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Veit Zebralla1, Karin Kaminski1, Gunnar Wichmann1

  • 1Universitätsklinikum Leipzig AöR Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde.

Laryngo- Rhino- Otologie
|December 12, 2018
PubMed
Summary

Head and Neck Cancer (HNC) patients face a high risk of leaving employment post-treatment. Factors like age, socioeconomic status, and therapy side effects significantly impact their return to work, highlighting a need for better support.

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Area of Science:

  • Oncology
  • Occupational Health
  • Rehabilitation Medicine

Background:

  • Reintegration into work is crucial for cancer patients' social and economic well-being.
  • Limited data exists on return to work (RTW) for Head and Neck Cancer (HNC) patients compared to other cancer types.

Purpose of the Study:

  • To analyze existing literature on RTW in HNC patients.
  • To identify factors influencing RTW and highlight research gaps.

Main Methods:

  • A selective literature search was conducted.
  • Original articles published between 1997 and 2018 concerning RTW in HNC patients were analyzed.

Main Results:

  • 18 studies were identified, revealing 10-52% of HNC patients retired post-therapy.
  • Age, socioeconomic status, therapy-related impairments (fatigue, depression), and comorbidities significantly affected RTW.
  • Tumor localization, therapy type, and gender showed inconsistent influences on RTW.
  • Rehabilitation interventions demonstrated a positive impact on RTW.

Conclusions:

  • HNC patients exhibit a high likelihood of work retirement.
  • Study heterogeneity in methods, assessment timing, and tumor localization complicates comparisons.
  • Further research is needed to develop evidence-based strategies for facilitating HNC patient RTW.

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