Evidence map›Paper›PMID 31654404›Full record

ArticleThe British journal of surgery2020

Predicting return to work among patients with colorectal cancer.

C M den Bakker, J R Anema, J A F Huirne, J Twisk, H J Bonjer, F G Schaafsma

Open access · hybridAbstract read
In one paragraph

Article in The British journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
14.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Social inequalities in return-to-work among colorectal cancer survivors in Germany.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  9. Return to Work in Colorectal Cancer Patients.International journal of hematology-oncology and stem cell research · 2025
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  19. Labor Market Attachment 2 Years After Colorectal Cancer Surgery: A Population-based Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

C M den BakkerDepartment of Occupational and Public Health, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
J R AnemaDepartment of Occupational and Public Health, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
J A F HuirneDepartment of Gynaecology, VU University Amsterdam, Amsterdam, the Netherlands.
J TwiskDepartment of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam University Medical Centres, VU University Amsterdam, Amsterdam, the Netherlands.
H J BonjerDepartment of Surgery, VU University Amsterdam, Amsterdam, the Netherlands.
F G SchaafsmaDepartment of Occupational and Public Health, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Public Health Service of Amsterdam · NLAmsterdam Neuroscience · NLAmsterdam UMC Location VUmc · NLEMGO Institute for Health and Care Research · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe increase in prevalence of colorectal cancer among young patients coupled with an older retirement age in developed countries means that more patients are being diagnosed with colorectal cancer while still at work. The aim of this study was to develop prediction models for return to work by 1 and 2 years after the start of sick leave.

methodsThis was a retrospective registry-based cohort study of data from a nationwide occupational health service in the Netherlands. Only employed patients with colonic or rectal cancer treated with curative intent were included. Two predictor variable models were developed using multivariable logistic regression with backward selection. Calibration, discrimination and explained variance were used to assess model performance, and internal validation by bootstrapping was performed.

resultsMedian time to return to work for 317 included patients was 423 (95 per cent c.i. 379 to 467) days. Two-thirds of patients had returned to work by 2 years after the start of the sick leave. Presence of metastases, adjuvant treatment, stoma, emotional distress and postoperative complications were predictors of not returning to work in the 1-year model. In the 2-year model, presence of metastases, emotional distress, postoperative complications, company size and the trajectory of the return-to-work process were predictors.

conclusionAlmost 70 per cent of patients with colorectal cancer in this population returned to work within 2 years after the start of sick leave. The models can be used to guide patients early in colorectal cancer treatment about the likelihood of returning to work, and to identify and modify barriers that could facilitate this.

Indexed as

Colonic NeoplasmsEnterostomyFemaleHumansMaleMiddle AgedNeoplasm MetastasisNetherlandsPostoperative ComplicationsPsychological DistressRectal NeoplasmsRetrospective StudiesReturn to WorkSick LeaveTime Factors

Identifiers

PMID31654404
PMCPMC6973054
OpenAlexW2982249453

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.