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Breast cancer specialists' perspective on their role in their patients' return to work: A qualitative study
Objectives: This study aimed to explore the views of breast cancer (BC) specialists as to their role in the returnto-work (RTW) process of their BC patients. Methods: A qualitative study using semi-structured interviews was conducted in a sample of 20 BC specialists selected according to age, gender, medical specialty (medical oncology, radiation oncology, gynecological surgery), and healthcare organization (regional cancer center, university or private hospital). All interviews were audiotaped and transcribed for qualitative thematic content analysis. Results: BC specialists had heterogeneous...
Conséquences de la survenue du cancer sur les parcours professionnels
Une analyse sur données médico-administratives Ce rapport étudie les effets à court et moyen termes de la survenue d'un cancer sur l'emploi et l'activité. Il utilise la base de données Hygie, produite par l'Irdes à partir des données administratives de la Caisse nationale de l'Assurance maladie et de la Caisse nationale d'assurance vieillesse. Hygie permet de reconstituer la carrière de l'individu ainsi que les événements de santé. Une première partie exploite la dimension rétrospective...
Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers
A Review of Reviews Supporting a Cross-Disease Approach Purpose: This systematic review aimed at identifying the common psychosocial factors that facilitate or hinder the return to work (RTW) after a sick leave due to common mental disorders (CMDs), cardiovascular diseases (CVDs), or cancers (CAs). Methods: We conducted a review of reviews searching 13 databases from 1994 to 2016 for peer-reviewed, quantitative, cohort studies investigating factors influencing RTW after a CMD, CVD, or CA. Then, for each disease we identified additional cohort studies published after the date of the latest review...
Rehabilitation and return to work after cancer - Instruments and practices
Being diagnosed with cancer has immediate and long-lasting effects, even after the completion of treatment. This project explores the occupational safety and health challenges that employers and employees face when workers return to work after a diagnosis of cancer. The report provides national examples of successful instruments and practices that help prevent long-term sickness absence and unemployment. Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer-instruments-and/view
Return to work after cancer
There is an increasing amount of information available for line managers, human resources and occupational health professionals on helping individuals with cancer stay in work. However, until this research, there had been a lack of evidence on specific health and safety issues and effective approaches to risk assessment and risk management for occupational safety and health (OSH) professionals, and others, to support those undergoing treatment or returning to work after cancer. The research addresses this evidence gap by: - seeking to understand the health and safety implications of returning to...
Rehabilitation and return to work after cancer: Literature review
As treatments have improved, there are more and more people surviving cancer in Europe. While most cancer survivors return to work after treatment, many face long-term symptoms and impairments that can make it difficult for them to do so. This report provides an overview of the relevant scientific literature, conducted to collect information on existing initiatives, policies and practices on rehabilitation and return to work after cancer and gather examples of successful interventions. Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer...
Absenteeism due to Functional Limitations Caused by Seven Common Chronic Diseases in US Workers
Objective: The study examined the relationship between functional limitation due to chronic diseases and absenteeism among full-time workers. The studied chronic diseases include arthritis/rheumatism, cancer, diabetes, heart disease, hypertension, lung disease, and stroke. Methods: We analyzed data from the 2011 to 2013 National Health Interview Survey. Economic impact was determined by workdays lost and lost income. Results: Increase in absenteeism was observed for each studied condition. Employees with multiple conditions also saw increase absenteeism. Employers lose 28.2 million workdays annually...
La survenue du cancer: effets de court et moyen termes sur l’emploi, le chômage et les arrêts maladie
La réduction des inégalités face à la maladie est un des attendus majeurs du troisième Plan cancer 2014-2019 qui préconise de « diminuer l'impact du cancer sur la vie personnelle » afi n d'éviter la « double peine » (maladie et exclusion du marché du travail). Dans ce contexte, nous évaluons l'impact de un à cinq ans d'un primo-enregistrement en Affection de longue durée (ALD) caractérisant le cancer sur la situation professionnelle et la durée passée en emploi...
Travailler après un cancer du sein
Enjeux, contraintes et perspectives Le présent article s'intéresse aux conséquences du cancer du sein sur la réinsertion professionnelle de 21 femmes, âgées de moins de 40 ans lors du diagnostic et interrogées de 16 à 24 mois après. Si la volonté d'un réinvestissement dans une vie professionnelle fait l'unanimité, chacun de leurs parcours témoigne des profondes transformations des rapports à la vie professionnelle, induites par la maladie. Dans une analyse mettant en lumière les interactions...
