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Geschlechtsspezifische Aspekte der Rückkehr zur Arbeit bei Patientinnen und Patienten mit einer Krebserkrankung

Ein systematisches Review

Gender-related aspects of returning to work in cancer survivors

A systematic review

  • Leitthema
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Aufgrund verbesserter Prognosen können viele Patientinnen und Patienten mit einer Krebsdiagnose heute wieder in das Berufsleben zurückkehren. Das vorliegende systematische Review untersucht geschlechtsspezifische Unterschiede der beruflichen Folgen einer Krebserkrankung. Dafür wurde eine systematische Datenbankrecherche der zwischen 01/2001 und 07/2011 publizierten Literatur zu beruflichen Folgen von Krebs durchgeführt. 44 Originalarbeiten entsprachen den Einschlusskriterien (erwachsene Krebspatienten, Fokus auf arbeitsbezogene Outcomes, geschlechtsbezogen berichtete Ergebnisse). Die Ergebnisse dieser Studien weisen darauf hin, dass Patientinnen im Vergleich zu Patienten eher Leistungseinschränkungen bei der Berufsausübung erleben, ihre Arbeitszeit häufiger verkürzen und tendenziell mehr Einkommenseinbußen verzeichnen. Ein supportives Arbeitsumfeld scheint insbesondere für Patientinnen einen wichtigen Einflussfaktor auf die erfolgreiche und dauerhafte Reintegration ins Arbeitsleben darzustellen. Es bedarf einer systematischeren Erforschung und stringenterer geschlechtsbezogener Analysen, um Gender-Aspekte arbeitsbezogener Outcomes nach einer Krebsdiagnose zu verstehen. Eine umfassendere Wissensbasis kann Hinweise geben, wie die Wiedereingliederung in den Beruf mit Blick auf geschlechtsspezifische Besonderheiten erfolgen kann.

Abstract

Due to improved prognosis most cancer survivors are nowadays able to return to work. This review explored gender-related differences in work-related outcomes after cancer. A systematic search of studies on work-related issues in cancer survivors published between January 2001 and July 2011 was conducted. 44 original publications met the inclusion criteria (adult cancer survivors, focus on work-related outcomes, gender-specific report of results). The results of these studies indicate that impaired work ability is more common among female cancer survivors than among male cancer survivors as well as the reduction of working hours and income losses. Supportive work environments seem to be particularly helpful for the successful and long-lasting re-integration of female survivors. More systematic research and separate analyses for women and men are needed to fully comprehend gender differences in work-related outcomes. Broader knowledge can then be helpful in creating gender-specific return-to-work interventions.

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  1. Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52 – W26, 20246, Hamburg, Deutschland

    A. Ullrich, H. M. Böttcher & C. Bergelt

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  1. A. Ullrich
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  3. C. Bergelt
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Ullrich, A., Böttcher, H. & Bergelt, C. Geschlechtsspezifische Aspekte der Rückkehr zur Arbeit bei Patientinnen und Patienten mit einer Krebserkrankung. Bundesgesundheitsbl. 55, 516–534 (2012). https://doi.org/10.1007/s00103-012-1454-y

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