Skip to main content
Erschienen in: Supportive Care in Cancer 9/2012

01.09.2012 | Original Article

Worksite adjustments and work ability among employed cancer survivors

verfasst von: Steffen Torp, Roy A. Nielsen, Sævar B. Gudbergsson, Alv A. Dahl

Erschienen in: Supportive Care in Cancer | Ausgabe 9/2012

Einloggen, um Zugang zu erhalten

Abstract

Objectives

This study was conducted to determine how many cancer survivors (CSs) make worksite adjustments and what kinds of adjustments they make. Changes in work ability among employed CSs were explored, and clinical, sociodemographic, and work-related factors associated with the current total work ability were studied.

Methods

CSs of the ten most common invasive types of cancer for men and women in Norway completed a mailed questionnaire 15–39 months after being diagnosed with cancer. Included in the analyses were all participants who worked both at the time of diagnosis and at the time of the survey and who had not changed their labor force status since diagnosis (n = 563). The current total work ability was compared to the lifetime best (0–10 score).

Results

Twenty-six percent of the employed CSs had made adjustments at work, and the most common adjustment was changing the number of work hours per week. Despite the fact that 31% and 23% reported reduced physical and mental work abilities, respectively, more than 90% of the CSs reported that they coped well with their work demands. The mean total work ability score was high (8.6) among both men and women. Being self-employed and working part-time at the time of diagnosis showed significant negative correlations with total work ability, while a favorable psychosocial work environment showed a significant positive correlation. CSs with low work ability were more often in contact with the occupational health service and also made more worksite adjustments than others.

