Occupational adjustments and work ability of young adult cancer survivors: results from the AYA-Leipzig study

被引：0

作者：

Brock, Hannah ^{[1
]}

Schroeter, Katharina ^{[1
]}

Friedrich, Michael ^{[1
]}

Sender, Annekathrin ^{[1
]}

Richter, Diana ^{[1
]}

Mehnert-Theuerkauf, Anja ^{[1
]}

Geue, Kristina ^{[2
]}

Leuteritz, Katja ^{[1
]}

机构：

[1] Univ Med Ctr Leipzig, Comprehens Canc Ctr Cent Germany CCCG, Dept Med Psychol & Med Sociol, Philipp Rosenthal Str 55, D-04103 Leipzig, Germany

[2] Otto von Guericke Univ, Med Fac, Dept Psychosomat Med & Psychotherapy, Magdeburg, Germany

来源：

JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY | 2024年 / 151卷 / 01期

关键词：

Adolescent and young adult; Cancer; Psychooncology; Return to work; Work ability; Occupational adujustments; QUALITY-OF-LIFE; ADOLESCENT; EMPLOYMENT; INDEX;

D O I：

10.1007/s00432-024-06050-4

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose Adolescent and young adult cancer survivors (AYA-CS) face a long working life after treatment, yet factors related to a successful return to work remain largely unexplored. We therefore aimed to investigate the use of occupational adjustments and their impact on work ability upon return to work. Methods As part of the AYA-LE study, we surveyed AYA-CS (aged 18-39 at diagnosis) who returned to work and assessed work ability (Work Ability Index) as well as use and benefit of occupational adjustments. We analyzed predictors of use and benefit of occupational adjustments on average 4 years post-diagnosis using multivariate linear and logistic regression. Results Out of 438 AYA-CS, 389 (88.8%) returned to work after cancer diagnosis and were included in analyses. Mean work ability was M = 36.2 (SD = 6.9), 11.4% reported poor, 34.7% moderate, 41.4% good and 12.5% excellent work ability. Following treatment, 82.3% used occupational adjustments, most frequently: flexible working hours, gradual reintegration and reduced working hours. The probability of a reduction in working hours was found to be higher among older AYA-CS (>= 30), female gender and with a fatigue index >= 11 (R2 = 0.073). A fatigue index < 11, elevated levels of pain and the presence of metastases/recurrence were associated with a lower benefit of reduced working hours (R2 = 0.183). Younger age (< 30) and stem cell transplant were associated with a lower benefit of support from colleagues (R2 = 0.077). Conclusion Our results highlight the need for targeted occupational counselling throughout the treatment and even beyond the return-to-work process, considering individual and social factors.

引用

页数：11

共 42 条

[1] Adams S.C., Herman J., Lega I.C., Mitchell L., Hodgson D., Edelstein K., Travis L.B., Sabiston C.M., Thavendiranathan P., Gupta A.A., Young Adult Cancer Survivorship: Recommendations for patient Follow-up, Exercise Therapy, and Research, JNCI Cancer Spectr, 5, (2021)
[2] Altherr A., Bolliger C., Kaufmann M., Dyntar D., Scheinemann K., Michel G., Mader L., Roser K., Education, Employment, and Financial outcomes in adolescent and young Adult Cancer Survivors—A systematic review, Curr Oncol, 30, pp. 8720-8762, (2023)
[3] Arndt V., Koch-Gallenkamp L., Bertram H., Eberle A., Holleczek B., Pritzkuleit R., Waldeyer-Sauerland M., Waldmann A., Zeissig S.R., Doege D., Thong M.S.Y., Brenner H., Return to work after cancer. A multi-regional population-based study from Germany, Acta Oncol, 58, pp. 811-818, (2019)
[4] Bethge M., Radoschewski F.M., Gutenbrunner C., The work ability index as a screening tool to identify the need for rehabilitation: longitudinal findings from the second German Sociomedical Panel of Employees, J Rehabil Med, 44, pp. 980-987, (2012)
[5] Bhatt N.S., Brazauskas R., Salit R.B., Syrjala K., Bo-Subait S., Tecca H., Badawy S.M., Baker K.S., Beitinjaneh A., Bejanyan N., Byrne M., Dias A., Farhadfar N., Freytes C.O., Ganguly S., Hashmi S., Hayashi R.J., Hong S., Inamoto Y., Jamani K., Kasow K.A., Khera N., Krem M.M., Lazarus H.M., Lee C.J., Lee S., Majhail N.S., Malone A.K., Marks D.I., Mau L.-W., Mayo S.J., Muffly L.S., Nathan S., Nishihori T., Page K.M., Preussler J., Rangarajan H.G., Rotz S.J., Salooja N., Savani B.N., Schears R.,
[6] Bifulco G., de Rosa N., Tornesello M.L., Piccoli R., Bertrando A., Lavitola G., Morra I., Di Spiezio Sardo A., Buonaguro F.M., Nappi C., Quality of life, lifestyle behavior and employment experience: a comparison between young and midlife survivors of gynecology early stage cancers, Gynecol Oncol, 124, pp. 444-451, (2012)
[7] Boelhouwer I.G., Vermeer W., van Vuuren T., The associations between late effects of cancer treatment, work ability and job resources: a systematic review, Int Arch Occup Environ Health, 94, pp. 147-189, (2021)
[8] Brock H., Friedrich M., Sender A., Richter D., Geue K., Mehnert-Theuerkauf A., Leuteritz K., Work ability and cognitive impairments in young adult cancer patients: associated factors and changes over time-results from the AYA-Leipzig study, J Cancer Surviv, 16, pp. 771-780, (2022)
[9] Butow P., Laidsaar-Powell R., Konings S., Lim C.Y.S., Koczwara B., Return to work after a cancer diagnosis: a meta-review of reviews and a meta-synthesis of recent qualitative studies, J Cancer Surviv, 14, pp. 114-134, (2020)
[10] Close A.G., Dreyzin A., Miller K.D., Seynnaeve B.K.N., Rapkin L.B., Adolescent and young adult oncology-past, present, and future, CA Cancer J Clin, 69, pp. 485-496, (2019)

← 1 2 3 4 5 →