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30.04.2018 | Original Article | Ausgabe 5/2018

International Journal of Clinical Oncology 5/2018

Employment status and termination among survivors of pediatric brain tumors: a cross-sectional survey

Zeitschrift:
International Journal of Clinical Oncology > Ausgabe 5/2018
Autoren:
Iori Sato, Akiko Higuchi, Takaaki Yanagisawa, Shiho Murayama, Toshihiro Kumabe, Kazuhiko Sugiyama, Akitake Mukasa, Nobuhito Saito, Yutaka Sawamura, Mizuhiko Terasaki, Soichiro Shibui, Jun Takahashi, Ryo Nishikawa, Yasushi Ishida, Kiyoko Kamibeppu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10147-018-1279-2) contains supplementary material, which is available to authorized users.

Abstract

Background

Some childhood cancer survivors experience employment difficulties. This study aimed to describe pediatric brain-tumor survivors’ employment status.

Methods

A cross-sectional, observational study was conducted, with questionnaires distributed to 101 pediatric brain-tumor survivors (aged 15 years or older) and their attending physicians from nine institutions in Japan. We compared category and time-series histories for participants’ first-time employment using national census information. Factors related to delayed employment or early employment termination were examined using survival-time analyses.

Results

Excluding students and homemakers, 38 brain-tumor survivors (median age 27 years, with 15 years since diagnosis) were of working age. Of these, 12 (32%) were unemployed and 9 (24%) had never been employed. First-time employment occurred later for brain-tumor survivors than the general population, particularly in those with lower educational levels. The number of brain-tumor survivors whose first job was terminated within the first year was higher than that for the general population, particularly in male survivors and germ cell-tumor survivors. Brain-tumor survivors described their working patterns (irregular), job types (specialist or professional), reasons for early termination (unsuitable job), and thoughts about working (they wished to serve their communities but lacked confidence).

Conclusion

Brain-tumor survivors are associated with high unemployment rates and multiple unemployment-related factors. Education and welfare systems should identify individual methods of social participation for this group.

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Zusatzmaterial
Subgroup analysis: Comparison of first-time employment rates by tumor pathology (PDF 44 kb)
10147_2018_1279_MOESM1_ESM.pdf
Subgroup analysis: Comparison of employment termination rates by tumor pathology (PDF 44 kb)
10147_2018_1279_MOESM2_ESM.pdf
Supplementary material 3 (PDF 73 kb)
10147_2018_1279_MOESM3_ESM.pdf
Supplementary material 4 (PDF 72 kb)
10147_2018_1279_MOESM4_ESM.pdf
Literatur
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