Socio‐economic and occupational outcomes of long‐term survivors of gynaecological cancer: A French population‐based study

Kamga, Ariane Mamguem; Dumas, Agnès; Joly, Florence; Simon, Julien; Billa, Oumar; Poillot, Marie‐Laure; Jolimoy, G; Roignot, Patrick; Coutant, Charles; Arveux, Patrick; Dabakuyo-Yonli, Tienhan Sandrine

doi:10.1111/ecc.13235

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…In a study of clinical predictors of RTW by cancer type, gynecological cancer patients receiving radiotherapy reported more stiffness in joints and muscles, localized swelling and skin soreness in the affected area than did breast cancer patients ( Cooper et al, 2013 ). Such patients with impaired physical wellbeing may be more likely to report in reduced work hours ( Mamguem Kamga et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Return to Work and Work Productivity During the First Year After Cancer Treatment

Liao

et al. 2022

Front. Psychol.

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ObjectivesWorking-age cancer patients face barriers to resuming work after treatment completion. Those resuming work contend with reduced productivity arising from persisting residual symptoms. Existing studies of return to work (RTW) after cancer diagnosis were done predominantly in Western countries. Given that employment and RTW in cancer survivors likely vary regionally due to healthcare provision and social security differences, we documented rates and correlates of RTW, work productivity, and activity impairment among Chinese cancer survivors in Hong Kong at one-year post-treatment.MethodsOf 1,106 cancer patients assessed at six-months post-cancer treatment (baseline), 593 previously worked; detailed work status, psychological distress (HADS), physical symptom distress (MSAS-SF), supportive care needs (SCNS-SF34-C), health-related quality of life (SF12), and illness perception (B-IPQ) were assessed. Six months later (follow-up), work productivity and activity impairment were assessed (WPAI; n = 402). Descriptive analyses examined RTW rate. Fully adjusted regressions determined RTW, work productivity, and activity impairment predictors.ResultsAt baseline, 39% (232/593) were working, 26% (153/593) on sick leave, and 35% (208/593) were unemployed. Compared to patients returning to work, unemployed participants were older, likely manual/service-oriented workers, and had lower family income, chemotherapy, fewer unmet health system and information needs, poorer physical functioning, and negative illness perceptions. Sick leave participants were likely service-oriented workers, who had head and neck cancer, chemotherapy, and poor physical functioning. At FU, baseline depressive symptoms, physical symptom distress, and negative illness perceptions predicted presenteeism and work productivity loss; gynecological cancer, fewer unmet health system and information needs, and greater unmet sexuality needs predicted absenteeism; physical symptom distress, negative illness perception, and poor physical functioning predicted activity impairment.ConclusionCancer survivors who had more physically demanding jobs and poorer physical functioning delayed RTW. Unmanaged physical symptom and psychological distress hindered work productivity.

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Section: Discussionmentioning

confidence: 99%

Return to Work and Work Productivity During the First Year After Cancer Treatment

Liao

et al. 2022

Front. Psychol.

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“…With screening programs for the early detection of cancer and improvements in cancer treatment, the number of working-age cancer survivors has increased. Several studies have addressed the impact of returning to work on cancer survivors, such as changes in working ability [25], income [26], and quality of life [27][28][29]. However, our study is the first to analyze the survival outcome in cervical cancer survivors after returning to work.…”

Section: Discussionmentioning

confidence: 99%

The Fact of Return to Work in Cervical Cancer Survivors and the Impact of Survival Rate: An 11-Year Follow-Up Study

Sun

Chen

et al. 2021

IJERPH

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The aim of the current cohort study was to explore the relationship between return to work (RTW) after cervical cancer treatment and different medical and occupational covariates. We also investigated the effect of RTW on all-cause mortality and survival outcomes of cervical cancer survivors. Data were collected between 2004 and 2015 from the database of the Taiwan Cancer Registry, Labor Insurance Database, and National Health Insurance Research Database. The associations between independent variables and RTW were analyzed by Cox proportional hazard models. A total of 4945 workers (82.3%) who returned to work within 5 years after being diagnosed with cervical cancer. Patients who underwent surgical treatment were more likely to RTW by the 5th year compared to other groups, with a hazard ratio (HR) of 1.21 (95% CI: 1.01~1.44). Small company size and a monthly income greater than NT 38,200 were inversely associated with RTW (HR = 0.91, 95% CI: 0.84~0.98 and HR = 0.48, 95% CI: 0.44~0.53). Furthermore, RTW showed a statistically significant decrease in the risk of all-cause mortality in the fully adjusted HR, (HR = 0.42, p < 0.001). Some medical and occupational factors are associated with RTW in cervical cancer survivors. Returning to work may have a beneficial effect on the survival of patients with cervical cancer.

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“…In 2018, the European organization “Youth Cancer Europe” named financial discrimination as one of the five key challenges needed to be addressed on a national and European policy level [ 16 ]. More and more studies show that CCS are excluded from mortgages and private insurances such as life insurance, supplementary health insurance or travel insurance [ 16 , 56 – 58 ]. This results in many CCS being discriminated against (as recipients of unequal treatment) either via denied insurance or by having to pay higher premiums than people without chronic health-conditions [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

The long shadow of childhood cancer: a qualitative study on insurance hardship among survivors of childhood cancer

Hendriks

Harju

Roser

et al. 2021

BMC Health Serv Res

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Background The long-term consequences of childhood cancer have received increasing attention due to the growing number of survivors over the past decades. However, insurance hardships of survivors are mostly unknown. This study explored qualitatively, in a sample of childhood cancer survivors (CCS), (i) the experiences and needs of CCS living in Switzerland with a special focus on hardships related to insurance; and (ii) the views of insurance and law experts with experience on childhood cancer. Methods Semi-structured interviews were conducted with 28 childhood cancer survivors and 3 experts (one legal expert, two insurance experts). Data was analysed using qualitative content analysis. Results Three key themes emerged from the interviews with the CCS: 1) experiences with insurance, 2) perception of discrimination, and 3) needs and barriers for support. The interviewed experts provided further detailed clarification of CCS’ concerns. Our findings indicated that some CCS can move past their cancer history, while others continue to face hardships. CCS reported confusion about the opportunities and services within the social security system and most relied on their personal contacts for guidance. Finally, CCS expressed a strong need for socio-economic and legal support for social insurance questions, especially related to disability insurance. Conclusions With the growing population of CCS, it is essential to further assess the interplay between medical and psychosocial health and socio-economic hardship. Supportive psychosocial services should aim to ameliorate insurance hardships. Better understanding of the relationship between childhood cancer and insurance hardships during survivorship will inform efforts to improve long-term financial security and health outcomes for survivors. We call for the public, lawmakers, researchers, insurers, and patient organizations to come together and discuss future perspectives to avoid the risk of discrimination for cancer survivors.

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Socio‐economic and occupational outcomes of long‐term survivors of gynaecological cancer: A French population‐based study

Cited by 6 publications

References 21 publications

Return to Work and Work Productivity During the First Year After Cancer Treatment

Return to Work and Work Productivity During the First Year After Cancer Treatment

The Fact of Return to Work in Cervical Cancer Survivors and the Impact of Survival Rate: An 11-Year Follow-Up Study

The long shadow of childhood cancer: a qualitative study on insurance hardship among survivors of childhood cancer

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