Return to work in European Cancer survivors: a systematic review

Paltrinieri, S.; Fugazzaro, Stefania; Bertozzi, Lucia; Bassi, Maria Chiara; Pellegrini, Martina; Vicentini, Massimo; Mazzini, Elisa; Costi, Stefania

doi:10.1007/s00520-018-4270-6

Cited by 111 publications

(119 citation statements)

References 33 publications

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“…e Based on three observations. breast and various types of genital cancer, and lower proportions in survivors with gastrointestinal, lung, and blood cancer [14,15,17,18]. The results of our study are in line with this statement, but we were not able to observe statistically significant differences and we only had cancer types with comparatively good prognosis in our sample.…”

Section: Discussionsupporting

confidence: 77%

“…This will allow a better understanding of why some survivors regain their work capacity earlier than others. The proportion of 63% of survivors returning to former work (70% to any work) as well as their speed of returning is comparable to studies from other European countries [14][15][16][17][18][19][20][21][22][23] but lower than in two other studies from Germany (76-87%) [4,7]. The latter two studies were based on participants of in-patient rehabilitation programs, who were followed over a 12 months period.…”

Section: Discussionsupporting

confidence: 69%

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Return to work after cancer. A multi-regional population-based study from Germany

Arndt

Koch-Gallenkamp

Bertram³

et al. 2019

Acta Oncologica

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Background: With improving prognosis, the ability to return to work after cancer has become a realistic goal but only little is known regarding details such as sustainability, financial consequences, and potential determinants of return to work in long-term survivors in Germany. Methods: We studied return to work in a population-based sample of 1558 long-term cancer survivors, diagnosed in 1994-2004 with breast, colorectal or prostate cancer before age 60 (mean 50.1). Information regarding employment status and financial difficulties was obtained via mailed questionnaires from patients who were identified by six population-based cancer registries in Germany. Cumulative incidence of return to work was determined by time-to-event analysis with consideration of competing events. Chi 2 tests and multiple logistic regression modeling were employed to identify potential sociodemographic and clinical determinants of return to work. Results: Within a mean period since diagnosis of 8.3 years, 63% of all working-age cancer survivors initially returned to their old job and another 7% took up a new job. Seventeen percent were granted a disability pension, 6% were early retired (not cancer-related), 4% became unemployed, and 1% left the job market for other reasons. Resumption of work occurred within the first 2 years after diagnosis in 90% of all returnees. Cancer-related reduction of working hours was reported by 17% among all returnees and 6% quit their job due to cancer within 5 years past return to work. The probability of return to work was strongly related with age at diagnosis, tumor stage, education, and occupational class but did not differ with respect to the tumor site, gender nor marital status. Conclusions: Most long-term survivors after breast, colorectal, or prostate cancer of working-age are able to return to work. However, financial problems might arise due to a reduction in working hours. An additional provision of targeted interventions for high-risk groups should be discussed.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 69%

Return to work after cancer. A multi-regional population-based study from Germany

Arndt

Koch-Gallenkamp

Bertram³

et al. 2019

Acta Oncologica

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“…RTW might have changed over the last decades due to improved prognosis, better supportive care, changes in work perception or fluctuations in economic conditions. Available data suggest that many breast cancer survivors of working age go back to work, but the percentages vary widely from one country to another (de Boer, Taskila, Ojajarvi, Dijk, & Verbeek, ; Islam et al, ; Mehnert, ; Paltrinieri et al, ; Sun, Shigaki, & Armer, ). Differences between countries might be due to different socioeconomic and healthcare systems, but also different notions of employment among women.…”

Section: Introductionmentioning

confidence: 99%

“…Likewise, barriers and facilitators for RTW might differ between countries. While overall there is a growing body of research on RTW (Bijker et al, ; Islam et al, ; Kiasuwa Mbengi et al, ; Paltrinieri et al, ; Sun et al, ; van Muijen et al, ), up‐to‐date information on the situation in Germany is scarce (Braybrooke et al, ; Heuser et al, ; Mehnert & Koch, , ; Noeres et al, ).…”