Unintended consequences
The social context of cancer survivors and work Purpose: This article describes the ways in which socioeconomic characteristics and workplace contexts shape the unintended consequences that cancer survivors can experience as they return to work. The study was conducted in an employment setting where there is a major focus on productivity and economic growth in the business sector. Methods: Five focus groups (N = 33 participants) were conducted in 2012 in Singapore. Questions were directed at obtaining information related to the meaning of a job and reactions to return to work as a...
Decrease social inequalities return-to-work
Development and design of a randomised controlled trial among women with breast cancer Abstract: Background Despite the improvement in the care management, women cancer patients who are still in employment find themselves for the most part obliged to stop working while they are having treatment. Their return-to-work probability is impacted by numerous psychosocial factors. The objective is to describe the development and the content of an intervention aimed to facilitate the return to work of female breast cancer patients and in particular the women in the most precarious situations through early...
Observatoire sociétal des cancers
Rapport 2013 La Ligue contre le cancer a publié le 3ème rapport de l'Observatoire sociétal des cancers, s'appuyant sur des études inédites pour comprendre les réalités de cette maladie. Si les conséquences économiques du cancer pour les personnes malades et leur entourage sont connues, cette nouvelle édition met aussi en avant l'impact de la maladie sur le parcours professionnel : 1 personne sur 3 perd ou quitte son emploi dans les 2 ans après le diagnostic. Que vivent les malades dans cette situation ? Qu'en...
Plan cancer 2014-2019 : priorité au retour à l'emploi
François Hollande a présenté le 4 février 2014 le 3e plan cancer, couvrant la période 2014-2019. Le maintien et le retour à l'emploi des personnes atteintes de cancer font partie des axes d'action prioritaires. Parmi les personnes qui sont en activité lors du diagnostic d'un cancer, trois personnes sur dix ont perdu leur emploi ou l'ont quitté deux ans après. Le 3e plan cancer 2014-2019 se fixe pour objectif d'augmenter de 50% les chances de retour à l'emploi à l'horizon 2020. Pour celles qui...
Situations de travail et trajectoires professionnelle des actifs atteints d'un cancer
La Fondation ARC et l'INCa ont lancé conjointement en 2006 un appel à projets de recherche s'inscrivant dans les orientations du premier Plan cancer et visant à explorer les conséquences de la maladie et de ses traitements sur les situations d'emploi et de travail des personnes atteintes. Les six recherches soutenues et menées dans ce cadre, présentées dans la partie II, ont permis, à travers des approches quantitatives ou qualitatives, de mesurer et de mieux comprendre l'impact de la survenue du cancer sur la vie professionnelle...
Predictors of employment among cancer survivors after medical rehabilitation
A prospective study Objectives This study aimed to (i) investigate cancer survivor's employment status one year after the completion of a medical rehabilitation program and (ii) identify demographic, cancer, and psychosocial, treatment-, and work-related predictors of return to work (RTW) and time until RTW. Methods A total of 1520 eligible patients were consecutively recruited on average 11 months post diagnosis and assessed at the beginning (t0) (N=1148) and end of rehabilitation (t1) (N=1060) and 12 months after rehabilitation (t2) (N=750). Participants completed validated measures assessing...
Breast cancer survivors' views of factors that influence the return-to-work process
A qualitative study OBJECTIVES: Accumulating evidence suggests that most employed breast cancer survivors are able to return to work but often experience difficulties in the process. The objective of this study was to identify: (i) factors experienced as barriers to and facilitators of the return-to-work (RTW) process, (ii) which factors were important during initial and post RTW, and (iii) possible solutions to RTW problems. METHODS: Twelve breast cancer survivors participated in semi-structured interviews. Interviews were thematically analyzed using MAXQDA, software for qualitative data analysis...
