Use of patient-reported controls for secular trends to study disparities in cancer-related job loss Journal Article
| Authors: | Blinder, V. S.; Eberle, C. E.; Tran, C.; Bao, T.; Malik, M.; Jung, G.; Hwang, C.; Kampel, L.; Patil, S.; Gany, F. M. |
| Article Title: | Use of patient-reported controls for secular trends to study disparities in cancer-related job loss |
| Abstract: | Purpose: Racial/ethnic minorities experience greater job loss than whites during periods of economic downturn and after a cancer diagnosis. Therefore, race/ethnicity-matched controls are needed to distinguish the impact of illness on job loss from secular trends Methods: Surveys were administered during and 4-month post-completion of breast cancer treatment. Patients were pre-diagnosis employed women aged 18–64, undergoing treatment for stage I–III breast cancers, who spoke English, Chinese, Korean, or Spanish. Each patient was asked to: (1) nominate peers who were surveyed in a corresponding timeframe (active controls), (2) report a friend’s work status at baseline and follow-up (passive controls). Both types of controls were healthy, employed at baseline, and shared the nominating patient’s race/ethnicity, language, and age. The primary outcome was number of evaluable patient-control pairs by type of control. A patient-control pair was evaluable if work status at follow-up was reported for both individuals. Results: Of the 180 patients, 25% had evaluable active controls (45 patient-control pairs); 84% had evaluable passive controls (151 patient-control pairs). Although patients with controls differed from those without controls under each strategy, there was no difference in the percentage of controls who were working at follow-up (96% of active controls; 91% of passive controls). However, only 65% of patients were working at follow-up. Conclusions: The majority of patients had evaluable passive controls. There was no significant difference in outcome between controls ascertained through either method Implications for Cancer Survivors: Passive controls are a low-cost, higher-yield option to control for secular trends in racially/ethnically diverse samples. © 2020, Springer Science+Business Media, LLC, part of Springer Nature. |
| Keywords: | health economics; measurement; health services research; disparities; immigrant health |
| Journal Title: | Journal of Cancer Survivorship |
| Volume: | 15 |
| Issue: | 5 |
| ISSN: | 1932-2259 |
| Publisher: | Springer |
| Date Published: | 2021-10-01 |
| Start Page: | 685 |
| End Page: | 695 |
| Language: | English |
| DOI: | 10.1007/s11764-020-00960-1 |
| PROVIDER: | scopus |
| PMCID: | PMC8071836 |
| PUBMED: | 33106995 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 October 2021 -- Source: Scopus |
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