Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
J Occup Rehabil. 2011 Sep;21(3):431-40. doi: 10.1007/s10926-010-9274-0.
Long-term employment rates have been studied in cancer survivors, but little is known about the return to work of cancer patients. This study investigated return to work (RTW) within 2 years after the diagnosis of different types of cancer.
This prospective study investigated the associations of demographics (age, gender, socioeconomic status, and residential region) and occupational factors (occupation, duration of employment, and company size) of employees absent from work due to cancer with the time to partial RTW, defined as working at least 50% of the earnings before sickness absence. Likewise, the associations of demographics and occupational factors with full RTW at equal earnings as before sickness absence were investigated.
The cohort included 5,234 employees who had been absent from work due to cancer between January 2004 and December 2006. The time to partial RTW was shortest among employees with skin cancer (median 55 days) and longest among employees with lung cancer (median 377 days). There were no significant associations between RTW and demographics. With regard to the occupational factors, employees in high occupational classes started working earlier than those in low occupational classes, but the time to full RTW did not differ significantly across occupational classes. Employees working in large companies returned to work earlier than those working in small companies.
RTW after different types of cancer depended on occupational factors rather than demographics.
长期就业率已在癌症幸存者中进行了研究，但对于癌症患者的工作恢复情况知之甚少。本研究调查了不同类型癌症诊断后 2 年内的工作恢复情况（RTW）。
本前瞻性研究调查了因癌症缺勤的员工的人口统计学因素（年龄、性别、社会经济地位和居住地区）和职业因素（职业、就业时间和公司规模）与部分 RTW 时间（定义为至少工作 50%的病假前收入）之间的相关性。同样，还研究了人口统计学和职业因素与完全 RTW（收入与病假前相同）的相关性。
该队列包括 5234 名在 2004 年 1 月至 2006 年 12 月期间因癌症缺勤的员工。皮肤癌患者的部分 RTW 时间最短（中位数为 55 天），肺癌患者的 RTW 时间最长（中位数为 377 天）。RTW 与人口统计学因素之间没有显著关联。关于职业因素，高职业类别员工的工作开始时间早于低职业类别员工，但不同职业类别之间的完全 RTW 时间没有显著差异。在大公司工作的员工比在小公司工作的员工更早返回工作岗位。
不同类型癌症的 RTW 取决于职业因素而不是人口统计学因素。
