Work ability and return-to-work in cancer patients
| Autor: | Mirjam A. G. Sprangers, T.M. De Reijke, F. J. H. van Dijk, Evelien Spelten, A. G. E. M. de Boer, M. Kammeijer, A.C. Ansink, Jos Verbeek, A. L. J. Uitterhoeve |
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| Přispěvatelé: | CCA -Cancer Center Amsterdam, APH - Amsterdam Public Health, Coronel Institute of Occupational Health, Radiotherapy, Urology, Medical Psychology |
| Rok vydání: | 2008 |
| Předmět: |
Adult
Employment Male Cancer Research medicine.medical_specialty Time Factors medicine.medical_treatment Work Capacity Evaluation work ability Breast cancer Neoplasms Internal medicine Clinical Studies medicine longitudinal studies Humans Gastrointestinal cancer Prospective cohort study Chemotherapy return-to-work Genitourinary system business.industry Hazard ratio Cancer Middle Aged medicine.disease prospective studies Surgery Oncology Sick leave Female Sick Leave business |
| Zdroj: | British journal of cancer, 98(8), 1342-1347. Nature Publishing Group British Journal of Cancer |
| ISSN: | 1532-1827 0007-0920 |
| Popis: | The extent to which self-assessed work ability collected during treatment can predict return-to-work in cancer patients is unknown. In this prospective study, we consecutively included employed cancer patients who underwent treatment with curative intent at 6 months following the first day of sick leave. Work ability data (scores 0-10), clinical and sociodemographic data were collected at 6 months, while return-to-work was measured at 6, 12 and 18 months. Most of the 195 patients had been diagnosed with breast cancer (26%), cancer of the female genitals (22%) or genitourological cancer (22%). Mean current work ability scores improved significantly over time from 4.6 at 6 months to 6.3 and 6.7 at 12 and 18 months, respectively. Patients with haematological cancers and those who received chemotherapy showed the lowest work ability scores, while patients with cancer of urogenital tract or with gastrointestinal cancer had the highest scores. Work ability at 6 months strongly predicted return-to-work at 18 months, after correction for the influence of age and treatment (hazard ratio=1.37, CI 1.27-1.48). We conclude that self-assessed work ability is an important factor in the return-to-work process of cancer patients independent of age and clinical factors. |
| Databáze: | OpenAIRE |
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