Brock Hannah, Schröter Katharina, Friedrich Michael, Sender Annekathrin, Richter Diana, Mehnert-Theuerkauf Anja, Geue Kristina, Leuteritz Katja
Department of Medical Psychology and Medical Sociology, Comprehensive Cancer Center Central Germany (CCCG), University Medical Center Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany.
Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.
J Cancer Res Clin Oncol. 2024 Dec 26;151(1):20. doi: 10.1007/s00432-024-06050-4.
Adolescent and young adult cancer survivors (AYA-CS) face a long working life after treatment, yet factors related to a successful return to work remain largely unexplored. We therefore aimed to investigate the use of occupational adjustments and their impact on work ability upon return to work.
As part of the AYA-LE study, we surveyed AYA-CS (aged 18-39 at diagnosis) who returned to work and assessed work ability (Work Ability Index) as well as use and benefit of occupational adjustments. We analyzed predictors of use and benefit of occupational adjustments on average 4 years post-diagnosis using multivariate linear and logistic regression.
Out of 438 AYA-CS, 389 (88.8%) returned to work after cancer diagnosis and were included in analyses. Mean work ability was M = 36.2 (SD = 6.9), 11.4% reported poor, 34.7% moderate, 41.4% good and 12.5% excellent work ability. Following treatment, 82.3% used occupational adjustments, most frequently: flexible working hours, gradual reintegration and reduced working hours. The probability of a reduction in working hours was found to be higher among older AYA-CS (≥ 30), female gender and with a fatigue index ≥ 11 (R2 = 0.073). A fatigue index < 11, elevated levels of pain and the presence of metastases/recurrence were associated with a lower benefit of reduced working hours (R2 = 0.183). Younger age (< 30) and stem cell transplant were associated with a lower benefit of support from colleagues (R2 = 0.077).
Our results highlight the need for targeted occupational counselling throughout the treatment and even beyond the return-to-work process, considering individual and social factors.
青少年及青年癌症幸存者（AYA-CS）在治疗后面临漫长的工作生涯，但与成功重返工作岗位相关的因素在很大程度上仍未得到充分探索。因此，我们旨在调查职业调整措施的使用情况及其对重返工作岗位时工作能力的影响。
作为AYA-LE研究的一部分，我们对重返工作岗位的AYA-CS（诊断时年龄在18 - 39岁之间）进行了调查，并评估了工作能力（工作能力指数）以及职业调整措施的使用情况和益处。我们使用多元线性和逻辑回归分析了诊断后平均4年时职业调整措施使用和益处的预测因素。
在438名AYA-CS中，389名（88.8%）在癌症诊断后重返工作岗位并纳入分析。平均工作能力为M = 36.2（标准差 = 6.9），11.4%报告工作能力差，34.7%为中等，41.4%良好，12.5%优秀。治疗后，82.3%的人使用了职业调整措施，最常见的是：灵活工作时间、逐步重新融入和减少工作时间。年龄较大（≥30岁）、女性以及疲劳指数≥11的AYA-CS减少工作时间的可能性更高（R2 = 0.073）。疲劳指数<11、疼痛程度较高以及存在转移/复发与减少工作时间的益处较低相关（R2 = 0.183）。年龄较小（<30岁）和接受干细胞移植与同事支持的益处较低相关（R2 = 0.077）。
我们的结果强调，在整个治疗过程乃至重返工作岗位之后的阶段，需要考虑个体和社会因素，提供有针对性的职业咨询。
