Simonow N N
Arch Geschwulstforsch. 1979;49(1):47-53.
The analysis of social and occupational rehabilitation of 372 patients with recta cancer in working age radically treated at N. N. Petrov Research Institute of Oncology of the USSR Ministry of Health in 1950--1970 revealed, that not less than 50% of patients returned to work and were readapted in their family and social environment. About 70% of patients are working, having an invalidity group. The interrelationship and the direct influence of different factors (characterizing the state of the patient's organism, the type of tumor, the stage of the disease, the character of treatment, the presence of complications and functional disturbances, as well as age, sex, profession, length of service) on the process of occupational readaptation, and also on the conclusions of expert comissions for evaluation of working ability were determined with the method of correlation analysis. These findings permit to evaluate the role of each factor, the degree of its stability and the character of its influence. The decisive factors, which determine occupational readaptation of patients with rectal cancer after radical treatment, are: sex, age, profession educational level, severity of functional disturbances. The influence of stage of disease (if radical operation is possible) on the success of occupational rehabilitation of patients with rectal cancer is not considered significant.
对1950年至1970年在苏联卫生部N.N.彼得罗夫肿瘤研究所接受根治性治疗的372例工作年龄直肠癌患者的社会和职业康复情况进行分析后发现，不少于50%的患者重返工作岗位，并在家庭和社会环境中重新适应。约70%的患者虽有残疾等级但仍在工作。运用相关分析方法确定了不同因素（表征患者机体状态、肿瘤类型、疾病分期、治疗特点、并发症和功能障碍的存在情况，以及年龄、性别、职业、工作年限）之间的相互关系及其对职业再适应过程的直接影响，以及对评估工作能力的专家委员会结论的影响。这些研究结果有助于评估每个因素的作用、其稳定性程度及其影响特点。决定根治性治疗后直肠癌患者职业再适应的决定性因素为：性别、年龄、职业教育水平、功能障碍的严重程度。疾病分期（若可行根治性手术）对直肠癌患者职业康复成功与否的影响被认为不显著。
