Returning to work in cancer survivors: a multi-center cross-sectional study in Spain

• Picazo, Carmen ; Gil-Juliá, Beatriz ; Soto-Rubio, Ana ; Senabre Perales, Pedro ; García-Conde, Ana ; Fernández Peris, Silvia ^[1] ; Moreno Bas, Pilar ; Andreu, Yolanda
  1. [1] Asociación Carena
• Localización: Psicooncología: investigación y clínica biopsicosocial en oncología, ISSN 1696-7240, Vol. 20, Nº. 1, 2023, págs. 139-153
• Idioma: español
• DOI: 10.5209/psic.87574
• Títulos paralelos:
  • La vuelta al trabajo en supervivientes de cáncer:: un estudio transversal multicéntrico en España
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo: Analizar la situación laboral, así como variables sociodemográficas (edad, sexo, estado civil y titulación) relacionadas con el cáncer (tipo de cáncer, estrategia de tratamiento primario y fase de supervivencia) en supervivientes españoles de cáncer. Método y procedimiento: Estudio transversal sobre una muestra heterogénea de 772 supervivientes de cáncer de inicio en la edad adulta en edad laboral. Se realizaron análisis correlacionales y de regresión logística para estudiar la capacidad predictiva de las variables sociodemográficas y relacionadas con el cáncer sobre la situación laboral y la posible modulación de los resultados por la CVRS evaluada mediante el QLACS. Resultados: Sólo el 55% de los supervivientes de cáncer estaban empleados. La edad, la cualificación y el tipo de cáncer fueron predictores independientes de la situación laboral, así como de la fase de supervivencia en los supervivientes con una CVRS baja. Conclusiones: Un alto porcentaje de supervivientes en edad laboral no vuelve a trabajar tras la experiencia oncológica. Algunas variables sociodemográficas y relacionadas con la enfermedad pueden ayudar a la identificación precoz de la población de riesgo en la que centrar la atención.

  • English

    Objective: To analyze the employment status as well as sociodemographic (age, gender, marital status, and qualification) and cancer-related variables (cancer type, primary treatment strategy, and survival phase) in Spanish cancer survivors. Method and procedure: Cross-sectional study on a heterogeneous sample of 772 working-age survivors of adult-onset cancer. Correlational and logistic regression analyses were performed to study the predictive ability of sociodemographic and cancerrelated variables on employment status and the possible modulation of results by HRQOL assessed by the QLACS. Results: Only 55% of cancer survivors were employed. Age, qualification, and type of cancer were independent predictors of employment status as well as the survival phase in survivors with a low HRQOL. Conclusions: A high percentage of working-age survivors do not return to work after the cancer experience. Some sociodemographic and disease-related variables can help in the early identification of the risk population on which to focus attention.

• Referencias bibliográficas
  • 1. Firkins J, Hansen L, Driessnack M, Dieckmann N. Quality of life in “chronic” cancer survivors: a meta-analysis. J Cancer Surviv 2020;14:504-17....
  • 2. Brinkman TM, Recklitis CJ, Michel G, Grootenhuis MA, Klosky JL. Psychological symptoms, social outcomes, socioeconomic attainment, and...
  • 3. Thandrayen J, Joshy G, Stubbs J, Bailey L, Butow P, Koczwara B, et al. Workforce participation in relation to cancer diagnosis, type and...
  • 4. Besó Delgado M, Ibáñez Cabanell J, Pérez Sanz E, Valverde Roig MJ, Fernández García C, Vanaclocha Espi M, et al. Resultados de 10 años...
  • 5. Alonso-Belmonte C, Montero-Vilchez T, Arias-Santiago S, Buendía-Eisman A. Situación actual de la prevención del cáncer de piel: una revisión...
  • 6. Rivera F, Andres R, Felip E, Garcia-Campelo R, Lianes P, Llombart A, et al. Medical oncology future plan of the Spanish Society of Medical...
  • 7. Yang SW, Chen WL, Wu WT, Wang CC. Investigation on returning to work in liver cancer survivors in Taiwan: a 5-year follow-up study. BMC...
