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Return-to-work interventions integrated into cancer care: a systematic review
S J Tamminga1, A G E M de Boer, J H A M Verbeek
1Coronel Insitute of Occupational Health/Academic Medical Center, University of Amsterdam, PO Box 22700, Amsterdam 1100 DE, The Netherlands. s.j.tamminga@amc.uva.nl
Occupational and Environmental Medicine
|August 28, 2010
Summary
Few cancer patient interventions focus on return to work. Most lack shared care integration and fail to significantly improve employment outcomes. Future research needs structured interventions evaluated in randomized controlled trials.
Area of Science:
- Oncology
- Occupational Health
- Rehabilitation Medicine
Background:
- Cancer survivorship presents challenges to employment.
- Return to work (RTW) is crucial for quality of life and economic stability.
- Interventions supporting RTW in cancer patients require further investigation.
Purpose of the Study:
- To review the literature on interventions for cancer patients' return to work, employment status, and work retention.
- To assess the impact of these interventions on RTW outcomes.
Main Methods:
- A systematic literature search was performed across major databases (MEDLINE, PsycINFO, EMBASE, CINAHL).
- Interventions were analyzed for content, targeting work ability and physical workload, and alignment with shared care models.
- RTW rates and odds ratios (ORs) with 95% confidence intervals (CIs) were assessed for studies reporting outcomes, including controlled trials.
Main Results:
- Nineteen interventions from 23 articles met inclusion criteria; only three primarily targeted RTW or employment.
- Common components included encouragement, education, vocational training, and work accommodations.
- Only one intervention fit the shared care model; five targeted work ability or workload.
- RTW rates varied from 37% to 89%; one controlled study showed significant improvement, others were insignificant.
Conclusions:
- Few interventions are specifically designed to enhance RTW in cancer patients.
- Most interventions do not align with integrated cancer care and shared care models.
- Future research should focus on developing and evaluating well-structured, work-directed interventions using randomized controlled trials.
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