Cancer Control Research, BC Cancer Agency, Vancouver, British Columbia, Canada
Canadian Centre for Applied Research in Cancer Control, Vancouver, British Columbia, Canada.
BMJ Open. 2022 Sep 5;12(9):e064714. doi: 10.1136/bmjopen-2022-064714.
To summarise peer-reviewed evidence on the effect of a cancer diagnosis on the different sources of income of individuals diagnosed with cancer during adulthood (age ≥18 years).
A scoping review following the Joanna Briggs Institute's methodological framework for conducting scoping reviews and reporting results following the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews checklist.
Ovid MEDLINE, PsycINFO, CINAHL, EMBASE, Econ-Lit and Evidence-based Medicine Reviews, and reference lists of evidence syntheses. Published literature of any study type in English was searched from January 2000 to December 2020.
Study participants were individuals diagnosed with cancer during adulthood (age ≥18 years). Studies from any country and/or healthcare system were included. Primary outcomes were employment income (eg, individual or household); investment income (eg, stocks/bonds, properties, savings); government transfer payments (eg, disability income/pension); debt and bankruptcy.
Findings are summarised descriptively and in tabular form.
From 6297 citations retrieved, 63 studies (67 articles) met our inclusion criteria. Most (51%) were published in 2016-2020; 65% were published in the USA or Scandinavia. Survivors incurred debt (24 studies), depleted savings (13 studies) and liquidated stocks/bonds (7 studies) in response to a cancer diagnosis. 41 studies reported changes to employment income; of these, 12 case-control studies reported varying results: 5 reported survivors earned less than controls, 4 reported no significant differences, 2 reported mixed results and 1 reported income increased. Initial declines in income tended to lessen over time.
Cancer's impact on survivors' income is complex and time-varying. Longitudinal studies are needed to document the trend of initial declines in income, with declines lessening over time, and its variations. Study designs using standardised income measures and capturing treatment type and follow-up time will improve our understanding of cancer's impact on survivors' income.
总结同行评议证据，了解成年期（≥18 岁）诊断为癌症的个体的不同收入来源在癌症诊断后的变化。
采用乔安娜·布里格斯研究所（Joanna Briggs Institute）的系统综述方法框架进行范围综述，并根据系统综述和荟萃分析扩展后的首选报告项目清单（Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews checklist）报告结果。
Ovid MEDLINE、PsycINFO、CINAHL、EMBASE、Econ-Lit 和循证医学评论，以及证据综合的参考文献列表。检索了 2000 年 1 月至 2020 年 12 月发表的所有研究类型的英文文献。
研究参与者为成年期（≥18 岁）诊断为癌症的个体。研究来自任何国家和/或医疗保健系统。主要结局为就业收入（例如个人或家庭）；投资收入（例如股票/债券、财产、储蓄）；政府转移支付（例如残疾收入/养老金）；债务和破产。
发现以描述性和表格形式进行总结。
从 6297 条引用中，有 63 项研究（67 篇文章）符合我们的纳入标准。大多数（51%）发表于 2016-2020 年；65%发表于美国或斯堪的纳维亚。癌症诊断后，幸存者承担债务（24 项研究）、耗尽储蓄（13 项研究）和清算股票/债券（7 项研究）。41 项研究报告了就业收入的变化；其中，12 项病例对照研究报告了不同的结果：5 项研究报告幸存者的收入低于对照组，4 项研究报告无显著差异，2 项研究报告结果混合，1 项研究报告收入增加。收入的最初下降趋势往往随着时间的推移而减轻。
癌症对幸存者收入的影响是复杂且随时间变化的。需要进行纵向研究来记录收入最初下降的趋势，随着时间的推移，下降趋势会减轻，并记录其变化。使用标准化收入衡量标准并捕捉治疗类型和随访时间的研究设计将有助于我们了解癌症对幸存者收入的影响。
