Exploring return to work for patients with head and neck cancer

Area of Science:

• Oncology
• Rehabilitation Medicine
• Occupational Health

Background:

• Increasing head and neck cancer (HNC) survivor rates necessitate understanding return to work (RTW) challenges.
• Job loss is a significant issue for HNC survivors, with limited research on patient experiences.
• Few studies integrate patient perspectives on RTW after HNC treatment.

Purpose of the Study:

• To explore the experiences and challenges of head and neck cancer (HNC) patients returning to work (RTW).
• To identify patient concerns and inform improved RTW support strategies.

Main Methods:

• Mixed-methods approach combining structured questionnaires (n=120) and semi-structured interviews (n=12).
• Quantitative data assessed physical status, stress, and social support.
• Qualitative data explored themes related to the meaning of work, RTW challenges, preparation, and social support.

Main Results:

• Physical function and perceived stress significantly differed between patients who returned to work and those who did not.
• Key themes included the personal meaning of work, challenges (physical decline, workload, appearance changes), preparation strategies, and the importance of social support.
• Patients valued work for personal fulfillment, responsibility, and financial necessity, but faced significant obstacles.

Conclusions:

• This study highlights the multifaceted experiences and challenges of HNC survivors returning to work.
• Findings provide insights for healthcare providers to enhance the RTW process for cancer patients.
• Recommendations include developing tailored RTW approaches within healthcare and government policies.