LymphedemaV1, Main, Exploration, bibRecord, 003672

Employment outcomes among survivors of common cancers: the Symptom Outcomes and Practice Patterns (SOAPP) study

Identifieur interne : 003672 ( Main/Exploration ); précédent : 003671; suivant : 003673

Employment outcomes among survivors of common cancers: the Symptom Outcomes and Practice Patterns (SOAPP) study

Auteurs : A. J. Tevaarwerk ; J. W. Lee ; M. E. Sesto ; K. A. Buhr ; C. S. Cleeland ; J. Manola ; L. I. Wagner ; V. T. S. Chang ; M. J. Fisch

Source :

Journal of cancer survivorship : research and practice [ 1932-2259 ] ; 2013.

RBID : PMC:3638888

Abstract

Introduction

Risk factors for employment difficulties after cancer diagnosis are incompletely understood, and interventions to improve post-cancer employment remain few. New targets for intervention are needed.

Methods

We assessed a cohort of 530 nonmetastatic cancer patients (aged≤65 years, >6 months from diagnosis, off chemo- or radiotherapy) from the observational multi-site Symptom Outcomes and Practice Patterns study. Participants reported employment change, current employment, and symptoms. Groups were based on employment at survey (working full- or part-time versus not working) and whether there had been a change due to illness (yes versus no). The predictive power of symptom interference with work was evaluated for employment group (working stably versus no longer working). Race/ethnicity, gender, cancer type, therapy, and time since diagnosis were also assessed. Association between employment group and specific symptoms was examined.

Results

The cohort was largely non-Hispanic white (76 %), female (85 %), and diagnosed with breast cancer (75 %); 24 % reported a change in employment. On multivariable analysis, participants with at least moderate symptom interference were more likely to report no longer working than their less effected counterparts (odds ratio (OR)=8.0, 95 % CI, 4.2–15.4), as were minority participants compared with their non-Hispanic white counterparts (OR=3.2, 95 % CI, 1.8– 5.6). Results from the multiple regression model indicated the combination of fatigue (OR=2.3, 95 % CI, 1.1–4.7), distress (OR=3.9, 95 % CI, 1.7–9.0), and dry mouth (OR=2.6, 95 % CI, 1.1–6.2) together with race/ethnicity and time since diagnosis adequately predicted for employment group.

Conclusions

Our findings support the hypothesis that residual symptom burden affects post-cancer employment: Residual symptoms may be targets for intervention to improve work outcomes among cancer survivors.

Implications for Cancer Survivors

This analysis examines whether increased symptom burden predicts a change to not working following a cancer diagnosis. We also examined individual symptoms to assess which symptoms were most strongly associated with not working after a cancer diagnosis. Our hope is that we will be able to use this information to both screen survivors post-active treatment and to identify those at risk, as well as target high-risk symptoms for further and more aggressive intervention, in an attempt to improve post-cancer work outcomes.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638888

DOI: 10.1007/s11764-012-0258-2
PubMed: 23378060
PubMed Central: 3638888

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title>
<p id="P1">Risk factors for employment difficulties after cancer diagnosis are incompletely understood, and interventions to improve post-cancer employment remain few. New targets for intervention are needed.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We assessed a cohort of 530 nonmetastatic cancer patients (aged≤65 years, >6 months from diagnosis, off chemo- or radiotherapy) from the observational multi-site Symptom Outcomes and Practice Patterns study. Participants reported employment change, current employment, and symptoms. Groups were based on employment at survey (working full- or part-time versus not working) and whether there had been a change due to illness (yes versus no). The predictive power of symptom interference with work was evaluated for employment group (working stably versus no longer working). Race/ethnicity, gender, cancer type, therapy, and time since diagnosis were also assessed. Association between employment group and specific symptoms was examined.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The cohort was largely non-Hispanic white (76 %), female (85 %), and diagnosed with breast cancer (75 %); 24 % reported a change in employment. On multivariable analysis, participants with <italic>at least</italic>
 moderate symptom interference were more likely to report no longer working than their less effected counterparts (odds ratio (OR)=8.0, 95 % CI, 4.2–15.4), as were minority participants compared with their non-Hispanic white counterparts (OR=3.2, 95 % CI, 1.8– 5.6). Results from the multiple regression model indicated the combination of fatigue (OR=2.3, 95 % CI, 1.1–4.7), distress (OR=3.9, 95 % CI, 1.7–9.0), and dry mouth (OR=2.6, 95 % CI, 1.1–6.2) together with race/ethnicity and time since diagnosis adequately predicted for employment group.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our findings support the hypothesis that residual symptom burden affects post-cancer employment: Residual symptoms may be targets for intervention to improve work outcomes among cancer survivors.</p>
</sec>
<sec id="S5"><title>Implications for Cancer Survivors</title>
<p id="P5">This analysis examines whether increased symptom burden predicts a change to not working following a cancer diagnosis. We also examined individual symptoms to assess which symptoms were most strongly associated with not working after a cancer diagnosis. Our hope is that we will be able to use this information to both screen survivors post-active treatment and to identify those at risk, as well as target high-risk symptoms for further and more aggressive intervention, in an attempt to improve post-cancer work outcomes.</p>
</sec>
</div>
</front>
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<name sortKey="Cleeland, C S" sort="Cleeland, C S" uniqKey="Cleeland C" first="C. S." last="Cleeland">C. S. Cleeland</name>
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<name sortKey="Manola, J" sort="Manola, J" uniqKey="Manola J" first="J." last="Manola">J. Manola</name>
<name sortKey="Sesto, M E" sort="Sesto, M E" uniqKey="Sesto M" first="M. E." last="Sesto">M. E. Sesto</name>
<name sortKey="Tevaarwerk, A J" sort="Tevaarwerk, A J" uniqKey="Tevaarwerk A" first="A. J." last="Tevaarwerk">A. J. Tevaarwerk</name>
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Employment outcomes among survivors of common cancers: the Symptom Outcomes and Practice Patterns (SOAPP) study

Employment outcomes among survivors of common cancers: the Symptom Outcomes and Practice Patterns (SOAPP) study

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