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Work cessation after cancer diagnosis: a population-based study.

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Occupational Medicine (Oxford, England)
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Cancer survivors face a significantly higher risk of work cessation, with elevated risks persisting up to four years post-diagnosis. Tailored interventions are crucial for supporting long-term employment among these individuals.

Keywords:
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Area of Science:

  • Oncology
  • Occupational Health
  • Public Health

Background:

  • Work maintenance is crucial for cancer survivors' well-being and societal contribution.
  • Cancer's impact on long-term employment remains a significant concern for patients and healthcare systems.

Purpose of the Study:

  • To evaluate the risk of work cessation in cancer survivors compared to cancer-free individuals.
  • To assess this risk at two and four years post-cancer diagnosis.

Main Methods:

  • A historical prospective study utilizing Israeli National Census data from 1995 to 2011.
  • Binary logistic regression analysis adjusted for demographic and socioeconomic factors.
  • Exclusion of patients deceased before study end to ensure focus on long-term survivors.

Main Results:

  • Cancer survivors showed a significantly higher likelihood of work cessation at two years (adjusted OR = 1.71) and four years (adjusted OR = 1.57) post-diagnosis.
  • Specific cancer types, including central nervous system, renal, breast, and hematologic malignancies, demonstrated the most substantial impact on work retention at two years.
  • The association between cancer and work cessation persisted, albeit with slight attenuation, four years after diagnosis.

Conclusions:

  • Findings highlight the persistent challenges cancer survivors face in maintaining employment.
  • The study underscores the necessity for developing targeted interventions to support work retention.
  • These interventions should consider survivors working at baseline and those with very long-term survivorship.