Work after prostate cancer: a systematic review

McLennan, Vanette; Ludvik, Dominika; Chambers, Suzanne K.; Frydenberg, Mark

doi:10.1007/s11764-019-00750-4

Cited by 19 publications

(32 citation statements)

References 53 publications

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“…Regarding the predictor profile, our study showed older age and lower socio-economic status to increase the likelihood of not working among LPCa survivors. These findings correspond with previously reported prognostic factors for work retention in cancer survivors, both across cancer sites [3,12] and specific to prostate cancer [27,47]. Although not being modifiable, assessment of these factors is highly relevant since it allows for early identification of LPCa patients at risk and enables healthcare providers for timely planning of tailored rehabilitation measures.…”

Section: Discussionsupporting

confidence: 88%

“…As cancer sites are associated with different physical, psychological and social sequelae, research on RTW outcomes should consider specific cancer survivor groups. As for prostate cancer, a systematic review has shown treatment side effects such as urinary incontinence and fatigue to be associated with reduced work status and reduced work ability; hence, these are specific factors that could prevent men with prostate cancer from returning to work [27]. In a scoping review on prostate cancer treatment and work, urinary continence was identified as a major factor associated with work resumption [47].…”

Section: Introductionmentioning

confidence: 99%

“…In a scoping review on prostate cancer treatment and work, urinary continence was identified as a major factor associated with work resumption [47]. However, for survivors of (localized) prostate cancer, longitudinal studies on work outcomes exceeding a followup period of 2 years remain scarce [27,47]. Therefore, the aims of our study were (1) to investigate work retention of cancer survivors treated by radical prostatectomy (RP) due to diagnosis of localized prostate cancer (LPCa) 3 years after having attended a post-acute cancer rehabilitation program and (2) to identify prospective risk factors for not working at this point in time.…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation

Ullrich

Rath

Otto

et al. 2021

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Purpose This study aimed at (1) investigating the work status of men treated by radical prostatectomy due to diagnosis of localized prostate cancer (LPCa) three years after having attended a cancer rehabilitation program and (2) identifying prospective risk factors for not working at this time point. Methods In a longitudinal, questionnaire-based multicenter study, 519 working-age LPCa survivors reported on their work status 12 and 36 months following rehabilitation. Chi-square tests/t tests and multivariable logistic regression analysis were used to identify prospective factors associated with not working at 36 months follow-up. Results Nearly three quarter of LPCa survivors (N = 377, 73%) worked 3 years after post-acute rehabilitation. Most participants (N = 365, 71%) showed continuous return-to-work (RTW) patterns as they worked both 1 and 3 years following rehabilitation. Multivariable regression analysis revealed older age, low or middle socio-economic status as well as resigned and unambitious work behavior and fatigue at the time of attending the rehabilitation program to be prospective factors for not working at 36 months follow-up. Low socio-economic status [Odds ratio (OR) 4.81, 95% confidence interval (CI) 2.07–11.16] and unambitious work behavior [OR 4.48, 95% CI 2.16–9.31] were the strongest predictors. Conclusion Long-term work retention is a realistic goal among LPCa survivors. The results contribute to the identification of at-risk LPCa survivors early in the RTW process. Special attention should be paid to social inequality. Further, interventions related to the management of fatigue and work-related coping styles could improve long-term RTW, as these were relevant, but potentially modifiable factors impeding work retention.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation

Ullrich

Rath

Otto

et al. 2021

Support Care Cancer

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“…Two articles in this special section focus on prostate [10] and gastrointestinal cancer survivors [11] which are cancer types not often included in studies on work. In a systematic review of work after prostate cancer, 12 studies reported an average return to work (RTW) of 80% and a mean sick leave duration of 32 days [10]. The authors conclude that these findings indicate a more positive RTW outcome as compared with other diagnoses.…”

Section: Return To Work In Less Studied Cancer Diagnosis Groupsmentioning

confidence: 99%

Introduction to special section on: current topics in cancer survivorship and work

et al. 2020

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Work is a key contributor to quality of life and an important aspect of cancer survivorship. We call attention to current topics in cancer survivorship and work with 12 articles on cancer survivorship and work in this special section. The focus is on less studied diagnostic groups such as gastrointestinal cancer and prostate cancer, and on long-term effects of cancer diagnosis and treatment on work. Furthermore, studies are included on topics not generally studied including cognitive limitations and pain, the role of the employer on work outcomes among different types of cancer survivors and some countries not typically covered in the existing literature on work and cancer survivorship. We conclude that to improve sustainable work participation in cancer survivors, personalised, tailored interventions should be provided. A prerequisite for this is the identification of groups and individuals at high risk for adverse work outcomes. In order to develop such interventions, research involving new approaches such as matching data registries, participatory approaches and the involvement of many stakeholders and survivors with these different types of cancer diagnoses is necessary. Implications for Cancer Survivors The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included Implications for Cancer Survivors. The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included.

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“…The side effects of long-term treatment can also affect men's ability to work, and many must stop working or take early retirement (Bennett et al, 2018). This may affect their income and cause them financial hardship that negatively influences their quality of life (McLennan, Ludvik, Chambers, & Frydenberg, 2019;Rivas et al, 2016). Furthermore, the inability to work or financial hardship due to the cancer experience creates another psychological challenge to some men, as they become concerned about the financial consequence on their family (Alexis & Worsley, 2018;Chambers et al, 2018;Grunfeld et al, 2013).…”

Section: Prostate Cancer Experience/s: An Overviewmentioning

confidence: 99%

Exploring prostate cancer experiences among Jordanian Muslim men

Hasanain¹

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Over the last decade, prostate cancer has been the most common cancer among men around the world. This study explores the experiences of this illness among a group of Jordanian Muslim men. The study aims to identify the impacts and challenges these men face throughout their experiences with cancer. Through the exploration, the study also focuses on the effects of these impacts and challenges on the men’s bodies, lives, and their identity, particularly gender. The study used ‘biographical disruption’ and ‘liminality’ theoretical concepts of illness narrative and the works of Connell (2000, 2002, 2005) on gender as a theoretical framework. It adopted a qualitative narrative approach in order to understand this cancer experience among these men. Fifteen Jordanian Muslim men, who had been treated with radiotherapy and hormonal therapy, were recruited, and interviewed to narrate their stories with prostate cancer. Three narrative analytical approaches (thematic, holistic form, and Bamberg’s positioning model) were used and integrated with the study’s theoretical framework for analysing the men’s stories. Five main key findings resulted from the analysis as follows. First, there is a range of common and specific disruptive impacts and challenges facing these men compared with other men who have similar experiences. Second, there are differing experiences of prostate cancer among these men across the cancer trajectory and over time. Third, the family of the affected men are involved and become a part of this illness experience along with the direct involvement of the healthcare providers with the men. Fourth, there are interactions and influences between the cancer experience and the men’s masculinity. Fifth, the complexity of this experience has an influence on the men’s identity as Jordanian Muslim men. The study, therefore, adds to the existing knowledge about the experience of prostate cancer by understanding how it can be from (Jordanian) Arabic Middle Eastern and Islamic contexts. The study concludes with implications and recommendations for nursing practice, for education, and for illness narrative and narrative research.

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Work after prostate cancer: a systematic review

Cited by 19 publications

References 53 publications

Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation

Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation

Introduction to special section on: current topics in cancer survivorship and work

Exploring prostate cancer experiences among Jordanian Muslim men

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