  • 8. Islam T, Dahlui M, Majid HA, Nahar AM, Mohd Taib NA, Su TT, et al. Factors associated with return to work of breast cancer survivors: a...
  • 9. Molina R, Feliu J. La reinserción laboral: un nuevo reto en el paciente con cáncer. Psicooncología 2011;8:45-51. Disponible en: http://revistas.ucm.es/index.php/PSIC/...
  • 10. Rashid H, Eichler M, Hechtner M, Gianicolo E, Wehler B, Buhl R, et al. Returning to work in lung cancer survivors-a multi-center cross-sectional...
  • 11. Moura AOR, Oliveira-Silva LC. Work centrality, goals and professional fulfillment: Intersections between work and career. Revista de Administração...
  • 12. Feuerstein M, Todd BL, Moskowitz MC, Bruns GL, Stoler MR, Nassif T et al. Work in cancer survivors: a model for practice and research....
  • 13. Lee MK, Yun YH. Working situation of cancer survivors versus the general population. J Cancer Surviv 2015;9:349-60. https://doi.org/10.1007/s11764-014-0418-7.
  • 14. European Agency for Safety and Health at Work. Rehabilitation and return to work after cancer: literature review. [Internet]. LU: Publications...
  • 15. Aaronson NK, Mattioli V, Minton O, Weis J, Johansen C, Dalton SO,et al. Beyond treatment Psychosocial and behavioural issues in cancer...
  • 16. Miller KD, Nogueira L, Mariotto AB, Rowland JH, Yabroff KR, Alfano CM, et al. Cancer treatment and survivorship statistics 2019. CA Cancer...
  • 17. Albrecht TA, Boyiadzis M, Elswick RK, Starkweather A, Rosenzweig M. Symptom Management and psychosocial needs of adults with acute myeloid...
  • 18. Martínez López P, Universidad de Valencia, Andreu Vaillo Y, Universidad de Valencia. Supervivencia en cáncer: la necesidad de una atención...
  • 19. Frederiksen LE, Mader L, Feychting M, Mogensen H, Madanat-Harjuoja L, Malila N, et al. Surviving childhood cancer: a systematic review...
  • 20. Devine KA, Christen S, Mulder RL, Brown MC, Ingerski LM, Mader L, et al. Recommendations for the surveillance of education and employment...
  • 21. Mehnert A. Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol 2011;77:109-30. https://doi.org/10.1016/j.critrevonc.2010.01.004
  • 22. Bradley CJ, Brown KL, Haan M, Glasgow RE, Newman LS, Rabin B, et al. Cancer survivorship and employment: intersection of oral agents,...
  • 23. Dumas A, Vaz Luis I, Bovagnet T, El Mouhebb M, Di Meglio A, Pinto S, et al. Impact of breast cancer treatment on employment: Results of...
  • 24. So SCY, Ng DWL, Liao Q, Fielding R, Soong I, Chan KKL, et al. Return to work and work productivity during the first year after cancer...
  • 25. Shim HY, Lee CW, Yu ES, Park BY, Yang EJ. Cancer survivors and returning to work perspectives from occupational health physicians in Korea....
  • 26. de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araújo FS, Hlubocky FJ et al. Measuring financial toxicity as a clinically relevant patient-reported...
  • 27. Kamal KM, Covvey JR, Dashputre A, Ghosh S, Shah S, Bhosle M, et al. A Systematic review of the effect of cancer treatment on work productivity...
  • 28. Andreu Y, Picazo C, Murgui S, Soto-Rubio A, Grarcía-Conde A, Romero R. Exploring the independent association of employment status to cancer...
  • 29. Butow P, Laidsaar-Powell R, Konings S, Lim CYS, Koczwara B. Return to work after a cancer diagnosis: a meta-review of reviews and a meta-synthesis...
  • 30. Pardo JMV, García ALG. Cáncer en población trabajadora. Incapacidad y riesgo de exclusión laboral y social. 2018;25.
