Evidence map›Paper›PMID 41673337›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Work challenges and cancer-related cognitive impairment: level of education accounts for unmet needs beyond cognitive impairment severity.

Darren Haywood, Susan L Rossell, Ashley Henneghan, Frank D Baughman, Jennifer Haywood, Evan Dauer, Annika Hegde, Ahmed A Moustafa, Nicolas H Hart

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Darren HaywoodHuman Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia. darren.haywood@uts.edu.au.ORCID http://orcid.org/0000-0002-9317-4135
Susan L RossellDepartment of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
Ashley HenneghanSchool of Nursing, University of Texas at Austin, Austin, TX, USA.
Frank D BaughmanSchool of Population Health, Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.
Jennifer HaywoodHuman Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.
Evan DauerHuman Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.
Annika HegdeHuman Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.
Ahmed A MoustafaCentre for Data Analytics & School of Psychology, Bond University, Gold Coast, QLD, Australia.
Nicolas H HartHuman Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.

Funding

National Health and Medical Research Council APP2017080
6 · The paper itself

Abstract

purposeCancer-related cognitive impairment (CRCI) can impact cancer survivors' return to work and occupational functioning for many years following the completion of cancer treatment. Understanding the characteristics of CRCI-related occupational difficulties and unmet supportive care needs is critical for the development of effective interventions. Within occupational roles, a higher level of education is typically associated with greater cognitive load and different demands. The objective of this study was to examine whether the level of education accounted for CRCI-related (a) occupational difficulties and (b) occupational unmet supportive care needs, beyond the contributions of perceived cognitive functioning and employment level.

methodsA cross-sectional design was utilised using a sub-section of an existing self-reported dataset involving 358 employed cancer survivors, comprising demographic and clinical data, as well as data from MASCC COG-IMPACT and PROMIS Cog tools. Hierarchical multiple linear regression models were used for hypothesis testing.

resultsAfter accounting for perceived cognitive functioning and employment level, highest level of education did not account for a significant amount of unique variance in CRCI-related occupational difficulties (R

conclusionTheoretical explanations of findings, including compensatory accommodations such as role adjustment and differences in the availability of occupational support, are provided. It is proposed that those with higher levels of education may not have access to appropriate levels of supportive care as it relates to CRCI in occupational settings, thus potentially informing future interventions. It is proposed that individuals with higher levels of education may experience gaps in supportive care for CRCI, particularly in relation to maintaining work performance and meeting occupational expectations. This suggests that future interventions should consider strategies to better support cognitive functioning in workplace contexts for cancer survivors.

Indexed as

Cancer SurvivorsCognitive DysfunctionEmploymentNeoplasmsAdultAgedCross-Sectional StudiesEducational StatusFemaleHealth Services Needs and DemandHumansMaleMiddle AgedReturn to WorkSeverity of Illness IndexCancerCancer-related cognitive impairmentCRCIOccupational functioningReturn to workWork

Identifiers

PMID41673337
PMCPMC12894158

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