University Utrecht, Utrecht, The Netherlands.
Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, New South Wales, Australia.
Eur J Cancer Care (Engl). 2022 Jul;31(4):e13596. doi: 10.1111/ecc.13596. Epub 2022 Apr 21.
Determine if cancer survivors have lower participation in paid work, more limitations in daily activities or more limitations in leisure compared with those without cancer, stratified by age (working age ≤65 years; retirement age >65 years). Secondary objectives are identifying sociodemographic or clinical factors associated with work, daily activities or leisure and analysis of the relationship between work, daily activities and leisure.
Secondary analyses, using logistic regression, were performed on three cohorts (lymphoma, prostate and thyroid cancer) from the Dutch Patient Reported Outcomes Following Initial treatment and Long-term Evaluation of Survivorship (PROFILES) registry and a nationally representative non-cancer sample.
Working-age cancer survivors (n = 926) were significantly (p < 0.001) less likely to participate in paid work and more likely to report limitations in daily activities and leisure compared to the non-cancer cohort (n = 1279). Among retirement aged cancer survivors (n = 1046), paid work was significantly more likely (p < 0.001), as were limitations in leisure (p < 0.05), compared with the non-cancer controls (n = 334).
Cancer impacts daily activities and leisure, as well as paid work. These roles are important for cancer survivors' quality of life, suggesting support to return to these activities may be an important component of survivorship care.
根据年龄（工作年龄≤65 岁；退休年龄>65 岁）将癌症幸存者与无癌症者进行分层，确定癌症幸存者在有偿工作中的参与度是否较低、日常生活活动受限或休闲受限的情况是否更严重。次要目标是确定与工作、日常活动或休闲相关的社会人口学或临床因素，并分析工作、日常活动和休闲之间的关系。
使用逻辑回归对来自荷兰患者报告初始治疗后结果和生存随访（PROFILES）登记处的三个队列（淋巴瘤、前列腺癌和甲状腺癌）以及全国代表性的非癌症样本进行二次分析。
与非癌症队列（n=1279）相比，工作年龄癌症幸存者（n=926）参与有偿工作的可能性显著（p<0.001）降低，且日常生活活动和休闲受限的可能性显著（p<0.001）增加。在退休年龄癌症幸存者（n=1046）中，与非癌症对照组（n=334）相比，有偿工作的可能性显著（p<0.001）增加，休闲受限的可能性也显著（p<0.05）增加。
癌症会影响日常活动和休闲以及有偿工作。这些角色对癌症幸存者的生活质量很重要，这表明支持他们恢复这些活动可能是生存护理的一个重要组成部分。
