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Return to work after cancer. A multi-regional population-based study from Germany
Volker Arndt1, Lena Koch-Gallenkamp2, Heike Bertram3
1a Unit of Cancer Survivorship, Division of Clinical Epidemiology and Aging Research , German Cancer Research Center (DKFZ) , Heidelberg , Germany.
Acta Oncologica (Stockholm, Sweden)
|February 20, 2019
Summary
Most long-term cancer survivors return to work, but some face financial difficulties. Age at diagnosis, tumor stage, education, and occupation influence return-to-work success for breast, colorectal, and prostate cancer patients.
Area of Science:
- Oncology
- Occupational Health
- Public Health
Background:
- Improving cancer survival rates necessitate understanding long-term survivors' return to work.
- Limited data exists on work sustainability, financial impact, and determinants for German cancer survivors.
Purpose of the Study:
- To investigate return to work patterns and identify determinants in a population-based sample of long-term cancer survivors in Germany.
- To assess the sustainability and financial consequences of returning to work after cancer treatment.
Main Methods:
- Population-based study of 1558 long-term cancer survivors (breast, colorectal, prostate) diagnosed between 1994-2004 before age 60.
- Utilized mailed questionnaires for employment status and financial difficulties.
- Employed time-to-event analysis for return to work and logistic regression for determinant identification.
Main Results:
- 63% returned to their old job, 7% to a new job; 17% received disability pensions.
- Return to work occurred within 2 years for 90% of returnees.
- Work return probability linked to age at diagnosis, tumor stage, education, and occupation; not tumor site, gender, or marital status.
Conclusions:
- The majority of working-age long-term survivors of breast, colorectal, and prostate cancer can return to work.
- A significant minority (17%) experience cancer-related reduction in working hours, and 6% quit within 5 years post-return.
- Targeted interventions for high-risk groups are recommended to address potential financial challenges.
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