Employment Outcomes of Men Treated for Prostate Cancer

Bradley, Cathy J.; Neumark, David; Luo, Zhehui; Bednarek, Heather L.; Schenk, Maryjean

doi:10.1093/jnci/dji171

Cited by 124 publications

(107 citation statements)

References 14 publications

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“…To our knowledge, this is the first study to examine work-and housework-related difficulties and the correlates of employment status for stomach cancer survivors vs the general population. Although comparisons with previous studies may not be appropriate because of differences in length of follow-up, health care access, and disability laws, our finding that nonworking was 10% higher in stomach cancer survivors was similar to the findings of studies of breast cancer survivors and prostate cancer (Bradley et al, 2002b;Bradley et al, 2005;Drolet et al, 2005). Our findings that stomach cancer survivors had difficulties in performing work due to increased fatigue and reduced workcapacity were also in agreement with findings from other studies (Stewart et al, 2001;Bednarek, 2002a, Short et al, 2005).…”

Section: Discussionsupporting

confidence: 84%

“…If the three multiple-choice items were not applicable, participants were asked to write in the reason for not working. We based most of the work-related questions on earlier studies (Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005;Drolet et al, 2005;Short et al, 2005). Feasibility and comprehensibility of the full survey instrument -including work-and housework-related difficulties, reasons for unemployment, and socio-demographic and clinical characteristics -were pretested with 15 stomach cancer survivors in an outpatient clinic of the Korean National Cancer Center.…”

Section: Study Variablesmentioning

confidence: 99%

“…Cancer survivors may return to the work they did before diagnosis, but they may experience new physical limitations as a result of the disease and its treatment (Hewitt et al, 2003). Many studies have assessed the employment status of cancer survivors (Maunsell et al, 2004;Yabroff et al, 2004;Bednarek and Bradley, 2005;Bradley et al, 2005;Drolet et al, 2005;Short et al, 2005;Bouknight et al, 2006), but only four of them included comparison groups (Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005;Drolet et al, 2005), which are crucial to detecting cancer-specific effects. Furthermore, the majority of studies focused on breast (Maunsell et al 2004;Drolet et al, 2005;Bouknight et al, 2006) or heterogeneous types of cancer (Bradley and Bednarek, 2002a;Yabroff et al, 2004;Bednarek and Bradley, 2005;Short et al, 2005) and did not consider the survivors' ability to do housework.…”

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confidence: 99%

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Employment status and work-related difficulties in stomach cancer survivors compared with the general population

Lee

Bae

et al. 2008

Br J Cancer

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Little was known about work situation and work-related difficulties, including housework after stomach cancer diagnosis. We aimed to compare employment status and work-related difficulties between stomach cancer survivors and the general population. We enrolled 408 stomach cancer survivors from two hospitals 28 months after diagnosis and 994 representative volunteers from the general population from 15 geographic districts. Working was defined as being employed (including self-employed) and nonworking as being retired or a homemaker. Nonworking was significantly higher among stomach cancer survivors (46.6%) than in the general population (36.5%). Compared with the general population, the survivors had more fatigue in performing both housework (adjusted odds ratio (aOR) ¼ 2.08; 95% confidence interval (95% CI) ¼ 1.01 -4.29) and gainful work (aOR ¼ 4.02; 2.55 -6.33). More cancer survivors had reduced working hours (aOR ¼ 1.42; 95% CI ¼ 4.60 -28.35) and reduced work-related ability (aOR ¼ 6.11; 95% CI ¼ 3.64 -10.27) than did the general population. The association of nonworking with older age and being female was significantly more positive for survivors than for the general population. Among survivors, poorer Eastern Cooperation Oncology Group Performance Status and receiving total gastrectomy were positively associated with nonworking. Stomach cancer survivors experienced more difficulties in both housework and gainful employment than did the general population. Our findings on stomach cancer survivors' work-related difficulties and the predictors of nonworking will help physicians guide patients towards more realistic postsurgical employment plans.

