Predictors of employment among cancer survivors after medical rehabilitation – a prospective study

Mehnert, Anja; Koch, Uwe

doi:10.5271/sjweh.3291

Cited by 124 publications

(154 citation statements)

References 47 publications

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“…This suggests that patients' own judgement can be used as a predictor of RTW. This is consistent with a study by Mehnert and Koch [23] who found that patients' intention to return to work at the beginning of cancer rehabilitation was a significant predictor of RTW at 1 year follow-up. Education showed a strong positive association with work ability (WAI) and a trend of being associated with higher RTW rates after 6 months, but not after 12 months.…”

Section: Discussionsupporting

confidence: 82%

Return to Work in Patients with Hematological Cancers 1 Year after Treatment: A Prospective Longitudinal Study

Hartung¹,

Sautier

Scherwath

et al. 2018

Oncol Res Treat

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Background: Although hematological cancer survivors have a high risk of disability, data on work-related issues are scarce for this population. Methods: We investigated return to work (RTW) and work ability (Work Ability Index, WAI) in hematological cancer patients 6 months and 1 year after cancer treatment. We explored associations between baseline sociodemographic and medical characteristics and RTW as well as work ability at follow-up. Results: The participation rate was 42% (baseline n = 91, after 12 months n = 40 (44%)). 6 months after cancer treatment, 33% (95% confidence interval 21%-46%) of the remaining patients had returned to work. After 12 months, the RTW rate was 58% (42%-73%). Mean WAI sum score ± SD significantly increased from 18.5 ± 7.3 at baseline to 28.3 ± 8.3 after 12 months (p = 0.001). Patients with lymphoma (r = 0.31, p = 0.02) and patients who received radiation therapy (r = 0.29, p = 0.04) were significantly more likely to return to work. Work ability after 6 months was most strongly associated with higher education (r = 0.60, p < 0.01). Patients' subjective prognosis of gainful employment before cancer treatment predicted work ability after 6 (r = 0.62, p < 0.01) and 12 months (r = 0.51, p < 0.01). Conclusion: The chance of returning to work of hematological malignancy survivors is similar to that of other cancer patients.

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Section: Discussionsupporting

confidence: 82%

Return to Work in Patients with Hematological Cancers 1 Year after Treatment: A Prospective Longitudinal Study

Hartung¹,

Sautier

Scherwath

et al. 2018

Oncol Res Treat

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“…Most studies using this model have examined development of work-related disorders or worker performance or work productivity; few have examined work disabilityEmployment after liver transplantation: a review [86]Cancer and work model [25]This evidence-based model includes work environment and demands factors, as well as function and health variables. Four outcomes are addressed including return to work, work ability, work performance, and sustainability (retention)Predictors of employment among cancer survivors after medical rehabilitation: a prospective study [87] …”

Section: Conceptual Framework Guiding Researchmentioning

confidence: 99%

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

et al. 2016

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Purpose There is growing research evidence that workplace factors influence disability outcomes, but these variables reflect a variety of stakeholder perspectives, measurement tools, and methodologies. The goal of this article is to summarize existing research of workplace factors in relation to disability, compare this with employer discourse in the grey literature, and recommend future research priorities. Methods The authors participated in a year-long collaboration that ultimately led to an invited 3-day conference, “Improving Research of Employer Practices to Prevent Disability, held October 14–16, 2015, in Hopkinton, Massachusetts, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with a special panel of knowledge experts with direct employer experience. Results Predominant factors in the scientific literature were categorized as physical or psychosocial job demands, work organization and support, and workplace beliefs and attitudes. Employees experiencing musculoskeletal disorders in large organizations were the most frequently studied population. Research varied with respect to the basic unit of assessment (e.g., worker, supervisor, policy level) and whether assessments should be based on worker perceptions, written policies, or observable practices. The grey literature suggested that employers focus primarily on defining roles and responsibilities, standardizing management tools and procedures, being prompt and proactive, and attending to the individualized needs of workers. Industry publications reflected a high reliance of employers on a strict biomedical model in contrast to the more psychosocial framework that appears to guide research designs. Conclusion Assessing workplace factors at multiple levels, within small and medium-sized organizations, and at a more granular level may help to clarify generalizable concepts of organizational support that can be translated to specific employer strategies involving personnel, tools, and practices.

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“…Consequently, the options of returning to work and continuing employment during and after treatment have become realistic goals (Hoffman, 2005;Rowland, Aziz, Tesauro, & Feuer, 2001). The majority of cancer patients are willing and keen to return to work or to be reemployed (Mehnert & Koch, 2013;Taskila & Lindbohm, 2007;Hoffman, 2005). Return-to-work rates of 67%, 75%, and 84% respectively have been reported in various studies (Bradley & Bednarkek, 2002;Short, Vasey, & Tuncell, 2005;Brooks, 2009).…”

Section: Introductionmentioning

confidence: 96%

Use of an Employment Advisory Service by Cancer Survivors

Lawlor

Donnelly

2015

Journal of Psychosocial Oncology

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Employment issues for cancer survivors (CS) were investigated from the perspective of Northern Ireland government general employment advisors. An e-survey was designed and developed based on the results of a scoping search of journal articles, previously validated questionnaires and relevant related surveys; discussions of draft versions of the e-survey and method with lead representatives of stakeholder organizations; and a pilot study with seven prospective respondents. The e-survey and subsequent reminder to employment advisors were distributed internally by the government employment advisory agency. The e-survey was completed by 78/156 (50%) advisors, the majority of whom (74%) received a request for advice in the last year from at least one CS. Most CS used the employment service less than 1 year (52%) or 1 year or more after treatment (32%). Fatigue was the most commonly reported barrier to returning to work (10%) and staying in work (14%), and a supportive employer was the top facilitating factor in returning to (21%) and continuing in (27%), employment. Although most advisors had a positive attitude about a CS's capacity to return to work, half were uncertain about how best to advise cancer survivors.

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Predictors of employment among cancer survivors after medical rehabilitation – a prospective study

Cited by 124 publications

References 47 publications

Return to Work in Patients with Hematological Cancers 1 Year after Treatment: A Prospective Longitudinal Study

Return to Work in Patients with Hematological Cancers 1 Year after Treatment: A Prospective Longitudinal Study

Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

Use of an Employment Advisory Service by Cancer Survivors

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