Return to Work Interventions for Cancer Survivors: A Systematic Review and a Methodological Critique
| Autor: | Fabiola Silvaggi, Soja Nazarov, Matilde Leonardi, Chiara Scaratti, Erika Guastafierro, Jérôme Foucaud, Thierry Breton, Ulrike Rothe, Isabelle Girard, Thomas Dubois, Ulf Manuwald, Kristopher Lamore |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Toxicology and Mutagenesis Psychological intervention lcsh:Medicine Review law.invention 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) systematic review Cancer Survivors Randomized controlled trial law Intervention (counseling) medicine cancer Humans 030212 general & internal medicine intervention Netherlands Norway business.industry Public health lcsh:R Public Health Environmental and Occupational Health return to work Middle Aged United Kingdom Critical appraisal 030220 oncology & carcinogenesis Family medicine work rehabilitation Quality of Life Female business Inclusion (education) Qualitative research |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 16, Iss 8, p 1343 (2019) |
| ISSN: | 1660-4601 |
| Popis: | Cancer patients are more at risk of being unemployed or having difficulties to return to work (RTW) compared to individuals without health concerns, and is thus a major public health issue. The aim of this systematic review is to identify and describe the interventions developed specifically to help cancer patients to RTW after treatment. Two researchers independently screened the articles for inclusion and Critical Appraisal Skills Program (CASP) checklists were used to assess the methodology of the included studies. Ten manuscripts met the inclusion criteria. The type of studies were three quasi-experimental studies, three longitudinal studies, three randomized controlled trials (RCTs) and a qualitative study. RTW interventions were conducted in or outside the hospital (n = 6 and 3 respectively), or both (n = 1). Improvements in RTW were only observed in quasi-experimental studies. No improvement in RTW was noted in RCTs, nor in other measures (e.g., quality of life, fatigue). Lack of statistically significant improvement does not necessarily reflect reality, but may be attributed to non-adapted research methods. This systematic review underscores the need for researches in the RTW field to reach a consensus on RTW criteria and their assessment. Recommendations to this effect are suggested. |
| Databáze: | OpenAIRE |
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