Effectiveness of a Tailored Work-Related Support Intervention for Patients Diagnosed with Gastrointestinal Cancer: A Multicenter Randomized Controlled Trial
| Autor: | Jean H. G. Klinkenbijl, Laurents P. S. Stassen, F.C. den Boer, Mhw Frings-Dresen, Kristien M. A. J. Tytgat, R. P. Veenstra, P. van Duijvendijk, AnneClaire G. N. M. Zaman, Patrick H. J. Hemmer, Harm J. T. Rutten, M. M. Mok, L. C. M. Dol, J. C. Brinkhuis, A. G. E. M. de Boer, David J. Bruinvels, Menno A. Brink, A. Schoorlemmer, E. R. Velzing, Bas Lamme, A. W. H. van de Ven, D. J. A. Sonneveld, T. Rejda, O. J. L. Loosveld |
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| Přispěvatelé: | APH - Societal Participation & Health, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, APH - Quality of Care, Coronel Institute of Occupational Health, Gastroenterology and Hepatology, CCA - Cancer Treatment and Quality of Life, Surgery, MUMC+: MA Heelkunde (9), MUMC+: MA AIOS Heelkunde (9), RS: NUTRIM - R2 - Liver and digestive health, RS: SHE - R1 - Research (OvO) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Employment
Male LIMITATIONS medicine.medical_specialty SYMPTOMS Return to work medicine.medical_treatment Vocational rehabilitation SICKNESS ABSENCE Work related FATIGUE Article law.invention 03 medical and health sciences 0302 clinical medicine Occupational Therapy Quality of life Randomized controlled trial law Intervention (counseling) Neoplasms RETURN-TO-WORK Medicine Humans 030212 general & internal medicine Gastrointestinal Neoplasms SURVIVORS Rehabilitation business.industry HEALTH SURVEY Middle Aged LIFE 030220 oncology & carcinogenesis Relative risk Sick leave RELIABILITY Physical therapy Quality of Life Female EMPLOYEES Sick Leave Rehabilitation research business Psychosocial |
| Zdroj: | Journal of Occupational Rehabilitation, 31, 323-338. SPRINGER/PLENUM PUBLISHERS Journal of occupational rehabilitation, 31(2), 323-338. Springer New York Journal of Occupational Rehabilitation, 31(2), 323-338. Springer Journal of Occupational Rehabilitation |
| ISSN: | 1053-0487 |
| Popis: | Purpose The aim of this research was to study the effectiveness on return to work (RTW) of an early tailored work-related support intervention in patients diagnosed with curative gastrointestinal cancer. Methods A multicenter randomized controlled trial was undertaken, in which patients were assigned randomly to the intervention or the control group (usual care). The intervention encompassed three psychosocial work-related support meetings, starting before treatment. Five self-reported questionnaires were sent over twelve months of follow-up. Primary outcome was days until RTW (fulltime or partial) and secondary outcomes included work status, quality of life, work ability, and work limitations. Descriptive analysis, Kaplan–Meier analysis, relative risk ratio and linear mixed models were applied. Results Participants (N = 88) had a mean age of 55 years; 67% were male and the most common cancer type was colon cancer (66%). Of the participants, 42 were randomized to the intervention group. The median time from sick leave until RTW was 233 days (range 187–279 days) for the control group, versus 190 days (range 139–240 days) for the intervention group (log-rank p = 0.37). The RTW rate at twelve months after baseline was 83.3% for the intervention group and 73.5% for the control group. Work limitations did statistically differ between the groups over time (p = 0.01), but quality of life and work ability did not. Conclusion Patients in the intervention group seem to take fewer days to RTW, albeit not to a statistically significant extent.Trial registration Trial NL4920 (NTR5022) (Dutch Trial Register https://www.trialregister.nl) |
| Databáze: | OpenAIRE |
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