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Employment Disruption and Financial Burden Associated with Gastrointestinal Cancers
Mujtaba Khalil1, Selamawit Woldesenbet1, Abdullah Altaf1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.
Annals of Surgical Oncology
|June 26, 2025
Summary
Patients with gastrointestinal (GI) cancer face significant employment disruption and financial burdens, with a threefold higher risk of job loss. Targeted support services are crucial for this vulnerable population.
Area of Science:
- Oncology
- Health Economics
- Occupational Health
Background:
- Gastrointestinal (GI) cancer diagnosis significantly impacts patients' employment status and financial well-being.
- Understanding these disruptions is vital for developing effective patient support services.
Purpose of the Study:
- To investigate the extent of employment disruption among patients diagnosed with GI cancer.
- To assess the financial burden experienced by individuals with GI cancer.
Main Methods:
- Utilized the MarketScan database to identify patients with GI cancer.
- Employed multivariable Cox proportional hazards models to analyze the risk of employment disruption.
Main Results:
- 13.8% of GI cancer patients experienced employment disruption within a year of diagnosis.
- GI cancer patients faced significantly higher out-of-pocket costs and missed workdays.
- Patients with GI cancer had a threefold increased risk of employment disruption compared to controls.
Conclusions:
- GI cancer patients are substantially more likely to experience employment disruption and financial hardship.
- There is a critical need for targeted interventions, including flexible work policies and vocational support.
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