National Advisory Unit for Late Effects After Cancer Treatment, Oslo University Hospital, The Norwegian Radium Hospital, P.O. Box 4953, Nydalen, 0424, Oslo, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.
J Cancer Surviv. 2020 Aug;14(4):578-585. doi: 10.1007/s11764-020-00877-9. Epub 2020 Apr 11.
Survivors of cervical cancer have an increased risk for permanently reduced work ability qualifying for disability pension (DP). Few studies describe the social and health situation of long-term survivors of cervical cancer (LSCCs) on DP as a subgroup among LSCCs. The purpose was to investigate the socio-demographic and health status of LSCCs holding DP in a population-based cohort using LSCCs holding paid work as reference.
Altogether, 354 LSCCs under 67 years (age of retirement pension in Norway) at survey participated in this study. They responded to a mailed questionnaire containing social, health, and clinical issues.
Among LSCCs 24% held DP at a median of 11 years (range 6-15) after diagnosis versus 12% in the general female population. Compared to LSCCs in paid work, those on DP had significantly higher mean age at survey, short education, more comorbid somatic diseases, poorer self-rated health, higher level of neurotoxic side effects, more chronic fatigue, and higher mean levels of anxiety and depression. Increased age, presence of musculo-skeletal diseases, and increased levels of depression and pain remained significantly associated with DP in multivariate analysis.
One in four LSCCs held DP which was twice the rate of the general female population. Several somatic and psychological conditions amenable to treatment were significantly associated with holding DP.
LSCCs holding DP should check their health regularly since conditions that can be treated are common, and health care providers should be aware of this opportunity.
宫颈癌幸存者的工作能力永久性降低，有资格领取残疾抚恤金（DP）。很少有研究描述长期宫颈癌幸存者（LSCCs）中作为一个亚组的 DP 患者的社会和健康状况。本研究旨在使用从事有薪工作的 LSCC 作为参考，通过基于人群的队列研究来调查 DP 患者的社会人口统计学和健康状况。
共有 354 名年龄在 67 岁以下（挪威养老金领取年龄）的 LSCC 患者在调查时参加了这项研究。他们通过邮寄问卷回答了有关社会、健康和临床问题。
在 LSCC 中，24%的人在诊断后 11 年（6-15 年）中位数时持有 DP，而普通女性人群中这一比例为 12%。与从事有薪工作的 LSCC 相比，DP 患者的调查时平均年龄明显更高，受教育程度较低，合并躯体疾病更多，自我报告的健康状况更差，神经毒性副作用水平更高，慢性疲劳更多，焦虑和抑郁程度更高。多变量分析显示，年龄增长、存在肌肉骨骼疾病以及抑郁和疼痛程度增加与 DP 显著相关。
四分之一的 LSCC 持有 DP，这是普通女性人群的两倍。一些可治疗的躯体和心理状况与持有 DP 显著相关。
持有 DP 的 LSCC 应定期检查健康状况，因为常见的可治疗条件，而卫生保健提供者应该意识到这一点。