Conclusion

The prospects of future work life seem optimistic for Norwegian employed CSs who return to work relatively soon after primary treatment.
Literatur
1.
Zurück zum Zitat Cancer Registry of Norway (2007) Cancer in Norway 2006. Cancer incidence, mortality, survival and prevalence in Norway. Cancer Registry of Norway, Oslo Cancer Registry of Norway (2007) Cancer in Norway 2006. Cancer incidence, mortality, survival and prevalence in Norway. Cancer Registry of Norway, Oslo
2.
Zurück zum Zitat Mehnert A (2011) Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol 77:109–130PubMedCrossRef Mehnert A (2011) Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol 77:109–130PubMedCrossRef
3.
Zurück zum Zitat Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5PubMedCrossRef Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5PubMedCrossRef
4.
Zurück zum Zitat Ilmarinen J (2007) Work ability index. Occup Med (Lond) 57:160 Ilmarinen J (2007) Work ability index. Occup Med (Lond) 57:160
5.
Zurück zum Zitat de Boer AG, Verbeek JH, Spelten ER, Uitterhoeve AL, Ansink AC, de Reijke TM, Kammeijer M, Sprangers MA, van Dijk FJ (2008) Work ability and return-to-work in cancer patients. Br J Cancer 98:1342–1347PubMedCrossRef de Boer AG, Verbeek JH, Spelten ER, Uitterhoeve AL, Ansink AC, de Reijke TM, Kammeijer M, Sprangers MA, van Dijk FJ (2008) Work ability and return-to-work in cancer patients. Br J Cancer 98:1342–1347PubMedCrossRef
6.
Zurück zum Zitat Munir F, Yarker J, McDermott H (2009) Employment and the common cancers: correlates of work ability during or following cancer treatment. Occup Med (Lond) 59:381–389CrossRef Munir F, Yarker J, McDermott H (2009) Employment and the common cancers: correlates of work ability during or following cancer treatment. Occup Med (Lond) 59:381–389CrossRef
7.
Zurück zum Zitat Gudbergsson SB, Fossa SD, Dahl AA (2008) A study of work changes due to cancer in tumor-free primary-treated cancer patients. A NOCWO study. Support Care Cancer 16:1163–1171PubMedCrossRef Gudbergsson SB, Fossa SD, Dahl AA (2008) A study of work changes due to cancer in tumor-free primary-treated cancer patients. A NOCWO study. Support Care Cancer 16:1163–1171PubMedCrossRef
8.
Zurück zum Zitat Fløtten T, Torp S, Kavli H, Nielsen R, Syse J, Grønningsæter A, Gustavsen K (2008) Kreftrammedes levekår. Om arbeid, økonomi, rehabilitering og sosial støtte [Living conditions of cancer survivors: work, finances, rehabilitation and social support]. Fafo, Oslo Fløtten T, Torp S, Kavli H, Nielsen R, Syse J, Grønningsæter A, Gustavsen K (2008) Kreftrammedes levekår. Om arbeid, økonomi, rehabilitering og sosial støtte [Living conditions of cancer survivors: work, finances, rehabilitation and social support]. Fafo, Oslo
9.
Zurück zum Zitat Torp S, Gudbergsson SB, Dahl AA, Fosså SD, Fløtten T (2011) Social support at work and work changes among cancer survivors in Norway. Scand J Public Health 39(Suppl 6):33–42PubMedCrossRef Torp S, Gudbergsson SB, Dahl AA, Fosså SD, Fløtten T (2011) Social support at work and work changes among cancer survivors in Norway. Scand J Public Health 39(Suppl 6):33–42PubMedCrossRef
11.
Zurück zum Zitat Grønningsæter A (ed) (2004) Living conditions and quality of life among people living with HIV in Norway. Fafo, Oslo Grønningsæter A (ed) (2004) Living conditions and quality of life among people living with HIV in Norway. Fafo, Oslo
12.
Zurück zum Zitat Landsbergis P, Theorell T, Schwartz J, Greiner BA, Krause N (2000) Measurement of psychosocial workplace exposure variables. Occup Med 15:163–188PubMed Landsbergis P, Theorell T, Schwartz J, Greiner BA, Krause N (2000) Measurement of psychosocial workplace exposure variables. Occup Med 15:163–188PubMed
13.
Zurück zum Zitat Sanne B, Torp S, Mykletun A, Dahl AA (2005) The Swedish Demand–Control–Support Questionnaire (DCSQ): factor structure, item analyses, and internal consistency in a large population. Scand J Public Health 33:166–174PubMedCrossRef Sanne B, Torp S, Mykletun A, Dahl AA (2005) The Swedish Demand–Control–Support Questionnaire (DCSQ): factor structure, item analyses, and internal consistency in a large population. Scand J Public Health 33:166–174PubMedCrossRef
14.
