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Worksite adjustments and work ability among employed cancer survivors

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Abstract

Objectives

This study was conducted to determine how many cancer survivors (CSs) make worksite adjustments and what kinds of adjustments they make. Changes in work ability among employed CSs were explored, and clinical, sociodemographic, and work-related factors associated with the current total work ability were studied.

Methods

CSs of the ten most common invasive types of cancer for men and women in Norway completed a mailed questionnaire 15–39 months after being diagnosed with cancer. Included in the analyses were all participants who worked both at the time of diagnosis and at the time of the survey and who had not changed their labor force status since diagnosis (n = 563). The current total work ability was compared to the lifetime best (0–10 score).

Results

Twenty-six percent of the employed CSs had made adjustments at work, and the most common adjustment was changing the number of work hours per week. Despite the fact that 31% and 23% reported reduced physical and mental work abilities, respectively, more than 90% of the CSs reported that they coped well with their work demands. The mean total work ability score was high (8.6) among both men and women. Being self-employed and working part-time at the time of diagnosis showed significant negative correlations with total work ability, while a favorable psychosocial work environment showed a significant positive correlation. CSs with low work ability were more often in contact with the occupational health service and also made more worksite adjustments than others.

Conclusion

The prospects of future work life seem optimistic for Norwegian employed CSs who return to work relatively soon after primary treatment.

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References

  1. Cancer Registry of Norway (2007) Cancer in Norway 2006. Cancer incidence, mortality, survival and prevalence in Norway. Cancer Registry of Norway, Oslo

  2. Mehnert A (2011) Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol 77:109–130

    Article  PubMed  Google Scholar 

  3. Ilmarinen J (2009) Work ability—a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 35:1–5

    Article  PubMed  Google Scholar 

  4. Ilmarinen J (2007) Work ability index. Occup Med (Lond) 57:160

    Google Scholar 

  5. de Boer AG, Verbeek JH, Spelten ER, Uitterhoeve AL, Ansink AC, de Reijke TM, Kammeijer M, Sprangers MA, van Dijk FJ (2008) Work ability and return-to-work in cancer patients. Br J Cancer 98:1342–1347

    Article  PubMed  Google Scholar 

  6. Munir F, Yarker J, McDermott H (2009) Employment and the common cancers: correlates of work ability during or following cancer treatment. Occup Med (Lond) 59:381–389

    Article  CAS  Google Scholar 

  7. Gudbergsson SB, Fossa SD, Dahl AA (2008) A study of work changes due to cancer in tumor-free primary-treated cancer patients. A NOCWO study. Support Care Cancer 16:1163–1171

    Article  PubMed  Google Scholar 

  8. Fløtten T, Torp S, Kavli H, Nielsen R, Syse J, Grønningsæter A, Gustavsen K (2008) Kreftrammedes levekår. Om arbeid, økonomi, rehabilitering og sosial støtte [Living conditions of cancer survivors: work, finances, rehabilitation and social support]. Fafo, Oslo

  9. Torp S, Gudbergsson SB, Dahl AA, Fosså SD, Fløtten T (2011) Social support at work and work changes among cancer survivors in Norway. Scand J Public Health 39(Suppl 6):33–42

    Article  PubMed  Google Scholar 

  10. Statistics Norway 2011. Available at http://www.ssb.no/en/. Accessed 1 June 2011

  11. Grønningsæter A (ed) (2004) Living conditions and quality of life among people living with HIV in Norway. Fafo, Oslo

  12. Landsbergis P, Theorell T, Schwartz J, Greiner BA, Krause N (2000) Measurement of psychosocial workplace exposure variables. Occup Med 15:163–188

    PubMed  CAS  Google Scholar 

  13. Sanne B, Torp S, Mykletun A, Dahl AA (2005) The Swedish Demand–Control–Support Questionnaire (DCSQ): factor structure, item analyses, and internal consistency in a large population. Scand J Public Health 33:166–174

    Article  PubMed  Google Scholar 

  14. Gudbergsson SB, Fossa SD, Lindbohm ML, Dahl AA (2009) Received and needed social support at the workplace in Norwegian and Finnish stage 1 breast cancer survivors: a study from the Nordic Study Group of Cancer and Work (NOCWO). Acta Oncol 48:67–75

    Article  PubMed  Google Scholar 

  15. Lehto-Jarnstedt US, Ojanen M, Kellokumpu-Lehtinen P (2004) Cancer-specific social support received by newly diagnosed cancer patients: validating the new Structural–Functional Social Support Scale (SFSS) measurement tool. Support Care Cancer 12:326–337

    Article  PubMed  Google Scholar 

  16. Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A (1998) Work ability index. Finnish Institute of Occupational Health, Helsinki

