Article

Assessing the Impact of Cancer on Work Outcomes

Michigan State University, Ист-Лансинг, Michigan, United States
Cancer (Impact Factor: 4.9). 11/2004; 101(8):1703-11. DOI: 10.1002/cncr.20564
Source: PubMed

ABSTRACT Cancer may have a major impact on the capacity of survivors to work, with important economic, personal, and social implications. In this commentary, the authors identify six methodologic criteria for evaluating the return-to-work literature for cancer survivors, and they propose a conceptual model to guide future research.

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Available from: Deborah S Main, Jan 26, 2015
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    • "However, even though the attitude of employers and co-workers of cancer survivors has changed during the last decades, many factors may still hinder survivors' successful participation in the work force [19]. Despite the importance of the subject, few studies exist on the impact of cancer and cancer treatment on return to work among a large number of survivors and a population-based reference group [3] [9]. As a result, a collaboration between Nordic countries was considered valuable in order to profit from the experience and knowledge available and also to strengthen our study with an acceptable sample size. "
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    • "Reviews have concluded that the employment rate among CSs is 60–70% on average [7] [8] [9] [10]. However, two recent Nordic registry studies show that 80–90% of CSs return to work [11] [12]. "
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    ABSTRACT: To investigate how cancer survivors (CSs) experience the cancer-related support they get at the workplace, the proportion of CSs who change work due to cancer and the sociodemographic and work-related factors associated with CSs' work changes. CSs of the 10 most common invasive types of cancer for men and women in Norway completed a mailed questionnaire 15-39 months after primary treatment. All CSs who were working when diagnosed were included in the analyses (n = 1115). Leaving the workforce and making other important changes in paid work were regarded as work changes. When diagnosed with cancer, 84% of the CSs experienced their supervisor as caring vs. 90% for colleagues. At the time of the survey, 84% were still working; 24% had made changes in work due to the cancer. Work changes due to cancer were most common among CSs who reported low supervisor support related to the cancer (odds ratio (OR) 0.78) and high physical (OR 2.48) and psychological job demands (OR 1.39) at the time of diagnosis. Work changes were more common among self-employed CSs than among employees (OR 2.03). CSs with high education (OR 0.59) and medium income (OR 0.66) made fewer work changes than other CSs, but these differences were not significant when controlled for the work factors. Close follow-up by supervisors should be a key element in workplace health promotion programmes for CSs. Further, the programmes should target both physical and psychosocial work factors.
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    • "Thus, a deductive element in our interpretive analysis was to look for quotations illustrating constructs that could be used in education materials to help increase patient behaviors that would help them prevent or manage job problems. We also used inductive reasoning in the interpretive analysis because of the paucity of preexisting interventional research on improving employment outcomes (Steiner et al., 2004). We summarized our interpretive analysis as a set of clinical recommendations for frontline cancer care providers (Frazier, Miller, Miller, et al., 2009). "
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    ABSTRACT: Findings from telephone focus groups have not been compared previously to findings from face-to-face focus groups. We conducted four telephone focus groups and five face-to-face focus groups in which a single moderator used the same open-ended questions and discussion facilitation techniques. This comparison was part of a larger study to gain a better understanding of employment experiences after diagnosis of gynecologic cancer. Offering the telephone option made it easier to recruit women from rural areas and geographically distant cities. Interaction between participants occurred in both types of focus group. Content analysis revealed that similar elements of the employment experience after cancer diagnosis were described by telephone and face-to-face participants. Participants disclosed certain emotionally sensitive experiences only in the telephone focus groups. Telephone focus groups provide useful data and can reduce logistical barriers to research participation. Visual anonymity might help some participants feel more comfortable discussing certain personal issues.
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