Tavan Hamed, Azadi Arman, Veisani Yousef
Student Research Committee, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Nursing Department, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Indian J Palliat Care. 2019 Jan-Mar;25(1):147-152. doi: 10.4103/IJPC.IJPC_114_18.
Diseases and accidents bring about the disorder at someone's job insofar as one is not able to return to her/his previous work. These cases are related to the amount of occurred accidents, type of disease, and one's job.
The aim of this study was to evaluate the factors that affect return to work (RTW) in cancer survivors using a systematic review and meta-analysis design.
This is a systematic review and meta-analysis study. We searched the PubMed, Scopus, SID, Google, Elsevier, Google Scholar and Web of Science databases using following keywords: Return to work, cancer patients, employment status, cancer survivors from 2002 to 2017. The rate of return to work in cancer patients based on age group and risk factors was calculated using subgroup analysis. Data were analyzed using STATA software (version 11.1).
The total sample size was 4675 people with a mean of 668 in each study. The frequency of studies in the world consists mainly of five studies (71.5%) from Europe continent (the Netherlands and Denmark) and two studies (28.5%) from Asia continent (Iran and Japan). The overall rate of RTW estimated at 72% (68%-77%). The percentage of RTW in Asia and Europe was 57% (50%-65%) and 52% (43%-60%), respectively. Surgery had the highest percentage of treatment options in patients with cancer with 46% (25%-68%), followed by radiotherapy and chemotherapy with 37% (29%-46%) and 36% (23%-49%), respectively. Breast cancer and gastrointestinal cancer were the most and less common type of cancers with 36% (19%-54%) and 16% (7%-26%), respectively.
The overall rate of RTW estimated at 57%. Nonetheless, the faster diagnosis and regular screening could improve the survival rate of cancer patients and the increase of RTW.
疾病和事故会导致某人工作出现紊乱，只要其无法回到之前的工作岗位。这些情况与事故发生数量、疾病类型以及个人工作相关。
本研究旨在采用系统评价和荟萃分析设计，评估影响癌症幸存者重返工作岗位（RTW）的因素。
这是一项系统评价和荟萃分析研究。我们使用以下关键词在PubMed、Scopus、SID、谷歌、爱思唯尔、谷歌学术和科学网数据库中进行检索：重返工作岗位、癌症患者、就业状况、2002年至2017年的癌症幸存者。使用亚组分析计算基于年龄组和风险因素的癌症患者重返工作岗位率。数据使用STATA软件（版本11.1）进行分析。
总样本量为4675人，每项研究平均668人。全球研究频率主要包括来自欧洲大陆（荷兰和丹麦）的五项研究（71.5%）以及来自亚洲大陆（伊朗和日本）的两项研究（28.5%）。估计总体重返工作岗位率为72%（68%-77%）。亚洲和欧洲的重返工作岗位率分别为57%（50%-65%）和52%（43%-60%）。手术是癌症患者治疗选择中占比最高的，为46%（25%-68%），其次是放疗和化疗，分别为37%（29%-46%）和36%（23%-49%）。乳腺癌和胃肠道癌分别是最常见和较不常见的癌症类型，占比分别为36%（19%-54%）和16%（7%-26%）。
估计总体重返工作岗位率为57%。尽管如此，更快的诊断和定期筛查可以提高癌症患者的生存率以及重返工作岗位率。
