| Autor: |
Jonathon Lo, Kieran Ballurkar, Simonie Fox, Kate Tynan, Nghiep Luu, Michael Boyer, Raghav Murali-Ganesh |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
JMIR Cancer, Vol 7, Iss 4, p e31966 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2369-1999 |
| DOI: |
10.2196/31966 |
| Popis: |
BackgroundReturning to work is a key unmet need for working-age cancer survivors. ObjectiveThis study sought to evaluate return-to-work outcomes of a multidisciplinary intervention provided as routine employee support. MethodsIn a retrospective cohort analysis, patients with cancer and more than 3 months of absence from work were provided with an intervention consisting of digital resources and calls with a health coach. Propensity score matching was used to define a similar cohort of cancer patients absent from work, who were not offered the coaching intervention. The return-to-work rate as a percentage of all participants and secondary outcomes, such as the rate of death, were measured. The median time to return to work was compared between the cohorts using the Kaplan-Meier method. ResultsA total of 220 participants were enrolled in the intervention, of which 125 met the criteria for analysis. The median follow-up from cancer diagnosis was 79 weeks (IQR 60-106 weeks). In the matched control group, 22 (17.6%) participants returned to work compared with 38 (30.4%) in the intervention group (P=.02). Additionally, 19 (15.2%) matched controls died prior to claim closure compared with 13 (10.4%) in the intervention group (P=.26). The Kaplan-Meier estimated median time for the first 15% of the cohort to return to work was 87.1 weeks (95% CI 60.0-109.1 weeks) for the matched control group compared with 70.6 weeks (95% CI 52.6-79.6 weeks; P=.08) for the intervention group. ConclusionsPatients receiving a remotely delivered coaching program in a real-world setting returned to work at a higher frequency than did control participants receiving usual care. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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