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Section: Discussionsupporting

confidence: 84%

Section: Study Variablesmentioning

confidence: 99%

mentioning

confidence: 99%

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Employment status and work-related difficulties in stomach cancer survivors compared with the general population

Lee

Bae

et al. 2008

Br J Cancer

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“…Studies of the employment consequences of cancer survivorship have focused more on employment rates than disability rates (Bradley et al, 2002a;Bradley et al, 2002b;Chirikos et al, 2002a;Chirikos et al, 2002b;Spelten et al, 2002;Hewitt et al, 2003;Maunsell et al, 2004;Yabroff et al, 2004;Bradley et al, 2005a;Bradley et al, 2005b;Short et al, 2005). However, disability rates provide a conceptually broader measure of the employment effect of cancer survivorship than employment rates.…”

Section: Measures Of Disability and Chronic Conditionsmentioning

confidence: 99%

Work disability associated with cancer survivorship and other chronic conditions

2007

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SummaryThe long-term effects of cancer and its treatment on employment and productivity are a major concern for the 40% of cancer survivors in the U.S. who are working age. This study's objectives were (1) to quantify the increase in work disability attributable to cancer in a cohort of adult survivors who were an average of 46 months post-diagnosis and (2) to compare disability rates in cancer survivors to individuals with other chronic conditions. Data from the Penn State Cancer Survivor Study (PSCSS) and the Health and Retirement Study (HRS) were compared. The PSCSS sample included 647 survivors age 55-65, diagnosed at four medical centers in Pennsylvania and Maryland. There were 5988 similarly aged subjects without cancer in the HRS. Adjusted odds ratios for work disability were estimated for cancer survivorship, heart disease, stroke, diabetes, lung disease, and arthritis/rheumatism with multivariate logistic regression. Even for cancer-free survivors, the disability rate was significantly higher in comparison to adults with no chronic conditions (female OR=1.94; male OR=1.89). There were few significant differences between disability rates for cancer and other conditions. The elevated disability rate is another argument for viewing cancer survivorship as a chronic condition potentially requiring a broad range of psychosocial services.

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“…Several studies have included questions on occupational role after RTW, but they have only reported crude prevalence of self-reported difficulties; reduced working hours and changes in occupation [7,8]; and difficulty with physical and cognitive tasks [9,10]. A review in 2009 identified 19 studies on the correlates of job function in cancer survivors; however, all these studies relied on self-reported measures of job function, and often did not distinguish between the working and nonworking population [11].…”

Section: Introductionmentioning

confidence: 99%

Factors in Removing Job Restrictions for Cancer Survivors in the United Kingdom Royal Air Force

Murray¹,

Lam

McLoughlin

et al. 2018

J Occup Rehabil

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Purpose To identify personal, occupational and clinical factors associated with the lifting of restrictions on duties among Royal Air Force (RAF) personnel who have returned to work after surviving primary cancer treatment. Methods A retrospective cohort of 205 RAF personnel aged 18-58 with cancer diagnosed between 2001 and 2011 was followed-up until May 2012. Personal, occupational, and clinical information was extracted from occupational health and primary care records. Predictors of the lifting of (a) employment restrictions on UK duties at 18 months after diagnosis and (b) the lifting of all deployment restrictions at the end of the study were analysed using logistic and Cox regression models. Results At 18 months, 62% of the cancer survivors had restrictions on their UK duties lifted. The positive independent predictors of unrestricted UK duties are testicular cancer (OR 5.34; 95% CI 1.21-23.6) and no treatment being required (16.8; 1.11-255.2). The lifting of all employment restrictions and return to full deployability was achieved by 41% of the participants (median time 2.1 years), with testicular cancer (HR 2.69; 95% CI 1.38-5.26) and age at diagnosis (1.05; 1.01-1.09) being the positive independent predictors of faster lifting of all restrictions. Conclusion Diagnostic group, prognosis and type of treatment are not the only predictor of employment outcome after cancer. Patient-centred factors such as smoking, age, fatigue, job status, job type and length of employment are also important predictors of return to pre-morbid job function in cancer survivors in the RAF.

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Employment Outcomes of Men Treated for Prostate Cancer

Abstract: Prostate cancer and its treatment appear to have an impact on employment.

Cited by 124 publications

References 14 publications

Employment status and work-related difficulties in stomach cancer survivors compared with the general population

Employment status and work-related difficulties in stomach cancer survivors compared with the general population

Work disability associated with cancer survivorship and other chronic conditions

Factors in Removing Job Restrictions for Cancer Survivors in the United Kingdom Royal Air Force

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