ArticleOccupational and environmental medicine2003
Return to work of cancer survivors: a prospective cohort study into the quality of rehabilitation by occupational physicians.
Article in Occupational and environmental medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prognostic factors of long term disability due to mental disorders: a systematic review.Journal of occupational rehabilitation · 2011Pooled it
- A hospital-based work support intervention to enhance the return to work of cancer patients: a process evaluation.Journal of occupational rehabilitation · 2012Trial
- Enhancing return-to-work in cancer patients, development of an intervention and design of a randomised controlled trial.BMC cancer · 2010Trial
- Becoming unemployed after a cancer diagnosis: associated characteristics and its impact on daily life.Journal of cancer survivorship : research and practice · 2026Article
- Value-based healthcare for social insurance medicine: key enablers for adoption in practice.BMJ open quality · 2024Article
- Benefits of Early Integrated and Vocational Rehabilitation in Breast Cancer on Work Ability, Sick Leave Duration, and Disability Rates.Healthcare (Basel, Switzerland) · 2024Article
- Predictors of Psychiatric Complications in Patients with Pancreatic Cancer: A Retrospective Cohort Study.Actas espanolas de psiquiatria · 2024Article
- Postoperative distress and influencing factors in patients with pancreatobiliary cancer.Scientific reports · 2024Article
- Let's talk about work: pilot study of an education program on discussing work participation with cancer patients for general practitioners in training.BMC medical education · 2024Article
- Work-focused healthcare from the perspective of employees living with cardiovascular disease: a patient experience journey mapping study.BMC public health · 2023Article
- Facilitating Factors and Barriers in the Return to Work of Working Women Survivors of Breast Cancer: A Qualitative Study.Cancers · 2023Article
- The challenges of managing patients with cancer in the workplace: Needs, opportunities and perspectives of occupational physicians.PloS one · 2023Article
- [Returning to work after diagnosis and treatment of breast cancer].Revista medica del Instituto Mexicano del Seguro Social · 2022Article
- Predictors of psychiatric comorbidity in cancer patients at the time of their discharge from the hospital.Social psychiatry and psychiatric epidemiology · 2022Article
- A New Model for Brain Tumor Detection Using Ensemble Transfer Learning and Quantum Variational Classifier.Computational intelligence and neuroscience · 2022Article
- Identifying Expectations of Delayed Return to Work in Patients with Prostate Cancer at the Beginning of a Cancer Rehabilitation Program.Journal of occupational rehabilitation · 2020Article
- Socio-economic impact on women diagnosed and treated for breast cancer: a cross-sectional study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019Article
- Recurrent sick leave and resignation rates among female cancer survivors after return to work: the Japan sickness absence and return to work (J-SAR) study.BMC public health · 2019Article
- Return to Work of Cancer Survivors: Predicting Healthcare Professionals' Assumed Role Responsibility.Journal of occupational rehabilitation · 2019Article
- Cancer Survivors and Returning to Work Perspectives from Occupational Health Physicians in Korea.Journal of Korean medical science · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo describe and assess the quality of rehabilitation of cancer survivors by occupational physicians and to relate the quality of the process of occupational rehabilitation to the outcome of return to work.
methodsOne hundred occupational physicians of a cohort of cancer survivors were interviewed about return to work management. Quality of rehabilitation was assessed by means of four indicators that related to performance in knowledge of cancer and treatment, continuity of care, patients complaints, and relations at work. The cohort of patients was prospectively followed for 12 months to assess time to return to work and rate of return to work. Patients' and physicians' satisfaction with care was also assessed. The relation between performance and these outcome measures was studied in a multivariate analysis, taking into account the influence of other work and disease related factors that could potentially predict return to work.
resultsFor knowledge of cancer and treatment, only 3% had optimal performance because occupational physicians did not communicate with treating physicians. For continuity of care, patient complaints, and relations at work, performance was optimal for 55%, 78%, and 60% of the physicians respectively. After adjustment for other prognostic factors, overall physician's performance (hazard ratio (HR) 0.5, 95% CI 0.3 to 0.8) and continuity of care (HR 0.5, 95% CI 0.3 to 0.9) were related to the return to work of patients. Overall optimal performance was also related to a small but significant higher level of satisfaction with care, both for patients and physicians.
conclusionQuality of occupational rehabilitation of cancer survivors can be improved substantially, especially with regard to communication between physicians and continuity of care. There is a need for the development of more effective rehabilitation procedures which should be evaluated in a randomised controlled trial.
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