Work-Related Medical Rehabilitation in Cancer

Fauser, David; Wienert, Julian; Zomorodbakhsch, Bijan; Schmielau, Jan; Biester, Irene; Krüger, Hans-Ulrich; Presl, Angelika; Bethge, Matthias

doi:10.3238/arztebl.2019.0592

Cited by 9 publications

(15 citation statements)

References 41 publications

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“…Seven studies, of which three RCTs, studied the effect of an intervention on perceived health and work participation [ 17 – 19 , 28 , 29 , 32 , 33 ]. The interventions of Pedersen et al [ 18 ], Fauser et al [ 17 ] and Van Eijk-Hustings et al [ 19 ] did not have a significant effect on perceived health. The intervention in the cohort study of Chu et al [ 28 ] on thought management and activity planning among employees with chronic non-cancer pain increased perceived health and improved the work status of employees.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies described interventions on coping strategies and work participation, of which five RCTs and two cohort studies [ 13 , 15 , 17 , 23 , 27 , 33 , 40 ]. The “Stimulating health participation and relapse prevention at work” intervention of Arends et al [ 27 ] among employees with common mental disorders and the “Cognitive behavioral group intervention on work-anxiety” of Muschalla et al [ 15 ] among employees with orthopedic, cardiologic and neurological disorders changed coping and improved work participation.…”

Section: Resultsmentioning

confidence: 99%

“…This intervention was also directed at problem solving and contained training on strategies to cope with work-anxiety and situation and behavior analyses. The interventions studied in the RCTs by Harris et al [ 23 ], Hees et al [ 13 ] and Fauser et al [ 17 ] did not significantly change coping or work participation. The intervention in the cohort study of Asih et al [ 40 ] among employees with chronic musculoskeletal disorders significantly changed coping profiles.…”

Section: Resultsmentioning

confidence: 99%

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Interventions on cognitions and perceptions that influence work participation of employees with chronic health problems: a scoping review

et al. 2020

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Background Cognitions and perceptions, such as motivation and return to work (RTW) expectations, can influence work participation of employees with chronic health problems. This makes these cognitions and perceptions important factors for occupational health professionals to intervene upon in order to increase work participation. There is, however, no overview of interventions that influence these factors and are aimed at increasing work participation. Therefore, the purpose of this scoping review is to explore available interventions that are focused on cognitions and perceptions of employees with chronic health problems and aimed at increasing work participation. Methods A scoping review was carried out following the framework of Arksey and O’Malley. Ovid MEDLINE and PsycINFO were searched for original papers published between January 2013 and June 2020. We included studies that describe interventions that focus on at least one of ten cognitions and perceptions and on work participation. The risk of bias of the studies included was assessed using quality assessment tools from the Joanna Briggs Institute. Results In total, 29 studies were identified that studied interventions aimed at changing at least one of ten cognitions and perceptions in order to change work participation. The interventions that were included mainly focused on changing recovery and RTW expectations, self-efficacy, feelings of control, perceived health, fear-avoidance beliefs, perceived work-relatedness of the health problem, coping strategies and catastrophizing. No interventions were found that focused on changing motivation or on optimism/pessimism. Four interventions were judged as effective in changing coping, self-efficacy, fear-avoidance beliefs, or perceived work-relatedness and work participation according to results of randomized controlled trials. Conclusions This review provides an overview of interventions that focus on changing cognitions and perceptions and work participation. Evidence was found for four effective interventions focused on changing these factors and increasing work participation. Occupational health professionals may use the overview of interventions to help employees with chronic health problems to increase their work participation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Interventions on cognitions and perceptions that influence work participation of employees with chronic health problems: a scoping review

et al. 2020

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“…Therefore, more patients aged above 60 years who have various comorbidities—as well as side effects and implications for rehabilitation measures—are being transplanted [ 12 , 13 ]. The role of rehabilitation in this age group is no longer to enable the patient to return to work [ 14 , 15 ]; another caveat is that older people are more likely to have lost their partner, to be living alone, and to be not as socially integrated as patients that are working [ 13 , 16 , 17 ].…”

Section: Allohctmentioning

confidence: 99%

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge

Bertz

2021

Cancers

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The general population is getting older and suffer more haematological malignancies despite being physically fit. These malignancies are mainly only curable via an alloHCT, and they are now carried out more frequently. Patients benefit from intensive rehabilitation earlier and may need it repeatedly in cases of severe side effects (e.g., graft-versus-host disease). They can suffer many problems that other cancer patients do not experience, such as severe infections, continued immunosuppression, nutritional restrictions, acute or chronic GvHD, or organ impairments (e.g., lung, eyes). They may also encounter various associated psychological problems, e.g., feeling like a chimera. Rehabilitation centres willing to care for patients after alloHCT should have an experienced multidisciplinary team and should work in close co-operation with the primary transplant centre.

