The provision of workplace accommodations following cancer: survivor, provider, and employer perspectives

Stergiou-Kita, Mary; Pritlove, Cheryl; Eerd, Dwayne Van; Holness, Linn D.; Kirsh, Bonnie; Duncan, Andrea; Jones, Jennifer

doi:10.1007/s11764-015-0492-5

Cited by 67 publications

(79 citation statements)

References 56 publications

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“…After removing duplicates, 212 were screened on title and abstract, of which 207 were excluded. The remaining 5 studies met all inclusion criteria . Two studies described results using the same data, but both were included because supplementary barriers and facilitators were extracted from both studies .…”

Section: Resultsmentioning

confidence: 99%

“…Lacking knowledge and experience with cancer survivors and insufficient medical information about the survivor were both perceived as barriers . Concerning external help for employers, insufficient support from specialists, and few opportunities to discuss RTW with fellow employers and company or other doctors were also perceived as barriers for work participation of cancer survivors .…”

Section: Resultsmentioning

confidence: 99%

“…In 2 instances, 2 studies described results using the same data, but both described supplementary barriers and facilitators and were therefore included . This resulted in a total of 47 studies, describing 45 different populations . Most studies were conducted in European ( n = 25) or North‐American ( n = 15) countries.…”

Section: Resultsmentioning

confidence: 99%

“…Positive, respectful, and personal interactions were perceived as facilitators, while negative, poor, ambiguous, frightening, patronising, discouraging, and pressuring communication from employers were perceived by survivors as barriers for their work participation . Discussing a survivor's work plan was perceived as facilitating their work participation: “ So I went and spoke with my manager (…) and we were able to sort out which projects, which teaching assignments, which tasks, which meetings I would have to miss due to my radiation treatments. And we looked at a transition plan for that longer period of time ” (p. 1044) .…”

Section: Resultsmentioning

confidence: 99%

“…Different studies have also emphasised that survivors perceive employers' social support, positive attitude, and understanding as important . At the same time, a discriminating or stigmatising employer may hinder work participation of cancer survivors or makes it more stressful for the survivor . In addition, survivors report that employers lack knowledge about how to deal with cancer in the workplace .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Perceived employer‐related barriers and facilitators for work participation of cancer survivors: A systematic review of employers' and survivors' perspectives

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Perceived employer‐related barriers and facilitators for work participation of cancer survivors: A systematic review of employers' and survivors' perspectives

et al. 2017

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Employment outcomes in family supporters of patients with early stage breast cancer and their association with patients’ health‐related quality of life and financial burden

et al. 2022

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Background Little is known about how cancer impacts the employment status of patients’ family supporters, or about associations between patients’ health‐related quality of life, perceived financial burden, and supporters’ employment trajectory. Methods We surveyed patients with early stage breast cancer reported to the Georgia and Los Angeles SEER registries in 2014–15, and their spouse/partner or other family supporters. Patients and supporters were asked about employment impacts of the patient’s cancer, and descriptive analyses of supporters’ employment trajectories were generated. We measured patients’ health‐related quality of life (HRQoL) using the PROMIS scale for global health. We measured patients’ perceived financial burden attributed to cancer by asking them two questions regarding (i) their financial status since their breast cancer diagnosis and (ii) how much it was impacted by their breast cancer and treatment. Associations between patients’ HRQoL, perceived financial burden, and supporters’ employment status were assessed using linear mixed model regression analyses. Results In total, 2502 patients (68% response rate) and 1203 supporters (70% response rate) responded; 1057 paired patient‐supporter dyads were included. Similar proportions of spouse/partner and other family supporters reported missed work and lost employment due to patients’ cancer. After adjustment, lower HRQoL and an increased odds of perceived financial burden among patients were associated with changes in other family supporters’ employment (both p < 0.05), but not with changes in spouses’/partners’ employment. Lower HRQoL was also associated with changes in patients’ own employment among patients with both types of supporters (both p < 0.001). An increased odds of perceived financial burden among patients was associated with changes in patients’ employment only in those supported by other family members ( p < 0.001). Conclusions Both spouse/partner and other family supporters faced adverse employment outcomes due to patients’ cancer. This contributes to worse HRQoL and greater perception of financial burden among patients, especially those whose supporter is not a spouse/partner.

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Sustainable return to work among breast cancer survivors

Ruiz de Azua,

Kousignian,

Vaz‐Luis

et al. 2023

Cancer Medicine

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PurposeThis study assessed sustainable return to work (SRTW) of breast cancer survivors (BCS).MethodsWe used data from the prospective French cohort, CANTO. We included 1811 stage I–III BCS who were <57 years old and employed at the moment of diagnosis and working 2 years after diagnosis. Using logistic regression, we investigated the role of clinical, health and socio‐economic factors, and the work environment on SRTW 3 years after diagnosis. We compared having any sick leave with having worked continuously and being unemployed to having worked continuously between 2 and 3 years after diagnosis.ResultsOverall, 77% (n = 1395) worked continuously after return to work (RTW). Out of the other 416 BCS, 66% had any sick leave period, 33% had been unemployed, 4% had an early retirement, 2% a disability and 1% another status (multiple situations possible). Being on sick leave was associated with age > 50 (OR = 0.59; 95%CI = 0.43–0.82), stage III (2.56; 1.70–3.85), tumour subtype HR+/HER2+ (0.61; 0.39–0.95), severe fatigue (1.45; 1.06–1.98), workplace accommodations (1.63; 1.14–2.33) and life priorities (0.71; 0.53–0.95). Unemployment was associated with age > 50 (0.45; 0.29–0.72), working in the public sector (0.31; 0.19–0.51), for a small company (3.00; 1.74–5.20) and having a fixed‐term contract (7.50; 4.74–11.86).ConclusionsA high number of BCS have periods of sick leave or unemployment after RTW. The determinants differ between sick leave and unemployment.Implications for cancer survivorsBCS need to be supported even after RTW, which should be regarded as a process.

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The provision of workplace accommodations following cancer: survivor, provider, and employer perspectives

Abstract: The provision of appropriate workplace accommodations can enhance survivors' abilities to stay or return to work.

Cited by 67 publications

References 56 publications

Perceived employer‐related barriers and facilitators for work participation of cancer survivors: A systematic review of employers' and survivors' perspectives

Perceived employer‐related barriers and facilitators for work participation of cancer survivors: A systematic review of employers' and survivors' perspectives

Employment outcomes in family supporters of patients with early stage breast cancer and their association with patients’ health‐related quality of life and financial burden

Sustainable return to work among breast cancer survivors

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