Sickness absence and full return to work after cancer: 2-year follow-up of register data for different cancer sites
Sickness absence and full return to work after cancer: 2-year follow-up of register data for different cancer sites
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DOI：
10.1002/pon.1820
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发表时间：
2011-09-01
期刊：
影响因子：
3.6
通讯作者：
Bultmann, Ute
中科院分区：
文献类型：
--
作者：
Roelen, Corne A.;Koopmans, Petra C.;Bultmann, Ute
目的：近年来癌症生存率有所提高，但癌症后重返工作岗位（RTW）的数据很少发表。因此，本研究分析RTW后cancer.Methods：被诊断为乳腺癌，生殖器癌，胃肠道癌，肺癌，皮肤癌，或血液恶性肿瘤的员工被选中从职业健康登记。疾病的情况下，诊断后2年，并充分RTW在相同的收入之前，疾病的情况下进行了评估，为每个癌症部位使用考克斯比例风险回归分析分层的年龄和gender.Results：3701（73%）的5074名员工患有癌症后，中位持续时间为290天的全部RTW。肺癌患者的病假时间最长，只有45%的人在诊断后2年内有完整的RTW，而生殖器癌患者和皮肤癌患者的比例分别为88%和87%。年龄与生殖器癌患者达到完全RTW的时间相关：年龄≥ 35岁的女性达到完全RTW的时间长于年龄≥ 55岁的女性达到完全RTW的时间长于男性
Objective: Cancer survival has improved in recent years, but data on return to work (RTW) after cancer are sparsely published. Therefore, this study analysed RTW after cancer.Methods: Employees diagnosed with breast cancer, genital cancer, gastro-intestinal cancer, lung cancer, skin cancer, or blood malignancies were selected from an occupational health register. Sickness absence was followed for 2 years after diagnosis and full RTW at equal earnings as before sickness absence was assessed for each cancer site using Cox proportional hazards regression analysis stratifying for age and gender.Results: 3701 (73%) of 5074 employees with cancer had full RTW after a median duration of 290 days. Employees with lung cancer had the longest duration of sickness absence and only 45% of them had full RTW 2 years after diagnosis compared with 88% of employees with genital cancer and 87% of employees with skin cancer. Age was associated with the time to full RTW among employees with genital cancer: women aged >= 35 years had a longer time to full RTW compared with women = 55 years had a longer time to full RTW compared with men