Zurück zum Zitat Gudbergsson SB, Fossa SD, Lindbohm ML, Dahl AA (2009) Received and needed social support at the workplace in Norwegian and Finnish stage 1 breast cancer survivors: a study from the Nordic Study Group of Cancer and Work (NOCWO). Acta Oncol 48:67–75PubMedCrossRef Gudbergsson SB, Fossa SD, Lindbohm ML, Dahl AA (2009) Received and needed social support at the workplace in Norwegian and Finnish stage 1 breast cancer survivors: a study from the Nordic Study Group of Cancer and Work (NOCWO). Acta Oncol 48:67–75PubMedCrossRef
15.
Zurück zum Zitat Lehto-Jarnstedt US, Ojanen M, Kellokumpu-Lehtinen P (2004) Cancer-specific social support received by newly diagnosed cancer patients: validating the new Structural–Functional Social Support Scale (SFSS) measurement tool. Support Care Cancer 12:326–337PubMedCrossRef Lehto-Jarnstedt US, Ojanen M, Kellokumpu-Lehtinen P (2004) Cancer-specific social support received by newly diagnosed cancer patients: validating the new Structural–Functional Social Support Scale (SFSS) measurement tool. Support Care Cancer 12:326–337PubMedCrossRef
16.
Zurück zum Zitat Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A (1998) Work ability index. Finnish Institute of Occupational Health, Helsinki Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A (1998) Work ability index. Finnish Institute of Occupational Health, Helsinki
17.
Zurück zum Zitat SPSS Inc. (2009) PASW Statistics 18. SPSS Inc., Chicago SPSS Inc. (2009) PASW Statistics 18. SPSS Inc., Chicago
18.
Zurück zum Zitat Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health 36:404–412PubMedCrossRef Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health 36:404–412PubMedCrossRef
19.
Zurück zum Zitat Ilmarinen J, Tuomi K (2004) Past, present and future of work ability. People and Work Research Reports 65:1–25 Ilmarinen J, Tuomi K (2004) Past, present and future of work ability. People and Work Research Reports 65:1–25
20.
Zurück zum Zitat Pryce J, Munir F, Haslam C (2007) Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work adjustment. J Occup Rehabil 17:83–92PubMedCrossRef Pryce J, Munir F, Haslam C (2007) Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work adjustment. J Occup Rehabil 17:83–92PubMedCrossRef
21.
Zurück zum Zitat Baanders AN, Andries F, Rijken PM, Dekker J (2001) Wok adjustments among chronically ill. J Rehab Res 24:7–14CrossRef Baanders AN, Andries F, Rijken PM, Dekker J (2001) Wok adjustments among chronically ill. J Rehab Res 24:7–14CrossRef
22.
Zurück zum Zitat Tamminga SJ, de Boer AGEM, Verbeek JHAM, Frings-Dresen MHV (2010) Return-to-work interventions integrated into cancer care: a systematic review. Occup Environ Med 67:639–648PubMedCrossRef Tamminga SJ, de Boer AGEM, Verbeek JHAM, Frings-Dresen MHV (2010) Return-to-work interventions integrated into cancer care: a systematic review. Occup Environ Med 67:639–648PubMedCrossRef
23.
Zurück zum Zitat Tiedtke C, de Rijk A, de Casterle BD, Christiaens MR, Donceel P (2010) Experiences and concerns about ‘returning to work’ for women breast cancer survivors: a literature review. Psychooncology 19:677–683PubMed Tiedtke C, de Rijk A, de Casterle BD, Christiaens MR, Donceel P (2010) Experiences and concerns about ‘returning to work’ for women breast cancer survivors: a literature review. Psychooncology 19:677–683PubMed
24.
Zurück zum Zitat Franche R-L, Cullen K, Clarke J, Irvin E, Sincalir S, Frank J (2005) Workplace-based return-to-work interventions: a systematic review of quantitaive literature. J Occup Rehabil 15:607–631PubMedCrossRef Franche R-L, Cullen K, Clarke J, Irvin E, Sincalir S, Frank J (2005) Workplace-based return-to-work interventions: a systematic review of quantitaive literature. J Occup Rehabil 15:607–631PubMedCrossRef
25.
Zurück zum Zitat Lindbohm M-L, Viikari-Juntura E (2010) Cancer survivors’ return to work: importance of work accomodations and collaboration between stakeholders. Occup Environ Med 67:9–10CrossRef Lindbohm M-L, Viikari-Juntura E (2010) Cancer survivors’ return to work: importance of work accomodations and collaboration between stakeholders. Occup Environ Med 67:9–10CrossRef
26.
Zurück zum Zitat Gudbergsson SB, Fossa SD, Dahl AA (2008) Is cancer survivorship associated with reduced work engagement? A NOCWO Study. J Cancer Surviv 2:159–168CrossRef Gudbergsson SB, Fossa SD, Dahl AA (2008) Is cancer survivorship associated with reduced work engagement? A NOCWO Study. J Cancer Surviv 2:159–168CrossRef
27.