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“…Wir können die hier vorgelegten repräsentativen Daten nutzen, um klinische Studiendaten hinsichtlich der Verallgemeinerung ihrer Ergebnisse abzuschätzen und Quoten zur Rückkehr in Arbeit einordnen zu können. Beispielhaft soll dies anhand einer bereits erwähnten Studie gezeigt werden[17]. Die randomisierte Studie untersuchte in vier onkologischen Rehabilitationseinrichtungen die Wirksamkeit einer medizinisch-beruflich orientierten Rehabilitation im Vergleich zur medizinischen Rehabilitation bei onkologischen Erkrankungen (n = 484)[17].…”

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Berufliche Teilhabe nach einer medizinischen Rehabilitation aufgrund von onkologischen Erkrankungen: Repräsentative Analysen auf Basis der Routinedaten der Deutschen Rentenversicherung

Fauser,

Zollmann,

Streibelt

et al. 2023

Rehabilitation (Stuttg)

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Zusammenfassung Ziel der Studie Onkologische Erkrankungen gehen mit vielfältigen körperlichen, psychosozialen und beruflichen Belastungen einher, die die berufliche Teilhabe gefährden und mit rehabilitativen Interventionen gezielt adressiert werden müssen. Für Personen, die aufgrund einer onkologischen Erkrankung eine Rehabilitation in Trägerschaft der Deutschen Rentenversicherung (DRV) absolvierten, soll ermittelt werden, (a) welche sozialmedizinischen Risiken im Vorfeld der Rehabilitation bestehen, (b) wie gut die berufliche Teilhabe im Anschluss gelingt und (c) welche Informationen mit der beruflichen Teilhabe assoziiert sind. Methodik Die Fragen wurden anhand der Reha-Statistik-Datenbasis der DRV beantwortet. Eingeschlossen wurden Rehabilitand*innen, die in 2017 eine medizinische Rehabilitation aufgrund einer onkologischen Erkrankung abgeschlossen hatten. Die Analysen wurden für die Gesamtgruppe sowie differenziert nach den Diagnosegruppen Bösartige Neubildungen (BN) der Brustdrüse, der Prostata, des Darms und der Lunge durchgeführt. Berufliche Teilhabe wurde sowohl über eine monatliche Zustandsvariable bis 24 Monate nach der Rehabilitation als auch als Quote aller Personen, die nach 12 respektive 24 Monaten im Erhebungsmonat und den 3 vorhergehenden Monaten sozialversicherungspflichtig beschäftigt waren, operationalisiert. Für die Analyse der Einflussfaktoren auf stabile berufliche Teilhabe wurden multiple logistische Regressionsmodelle mit schrittweisem Einschluss, getrennt für die Quoten nach 12 und 24 Monaten für Frauen und Männer, berechnet. Ergebnisse Die Analyse berücksichtigt 63.587 Datensätze (darunter BN der Brustdrüse: n=20.545, 32%; Prostata: n=6.434, 10%; Darm: n=4.727, 7%; Lunge: n=2.866, 5%). Die Anteile an Rehabilitand*innen mit Fehlzeiten von sechs und mehr Monaten im Jahr vor der Rehabilitation waren 55% (Lunge), 49% (Darm), 46% (Brustdrüse) und 13% (Prostata). Zwei Jahre nach der Rehabilitation lagen die Rückkehrquoten in Arbeit bei 66% (Brustdrüse), 54% (Prostata), 50% (Darm) und 24% (Lunge). Die stärksten Einflussfaktoren auf stabile berufliche Teilhabe waren die Fehlzeiten und das Entgelt vor Rehabilitation sowie das Alter. Schlussfolgerungen Zwei Jahre nach an einer onkologischen Rehabilitation befinden sich 5 bis 6 von 10 Betroffenen in stabiler beruflicher Teilhabe. Relevante Einflussfaktoren auf die Entwicklung sind die Arbeitsunfähigkeit und Entgelthöhe im Vorfeld der onkologischen Rehabilitation. Die Ergebnisse legen eine stärkere Ergänzung der onkologischen Rehabilitation um arbeitsbezogene Aspekte und eine begleitende Unterstützung von Rehabilitand*innen insbesondere im ersten Jahr nach Abschluss der Rehabilitation nahe.

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Work-Related Medical Rehabilitation in Cancer

Cited by 9 publications

References 41 publications

Interventions on cognitions and perceptions that influence work participation of employees with chronic health problems: a scoping review

Interventions on cognitions and perceptions that influence work participation of employees with chronic health problems: a scoping review

Rehabilitation after Allogeneic Haematopoietic Stem Cell Transplantation: A Special Challenge

Berufliche Teilhabe nach einer medizinischen Rehabilitation aufgrund von onkologischen Erkrankungen: Repräsentative Analysen auf Basis der Routinedaten der Deutschen Rentenversicherung

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