Regarding: Humayra Rashid et al. (2020) Returning to work in lung cancer survivors?a multi-center cross-sectional study in Germany. Supp Care Cancer; Published 19 November 2020
Regarding: Humayra Rashid et al. (2020) Returning to work in lung cancer survivors?a multi-center cross-sectional study in Germany. Supp Care Cancer; Published 19 November 2020
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关于：Humayra Rashid 等人。
DOI：
10.1007/s00520-021-06007-0
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发表时间：
2021
影响因子：
3.1
通讯作者：
Ogata Ayako
中科院分区：
文献类型：
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作者：
Kobayashi Masamitsu;Kako Jun;Kajiwara Kohei;Ogata Ayako
作者利用 LARIS（肺癌幸存者的生活质量和心理社会康复）研究的数据进行了这项研究 [2]。 LARIS 研究共有 717 名肺癌患者入组。拉希德等人。根据既定的资格标准（诊断时年龄 < 65 岁；诊断前就业；有关其 RTW 的信息的可用性）从这 717 名患者中选择研究对象，最终组由 232 名（32.6%）肺癌患者组成。我们认为，作者不仅应表明数据是根据资格标准收集的，而且还应阐明因每种原因而被排除的人数。在 LARIS 研究中，平均年龄为 68.0 岁（范围：34.4-95.0 岁）。因此，较大比例的老年肺癌患者可能参与其中。或者，可能有很大比例的肺癌患者在诊断前没有工作，或者可能存在大量缺失的数据。我们相信，澄清因不符合每个纳入标准而被排除的人数（或百分比）将有助于我们更好地理解数据的性质。作者发现，与未接受社会服务咨询（SSC）的患者相比，接受社会服务咨询（SSC）的患者更有可能接受 RTW（HR= 1.6，95% CI 1.002–2.546，p= 0.048）。 SSC 是由社会工作者提供的系统性社会心理支持，旨在满足癌症患者的社会、经济和精神需求[3]。先前的研究表明心理社会支持对癌症患者 RTW 的重要性 [4, 5]。因此，我们认为设计未来的干预研究是可取的，重点关注癌症患者 RTW 的心理社会方面。此外，最近的研究[6]制定了患者生活质量和 RTW 满意度的衡量标准，以及癌症患者 RTW 干预结果的“就业状况”衡量标准。我们相信这些信息可能对规划未来的研究有用。
The authors conducted the study utilizing data from the LARIS (Quality of Life and Psychosocial Rehabilitation in Lung Cancer Survivors) study [2]. There were 717 lung cancer patients enrolled in the LARIS Study. Rashid et al. selected study subjects from these 717 patients according to established eligibility criteria (age at diagnosis< 65 years; employed before diagnosis; availability of information about their RTW), and the final group consisted of 232 (32.6%) lung cancer patients. We believe that the authors should not only show that the data were collected according to the eligibility criteria but also clarify the number of people excluded for each reason. In the LARIS Study, the mean age was 68.0 years (range, 34.4–95.0 years). Therefore, a larger proportion of older lung cancer patients may have been involved. Alternatively, it may have been a large percentage of lung cancer patients who were not employed before their diagnosis, or perhaps, there may have been a significant amount of missing data. We believe that clarifying the number (or percentage) of people excluded for not meeting each inclusion criterion will help us better understand the nature of the data.The authors found that patients who received social service counseling (SSC) were more likely to RTW compared to those who did not (HR= 1.6, 95% CI 1.002–2.546, p= 0.048). SSC is a systematic psychosocial support provided by social workers to address social, financial, and mental needs [3] of cancer patients. Previous studies have suggested the importance of psychosocial support for RTW in cancer patients [4, 5]. Therefore, we believe it is desirable to design future intervention studies focusing on psychosocial aspects of RTW in patients with cancer. In addition, recent studies [6] have developed measures of patient quality of life and satisfaction with RTW as well as measures of “employment status” for outcomes of RTW interventions for cancer patients. We believe that this information may be useful in planning future research.