Section: Introductionmentioning

confidence: 99%

Return to work after breast cancer: The role of treatment‐related side effects and potential impact on quality of life

et al. 2019

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For breast cancer survivors return to work (RTW) is important from an economic, societal and personal perspective. Thus, we investigated the impact of side effects and other factors on RTW. Five years post‐diagnosis 135 disease‐free breast cancer survivors below retirement age who were employed pre‐diagnosis recorded their current and previous working status and reasons for impaired RTW. Patient‐reported outcomes were prospectively reported over the cancer continuum. One year post‐surgery 57% of survivors worked the same and 22% with reduced working time compared to pre‐diagnosis. Logistic regression revealed significant associations of depressive symptoms, arm morbidity, lower education and younger age with impaired RTW after 1 year, and persisting physical fatigue and living with partner with impaired RTW after 5 years. Major self‐reported reasons included fatigue and cognitive problems. Temporal patterns of general quality of life (QoL), physical, cognitive and role function, and financial problems were significantly worse among women with no RTW compared to those working again. In conclusion, cessation of work after breast cancer seems associated with worse QoL. Fatigue, psychological and cognitive problems as well as arm morbidity seemed to hinder RTW. Thus, a better management of these problems might help women to stay in working life.

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“…To date, various studies have highlighted the significance of support for balancing cancer treatment and work from several perspectives . Endo et al reported that 47.1% of cancer survivors returned to full‐time work within 6 months of their initial day of sick leave absence and 62.3% by 12 months, indicating that it is crucial for companies to establish and enhance their return‐to‐work (RTW) support system for cancer survivors, knowing that the median time to RTW is assumed to be at least a few months.…”

Section: Discussionmentioning

confidence: 99%

Development and evaluation of a training program for occupational health nurses regarding support for workers with cancer and their workplaces

Nishikido

Sasaki

Yoshikawa

et al. 2019

Journal of Occupational Health

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Objectives This study aimed to develop and evaluate a training program for occupational health nurses (OHNs) regarding support for workers with cancer and their workplaces. Methods Based on our prior research, we engaged in multiple discussions on the development of training program for OHNs. For examining the effectiveness of the developed training program, we collected and analyzed the data from three repeated surveys conducted before, immediately after, and 3 months after the training on self‐confidence levels of the participants regarding 23 items associated with support for workers with cancer and their workplaces. Results We made a 3‐hour training program including a lecture and a group work. First, we gave a lecture explaining the support scheme consisting of 4 parts and the 12 hints in action phrase while using the guidebook. Second, we conducted the group work regarding the case of a female worker diagnosed with breast cancer. Of the participants who supported workers with cancer in actuality during the 3‐month post‐training, 86% acknowledged the utility of the training in implementing support. As for the pre‐post evaluation of the training program, most items of the participants’ self‐confidence significantly increased from pretraining to immediately after and 3 months post‐training. Discussion This study demonstrated that the developed training program was effective in that the participants learned the support schemes and skills and gained self‐confidence in implementing supports in real‐work settings. We hope that this training program will be extensively used in the future, enabling OHNs to contribute toward balancing cancer treatment and work.

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Return to work in European Cancer survivors: a systematic review

Abstract: Data from Mediterranean and Central European countries are urgently needed to understand whether RTW is an issue for CSs there as well and whether socio-rehabilitative interventions are required to mitigate the potential negative impact of cancer on individuals and society.

Cited by 111 publications

References 33 publications

Return to work after cancer. A multi-regional population-based study from Germany

Return to work after cancer. A multi-regional population-based study from Germany

Return to work after breast cancer: The role of treatment‐related side effects and potential impact on quality of life

Development and evaluation of a training program for occupational health nurses regarding support for workers with cancer and their workplaces

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