Work status and life changes in the first year after breast cancer diagnosis
Johnsson, Aina et al. (2011). Work status and life changes in the first year after breast cancer diagnosis. Work 38 (4): 337-346. Objective: The aims of this study were to generate new knowledge about factors predicting return to work (RTW) among women treated for early-stage breast cancer, and about changes in life satisfaction, and coping, and to examine the association between these concepts and RTW. Methods and Participants: A cohort of 102 women aged 18–64 were assessed six weeks, six months, and ten months after surgery using data from questionnaires and medical files. Results: Factors...
Work in cancer survivors: a model for practice and research
As with other illnesses, several variables can impact the transition back to the workplace, long-term work productivity, or job retention among cancer survivors. We developed a model related to work and cancer based in part on the general area of work disability and the specific literature on cancer survivors and work. Methods: A systematic search of the literature on work and cancer was conducted to determine whether an evidence base existed to support the proposed model. Results : Forty-five papers met the review criteria. The percentage of studies that addressed modifiable categories included...
Return-to-work interventions integrated into cancer care: a systematic review
Objectives The purpose of this study was to review the literature on the content of interventions focusing on return to work, employment status, or work retention in patients with cancer. Furthermore, the effect of the interventions on return to work was assessed in studies reporting return to work. Methods A literature search was conducted using the databases MEDLINE, PsycINFO, EMBASE and CINAHL. Articles that described a work-directed intervention focusing on return to work, employment status, or work retention in patients with cancer were included. The content of the work-directed part of the...
Factors Related to Return to Work by Women with Breast Cancer in Northern France
Earlier diagnosis and better treatment have increased the survival rates of breast cancer patients. This warrants research on return to work of cancer survivors, especially about subjective factors because they affect the mental desire to return to work. Moreover, knowledge in this issue is very limited in France. Objectives This study aims to explore the objective and subjective factors that affect whether and when women with breast cancer return to work. Methods 379 women with breast cancer aged 18–60 years who were working at the time of diagnosis responded to a 45 item questionnaire....
Psychological and behavioural predictors of pain management outcomes in patients with cancer
To better understand the phenomenon of patient-related barriers to cancer pain management and address them more effectively in interventional studies, a theoretical model related to psychological aspects of pain experience and pain-related behaviours was elaborated. The aim of the study was to analyse the impact of patient-related barriers on cancer pain management outcomes following this model. Thirty-three patients responded to the Brief Pain Inventory Pain scale, the Danish Barriers Questionnaire II (DBQ-II), the Hospital Anxiety and Depression scale (HADS), the Danish version of Patient Perceived...
The burden of occupational cancer in Great Britain
Cette étude publiée par le Health and Safety Executive (HSE) de Grande-Bretagne présente une série de données épidémiologiques sur les cancers professionnels et l'impact économique de ces derniers. Le résumé de cette étude est disponible sur le site du HSE, ainsi que le rapport détaillé: http://www.hse.gov.uk/research/rrhtm/rr800.htm
Employment and return to work in head and neck cancer survivors
To investigate employment in working-age head and neck cancer (HNC) survivors before and after treatment in relation to sociodemographic and clinical factors, health related quality of life, and emotional distress. Patients younger than 65years at time of diagnosis and at least 2years after curative treatment for HNC were included. Exclusion criteria were cognitive dysfunction and no understanding of Dutch language. Primary outcome measures were employment status and return to work assessed by a study specific questionnaire. Secondary outcome measures were health related quality of life (EORTC...
The role of communication and support in return to work following cancer-related absence
Many cancer survivors experience difficulties returning to work. However, there have been relatively few attempts to understand why problems with employer support and work adjustment occur. This paper aims to extend previous work in two ways: first, through exploring the way in which communication and support at work effect cancer survivors on their return to work and during the post-return period; and second, by drawing on a research sample working in the United Kingdom. Methods : In all, 26 cancer survivors took part in a semi-structured telephone interview. Interviews were transcribed and analysed...
Prospective predictors of return to work in the 5 years after hematopoietic cell transplantation
INTRODUCTION: Work return is an indicator of recovery and functional status for cancer survivors. We investigated whether demographic, medical and functional factors predicted full-time work return following hematopoietic cell transplantation (HCT). METHODS: Adults (N = 197), most with hematologic malignancy, completed assessments before their HCT and at intervals over 5 years. Assessments included treatment and demographic factors, and date of return to full-time work. We created binary variables, indicative of major impairment, from the Short Form 36 Health Survey (SF-36) mental (MCS) and physical...
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