Zurück zum Zitat Taskila T, Martikainen R, Hietanen P, Lindbohm M-L (2007) Comparative study of work ability between cancer surviors and their referents. Eur J Cancer 43:914–920PubMedCrossRef Taskila T, Martikainen R, Hietanen P, Lindbohm M-L (2007) Comparative study of work ability between cancer surviors and their referents. Eur J Cancer 43:914–920PubMedCrossRef
28.
Zurück zum Zitat Carlsen K, Dalton SO, Diderichsen F, Johansen C (2008) Risk for unemployment of cancer survivors: a Danish cohort study. Eur J Cancer 44:1866–1874PubMedCrossRef Carlsen K, Dalton SO, Diderichsen F, Johansen C (2008) Risk for unemployment of cancer survivors: a Danish cohort study. Eur J Cancer 44:1866–1874PubMedCrossRef
29.
Zurück zum Zitat Maunsell E, Drolet M, Brisson J, Brisson C, Masse B, Deschenes L (2004) Work situation after breast cancer: results from a population-based study. J Natl Cancer Inst 96:1813–1822PubMedCrossRef Maunsell E, Drolet M, Brisson J, Brisson C, Masse B, Deschenes L (2004) Work situation after breast cancer: results from a population-based study. J Natl Cancer Inst 96:1813–1822PubMedCrossRef
30.
Zurück zum Zitat Gjesdal S, Bratberg E, Maeland JG (2011) Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men. BMC Musculoskelet Disord 12:37PubMedCrossRef Gjesdal S, Bratberg E, Maeland JG (2011) Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men. BMC Musculoskelet Disord 12:37PubMedCrossRef
31.
Zurück zum Zitat Gjesdal S, Bratberg E (2002) The role of gender in long-term sickness absence and transition to permanent disability benefits. Results from a multiregister based, prospective study in Norway 1990–1995. Eur J Public Health 12:180–186PubMedCrossRef Gjesdal S, Bratberg E (2002) The role of gender in long-term sickness absence and transition to permanent disability benefits. Results from a multiregister based, prospective study in Norway 1990–1995. Eur J Public Health 12:180–186PubMedCrossRef
32.
Zurück zum Zitat Spelten ER, Sprangers MA, Verbeek JH (2002) Factors reported to influence the return to work of cancer survivors: a literature review. Psychooncology 11:124–131PubMedCrossRef Spelten ER, Sprangers MA, Verbeek JH (2002) Factors reported to influence the return to work of cancer survivors: a literature review. Psychooncology 11:124–131PubMedCrossRef
33.
Zurück zum Zitat Lindbohm ML, Kuosma E, Taskila T, Hietanen P, Carlsen K, Gudbergsson S, Gunnarsdottir H (2010) Cancer as the cause of changes in work situation (a NOCWO study). Psychooncology. doi:10.1002/pon.1797 Lindbohm ML, Kuosma E, Taskila T, Hietanen P, Carlsen K, Gudbergsson S, Gunnarsdottir H (2010) Cancer as the cause of changes in work situation (a NOCWO study). Psychooncology. doi:10.​1002/​pon.​1797
34.
Zurück zum Zitat Taskila T, Lindbohm ML (2007) Factors affecting cancer survivors’ employment and work ability. Acta Oncol 46:446–451PubMedCrossRef Taskila T, Lindbohm ML (2007) Factors affecting cancer survivors’ employment and work ability. Acta Oncol 46:446–451PubMedCrossRef
36.
Zurück zum Zitat van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220PubMedCrossRef van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220PubMedCrossRef
Metadaten
Titel
Worksite adjustments and work ability among employed cancer survivors
verfasst von
Steffen Torp
Roy A. Nielsen
Sævar B. Gudbergsson
Alv A. Dahl
Publikationsdatum
01.09.2012
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 9/2012
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1325-3

Weitere Artikel der Ausgabe 9/2012

Supportive Care in Cancer 9/2012 Zur Ausgabe

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

So sicher sind Tattoos: Neue Daten zur Risikobewertung

22.05.2024 Melanom Nachrichten

Das größte medizinische Problem bei Tattoos bleiben allergische Reaktionen. Melanome werden dadurch offensichtlich nicht gefördert, die Farbpigmente könnten aber andere Tumoren begünstigen.

CAR-M-Zellen: Warten auf das große Fressen

22.05.2024 Onkologische Immuntherapie Nachrichten

Auch myeloide Immunzellen lassen sich mit chimären Antigenrezeptoren gegen Tumoren ausstatten. Solche CAR-Fresszell-Therapien werden jetzt für solide Tumoren entwickelt. Künftig soll dieser Prozess nicht mehr ex vivo, sondern per mRNA im Körper der Betroffenen erfolgen.

Blutdrucksenkung könnte Uterusmyome verhindern

Frauen mit unbehandelter oder neu auftretender Hypertonie haben ein deutlich erhöhtes Risiko für Uterusmyome. Eine Therapie mit Antihypertensiva geht hingegen mit einer verringerten Inzidenz der gutartigen Tumoren einher.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.