  • 31. Kiasuwa Mbengi R, Otter R, Mortelmans K, Arbyn M, Van Oyen H, Bouland C, et al. Barriers and opportunities for return-to-work of cancer...
  • 32. López-Guillén García A, Vicente Pardo JM, López-Guillén García A, Vicente Pardo JM. Dificultades del retorno al trabajo tras cáncer de...
  • 33. Chen WL, Chen YY, Wu WT, Ho CL, Wang CC. Life expectancy estimations and determinants of return to work among cancer survivors over a...
  • 34. de Moor JS, Alfano CM, Kent EE, Norton WE, Coughlan D, Roberts MC, et al. Recommendations for research and practice to improve work outcomes...
  • 35. Mehnert A, de Boer A, Feuerstein M. Employment challenges for cancer survivors. Cancer 2013;119 Suppl 11:2151-9. https://doi.org/10.1002/cncr.28067
  • 36. Steiner JF, Cavender TA, Nowels CT, Beaty BL, Bradley CJ, Fairclough DL, et al. The impact of physical and psychosocial factors on work...
  • 37. Kennedy F, Haslam C, Munir F, Pryce J. Returning to work following cancer: a qualitative exploratory study into the experience of returning...
  • 38. Paltrinieri S, Fugazzaro S, Bertozzi L, Bassi MC, Pellegrini M, Vicentini M, et al. Return to work in European Cancer survivors: a systematic...
  • 39. Cadiz D, Brady G, Rineer JR, Truxillo D. A review and synthesis of the work ability literature. Work Aging Retire 2019; 5: 114-138. https://doi.org/10.1093/workar/way010
  • 40. Avis NE, Smith KW, McGraw S, Smith RG, Petronis VM, Carver CS. Assessing quality of life in adult cancer survivors (QLACS). Qual Life...
  • 41. Escobar A, Trujillo-Martín M del M, Rueda A, Pérez-Ruiz E, Avis NE, Bilbao A. Crosscultural adaptation, reliability and validity of the...
  • 42. Andreu Vaillo Y, Conchado Peiró A, Martinez Lopez P, Martinez Martinez MT, Moreno P, Arribas Alpuente L. Possible substantive improvements...
  • 43. Loewenthal KM, Lewis CA. An introduction to psychological tests and scales. 2nd ed. London: Psychology Press; 2015. 184 p.
  • 44. de Boer AGEM, Taskila TK, Tamminga SJ, Feuerstein M, Frings-Dresen MHW, Verbeek JH. Interventions to enhance return-to-work for cancer...
  • 45. Armaou M, Schumacher L, Grunfeld EA. Cancer survivors’ social context in the return to work process: narrative accounts of social support...
  • 46. Götze H, Taubenheim S, Dietz A, Lordick F, Mehnert A. Comorbid conditions and health-related quality of life in long-term cancer survivors-associations...
  • 47. Mols F, Vingerhoets AJJM, Coebergh JW, van de Poll-Franse LV. Quality of life among long-term breast cancer survivors: a systematic review....
  • 48. Aziz NM. Late Effects of Cancer Treatments. En: Ganz PA, editor. Cancer Survivorship: Today and Tomorrow New York, NY: Springer; 2007]....
  • 49. Deimling GT, Sterns S, Bowman KF, Kahana B. The health of older-adult, long-term cancer survivors. Cancer Nurs 2005;28:415-24. https://doi.org/10.1097/00002820-...
  • 50. Ganz PA. Late effects of cancer and its treatment. Semin Oncol Nurs 2001;17:241-8. https://doi.org/10.1053/sonu.2001.27914.
  • 51. Montazeri A. Health-related quality of life in breast cancer patients: a bibliographic review of the literature from 1974 to 2007. J Exp...
  • 52. Kollerup A, Ladenburg J, Heinesen E, Kolodziejczyk C. The importance of workplace accommodation for cancer survivors – The role of flexible...
  • 53. Cohen M, Yagil D, Carel R. A multidisciplinary working model for promoting return to work of cancer survivors. Support Care Cancer 2021;29:5151-60....