6FAC2F1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Work-Related Factors and Lung Cancer Survival: A Population-Based Study in Switzerland (1990-2014).
Journal
International journal of environmental research and public health
Author(s)
Bovio N., Grzebyk M., Arveux P., Bulliard J.L., Chiolero A., Fournier E., Germann S., Konzelmann I., Maspoli M., Rapiti E., Guseva Canu I.
ISSN
1660-4601 (Electronic)
ISSN-L
1660-4601
Publication state
Published
Issued date
25/10/2022
Peer-reviewed
Oui
Volume
19
Number
21
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
While previous Swiss studies have demonstrated differences in lung cancer mortality between occupational groups, no estimates are available on the association of occupation-related factors with lung cancer survival. This study aimed at determining whether occupation or work-related factors after diagnosis affect lung cancer survival. We used cancer registry records to identify lung cancer patients diagnosed between 1990 and 2014 in western Switzerland (n = 5773) matched with the Swiss National Cohort. The effect of occupation, the skill level required for the occupation, and the socio-professional category on 5-year lung cancer survival was assessed using non-parametric and parametric methods, controlling for histological type and tumour stage. We found that the net survival varied across skill levels and that the lowest skill level was associated with worse survival in both men and women. In the parametric models with minimal adjustment, we identified several occupational groups at higher risk of mortality compared to the reference category, particularly among men. After adjustment for histological type of lung cancer and tumour stage at diagnosis, most hazard ratios remained higher than 1, though non-statistically significant. Compared to top managers and self-employed workers, workers in paid employment without specific information on occupation were identified as the most at-risk socio-professional category in nearly all models. As this study was conducted using a relatively small sample and limited set of covariates, further studies are required, taking into account smoking habits and administrated cancer treatments. Information on return to work and working conditions before and after lung cancer diagnosis will also be highly valuable for analysing their effect on net lung cancer survival in large nationwide or international studies. Such studies are essential for informing health and social protection systems, which should guarantee appropriate work conditions for cancer survivors, beneficial for their quality of life and survival.
Keywords
Male, Humans, Female, Switzerland/epidemiology, Quality of Life, Occupations, Cohort Studies, Lung Neoplasms/epidemiology, Switzerland, gender differences, lung cancer, net survival, occupation, workers
Pubmed
Open Access
Yes
Create date
24/11/2022 12:07
Last modification date
23/01/2024 8:23
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