    Google Scholar 

  17. SPSS Inc. (2009) PASW Statistics 18. SPSS Inc., Chicago

  18. Ahlstrom L, Grimby-Ekman A, Hagberg M, Dellve L (2010) The work ability index and single-item question: associations with sick leave, symptoms, and health—a prospective study of women on long-term sick leave. Scand J Work Environ Health 36:404–412

    Article  PubMed  Google Scholar 

  19. Ilmarinen J, Tuomi K (2004) Past, present and future of work ability. People and Work Research Reports 65:1–25

    Google Scholar 

  20. Pryce J, Munir F, Haslam C (2007) Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work adjustment. J Occup Rehabil 17:83–92

    Article  PubMed  Google Scholar 

  21. Baanders AN, Andries F, Rijken PM, Dekker J (2001) Wok adjustments among chronically ill. J Rehab Res 24:7–14

    Article  CAS  Google Scholar 

  22. Tamminga SJ, de Boer AGEM, Verbeek JHAM, Frings-Dresen MHV (2010) Return-to-work interventions integrated into cancer care: a systematic review. Occup Environ Med 67:639–648

    Article  PubMed  CAS  Google Scholar 

  23. Tiedtke C, de Rijk A, de Casterle BD, Christiaens MR, Donceel P (2010) Experiences and concerns about ‘returning to work’ for women breast cancer survivors: a literature review. Psychooncology 19:677–683

    PubMed  Google Scholar 

  24. Franche R-L, Cullen K, Clarke J, Irvin E, Sincalir S, Frank J (2005) Workplace-based return-to-work interventions: a systematic review of quantitaive literature. J Occup Rehabil 15:607–631

    Article  PubMed  Google Scholar 

  25. Lindbohm M-L, Viikari-Juntura E (2010) Cancer survivors’ return to work: importance of work accomodations and collaboration between stakeholders. Occup Environ Med 67:9–10

    Article  Google Scholar 

  26. Gudbergsson SB, Fossa SD, Dahl AA (2008) Is cancer survivorship associated with reduced work engagement? A NOCWO Study. J Cancer Surviv 2:159–168

    Article  Google Scholar 

  27. Taskila T, Martikainen R, Hietanen P, Lindbohm M-L (2007) Comparative study of work ability between cancer surviors and their referents. Eur J Cancer 43:914–920

    Article  PubMed  Google Scholar 

  28. Carlsen K, Dalton SO, Diderichsen F, Johansen C (2008) Risk for unemployment of cancer survivors: a Danish cohort study. Eur J Cancer 44:1866–1874

    Article  PubMed  Google Scholar 

  29. Maunsell E, Drolet M, Brisson J, Brisson C, Masse B, Deschenes L (2004) Work situation after breast cancer: results from a population-based study. J Natl Cancer Inst 96:1813–1822

    Article  PubMed  Google Scholar 

  30. Gjesdal S, Bratberg E, Maeland JG (2011) Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men. BMC Musculoskelet Disord 12:37

    Article  PubMed  Google Scholar 

  31. Gjesdal S, Bratberg E (2002) The role of gender in long-term sickness absence and transition to permanent disability benefits. Results from a multiregister based, prospective study in Norway 1990–1995. Eur J Public Health 12:180–186

    Article  PubMed  Google Scholar 

  32. Spelten ER, Sprangers MA, Verbeek JH (2002) Factors reported to influence the return to work of cancer survivors: a literature review. Psychooncology 11:124–131

    Article  PubMed  Google Scholar 

  33. Lindbohm ML, Kuosma E, Taskila T, Hietanen P, Carlsen K, Gudbergsson S, Gunnarsdottir H (2010) Cancer as the cause of changes in work situation (a NOCWO study). Psychooncology. doi:10.1002/pon.1797

  34. Taskila T, Lindbohm ML (2007) Factors affecting cancer survivors’ employment and work ability. Acta Oncol 46:446–451

    Article  PubMed  CAS  Google Scholar 

  35. Ministry of Labour (2006) Letter of intent regarding a more inclusive working life 2006–2009. Ministry of Labour. Available at http://www.regjeringen.no/upload/AID/temadokumenter/velferd/ia/A_more_inclusive_working_life_2006-2009.pdf. Accessed 1 June 2011

  36. van den Berg TIJ, Elders LAM, de Zwart BCH, Burdorf A (2009) The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 66:211–220

    Article  PubMed  Google Scholar 

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Acknowledgements

This project was commissioned and financed by the Norwegian Cancer Society; however, this had no influence over the data collection or the statistical analyses presented in this study.

Competing interests

The authors declare that they have no competing interests.

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Correspondence to Steffen Torp.

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Torp, S., Nielsen, R.A., Gudbergsson, S.B. et al. Worksite adjustments and work ability among employed cancer survivors. Support Care Cancer 20, 2149–2156 (2012). https://doi.org/10.1007/s00520-011-1325-3

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  • DOI: https://doi.org/10.1007/s00520-011-1325-3

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