Results from a prospective longitudinal survey of employment and work outcomes in newly diagnosed cancer patients during and after curative-intent chemotherapy: A Wisconsin Oncology Network study.
| Title: | Results from a prospective longitudinal survey of employment and work outcomes in newly diagnosed cancer patients during and after curative-intent chemotherapy: A Wisconsin Oncology Network study. |
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| Authors: | Tevaarwerk AJ; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin.; Kwekkeboom K; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; School of Nursing, University of Wisconsin, Madison, Wisconsin.; Buhr KA; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin.; Dennee A; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; Conkright W; Fox Valley Hematology/Oncology, Appleton, Wisconsin.; Onitilo AA; Marshfield Clinic, Weston, Wisconsin.; Robinson E; Mercy Health System, Janesville, Wisconsin.; Ahuja H; Aspirus Reg Cancer Center, Wausau, Wisconsin.; Kwong RW; Gundersen Lutheran Med Center, La Crosse, Wisconsin.; Nanad R; Columbia St. Mary's, Milwaukee, Wisconsin.; Wiegmann DA; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin.; Chen K; Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, North Carolina.; LoConte NK; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin.; Wisinski KB; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin.; Sesto ME; University of Wisconsin Carbone Cancer Center, Madison, Wisconsin.; Division of Hematology/Oncology & Palliative Care, Department of Medicine, University of Wisconsin, Madison, Wisconsin. |
| Source: | Cancer [Cancer] 2021 Mar 01; Vol. 127 (5), pp. 801-808. Date of Electronic Publication: 2020 Nov 24. |
| Publication Type: | Journal Article; Research Support, N.I.H., Extramural |
| Language: | English |
| Journal Info: | Publisher: Wiley Country of Publication: United States NLM ID: 0374236 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0142 (Electronic) Linking ISSN: 0008543X NLM ISO Abbreviation: Cancer Subsets: MEDLINE |
| Imprint Name(s): | Publication: : Hoboken, NJ : Wiley; Original Publication: New York [etc.] Published for the American Cancer Society by J. Wiley [etc.] |
| MeSH Terms: | Employment*; Neoplasms/*drug therapy; Adult ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Prospective Studies ; Surveys and Questionnaires ; Work Capacity Evaluation |
| Abstract: | Background: Postcancer work limitations may affect a substantial proportion of patients and contribute to the "financial toxicity" of cancer treatment. The degree and nature of work limitations and employment outcomes are poorly understood for cancer patients, particularly in the immediate period of transition after active treatment. We prospectively examined employment, work ability, and work limitations during and after treatment.; Methods: A total of 120 patients receiving curative therapy who were employed prior to their cancer diagnosis and who intended to work during or after end of treatment (EOT) completed surveys at baseline (pretreatment), EOT, and 3, 6, and 12 months after EOT. Surveys included measures of employment, work ability, and work limitations. Descriptive statistics (frequencies, percentages, means with standard deviations) were calculated.; Results: A total of 111 participants completed the baseline survey. On average, participants were 48 years of age and were mostly white (95%) and female (82%) with a diagnosis of breast cancer (69%). Full-time employment decreased during therapy (from 88% to 50%) and returned to near prediagnosis levels by 12-month follow-up (78%). Work-related productivity loss due to health was high during treatment.; Conclusions: This study is the first to report the effects of curative intent cancer therapy on employment, work ability, and work limitations both during and after treatment. Perceived work ability was generally high overall 12 months after EOT, although a minority reported persistent difficulty. A prospective analysis of factors (eg, job type, education, symptoms) most associated with work limitations is underway to assist in identifying at-risk patients.; (© 2020 American Cancer Society.) |
| Comments: | Comment in: Cancer. 2021 Aug 15;127(16):3033-3034. doi: 10.1002/cncr.33566.. (PMID: 34143434); Comment in: Cancer. 2021 Aug 15;127(16):3031-3032. doi: 10.1002/cncr.33569.. (PMID: 34143435) |
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| Grant Information: | KL2 TR000428 United States TR NCATS NIH HHS; P30 CA014520 United States CA NCI NIH HHS; UL1 TR000427 United States TR NCATS NIH HHS |
| Contributed Indexing: | Keywords: cancer survivorship; cancer work limitations; return to work; working during cancer treatment |
| Entry Date(s): | Date Created: 20201124 Date Completed: 20211015 Latest Revision: 20260512 |
| Update Code: | 20260512 |
| PubMed Central ID: | PMC7945680 |
| DOI: | 10.1002/cncr.33311 |
| PMID: | 33231882 |
| Database: | MEDLINE |
Journal Article; Research Support, N.I.H., Extramural