López-Faneca Lydia, Ruiz-Frutos Carlos, Gómez-Salgado Juan, Fagundo-Rivera Javier, Palomo-Gómez Rocío, Allande-Cussó Regina, Ruger-Navarrete Azahara, Macías-Toronjo Israel, García-Iglesias Juan Jesús
School of Doctorate, University of Huelva, Huelva, Spain.
Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain.
Occup Environ Med. 2025 Aug 25;82(6):305-312. doi: 10.1136/oemed-2025-110212.
Return-to-work rates among working-age cancer survivors present a complex challenge, varying by cancer type and individual characteristics. This study aimed to identify prognostic factors influencing return to work in cancer survivors. A systematic review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Searches in PubMed, Scopus and Web of Science databases in December 2024 used keywords based on the Population, Prognostic Factors, Outcomes framework to identify relevant studies. Study quality was evaluated using Joanna Briggs Institute tools and the protocol was registered in PROSPERO (CRD42024596102).Twenty studies were selected. Identified factors included sociodemographic: older age, educational level, marital status and sex; clinical: aggressive treatments, comorbidities and physical sequelae; psychological: anxiety, stress, fear of relapse and social support; occupational: flexible work schedules and tasks versus rigid conditions. Multiple factors influence return-to-work outcomes for cancer survivors.Individualised intervention programmes addressing specific patient needs and fostering adapted work environments are essential to promote successful reintegration.
工作年龄的癌症幸存者的重返工作岗位率呈现出复杂的挑战，因癌症类型和个体特征而异。本研究旨在确定影响癌症幸存者重返工作岗位的预后因素。按照系统评价和Meta分析的首选报告项目指南进行了系统评价。2024年12月在PubMed、Scopus和科学网数据库中进行检索，使用基于人群、预后因素、结局框架的关键词来识别相关研究。使用乔安娜·布里格斯研究所的工具评估研究质量，并将方案注册到国际系统评价注册库（CRD42024596102）。共筛选出20项研究。确定的因素包括社会人口学因素：年龄较大、教育水平、婚姻状况和性别；临床因素：积极治疗、合并症和身体后遗症；心理因素：焦虑、压力、对复发的恐惧和社会支持；职业因素：灵活的工作时间表和任务与严格的条件。多种因素影响癌症幸存者的重返工作结局。针对特定患者需求并营造适应性工作环境的个性化干预计划对于促进成功重返工作至关重要。
