PMID- 30900929
OWN - NLM
STAT- MEDLINE
DCOM- 20200529
LR  - 20200529
IS  - 2156-535X (Electronic)
IS  - 2156-5333 (Linking)
VI  - 8
IP  - 3
DP  - 2019 Jun
TI  - Employment Status and Work Ability in Long-Term Young Adult Cancer Survivors.
PG  - 304-311
LID - 10.1089/jayao.2018.0109 [doi]
AB  - Purpose: In young adult cancer survivors (YACSs) to explore the rate of being 
      nonemployed and having low work ability, and to identify factors associated with 
      these two outcomes. Methods: All Norwegian YACSs (N = 3558) diagnosed at ages 
      19-39 years and treated between 1985 and 2009 for breast or colorectal cancer, 
      leukemia, non-Hodgkin lymphoma, or melanoma, and alive in 2015, were mailed a 
      questionnaire. The response rate was 42%. For treatment, a minimal surgery-only 
      group (N = 198) was defined as reference group, and 1000 YACSs represented the 
      local, systemic, and systemic plus other treatment groups. Work status was 
      compared with normative data. Results: The sample included 63% females. Median 
      age at survey was 49 years (range 27-65), and median time since first cancer 
      diagnosis was 16 years (range 6-31). At survey, 25% (95% confidence interval 
      [CI]: 22-27) of YACSs were nonemployed, and 38% (95% CI: 35-41) reported low work 
      ability. The rate of being nonemployed was similar to normative data. More female 
      YACSs held disability pension compared with normative data. In multivariable 
      analyses, an increasing number of adverse effects (AEs), cardiovascular diseases, 
      lower basic education, reduced level of self-rated health, and increased level of 
      depression were significantly associated with both being nonemployed and having 
      low work ability. Conclusions: In YACSs surveyed at median 49 years of age, 25% 
      were nonemployed and 38% had low current work ability. An increased mean number 
      of long-term AEs and several other health-related factors were significantly 
      associated with both these outcomes. Health care providers responsible for YACSs 
      should be attentive to such factors and work ability.
FAU - Dahl, Alv A
AU  - Dahl AA
AD  - 1 National Advisory Unit on Late Effects After Cancer Treatment, 
      Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
AD  - 2 Faculty of Medicine, University of Oslo, Oslo, Norway.
FAU - Fossa, Sophie D
AU  - Fossa SD
AD  - 1 National Advisory Unit on Late Effects After Cancer Treatment, 
      Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
FAU - Lie, Hanne C
AU  - Lie HC
AD  - 1 National Advisory Unit on Late Effects After Cancer Treatment, 
      Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
AD  - 3 Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, 
      Norway.
AD  - 4 Department of Paediatric Medicine, Rikshospitalet, Oslo University Hospital, 
      Oslo, Norway.
FAU - Loge, Jon Havard
AU  - Loge JH
AD  - 3 Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, 
      Norway.
AD  - 5 Regional Advisory Unit on Palliative Care, Oslo University Hospital, Oslo, 
      Norway.
FAU - Reinertsen, Kristin Valborg
AU  - Reinertsen KV
AD  - 1 National Advisory Unit on Late Effects After Cancer Treatment, 
      Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
AD  - 6 Department of Oncology, Ulleval Hospital, Oslo University Hospital, Oslo, 
      Norway.
FAU - Ruud, Ellen
AU  - Ruud E
AD  - 2 Faculty of Medicine, University of Oslo, Oslo, Norway.
AD  - 4 Department of Paediatric Medicine, Rikshospitalet, Oslo University Hospital, 
      Oslo, Norway.
FAU - Kiserud, Cecilie Essholt
AU  - Kiserud CE
AD  - 1 National Advisory Unit on Late Effects After Cancer Treatment, 
      Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190322
PL  - United States
TA  - J Adolesc Young Adult Oncol
JT  - Journal of adolescent and young adult oncology
JID - 101543508
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cancer Survivors/psychology/*statistics & numerical data
MH  - Employment/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neoplasms/*epidemiology/psychology/*rehabilitation
MH  - Norway/epidemiology
MH  - Pensions/*statistics & numerical data
MH  - Quality of Life
MH  - Stress, Psychological
MH  - Surveys and Questionnaires
MH  - Work Capacity Evaluation
MH  - Young Adult
OTO - NOTNLM
OT  - long-term adverse effects
OT  - treatment intensity
OT  - work ability
OT  - work status
EDAT- 2019/03/23 06:00
MHDA- 2020/05/30 06:00
CRDT- 2019/03/23 06:00
PHST- 2019/03/23 06:00 [pubmed]
PHST- 2020/05/30 06:00 [medline]
PHST- 2019/03/23 06:00 [entrez]
AID - 10.1089/jayao.2018.0109 [doi]
PST - ppublish
SO  - J Adolesc Young Adult Oncol. 2019 Jun;8(3):304-311. doi: 10.1089/jayao.2018.0109. 
      Epub 2019 Mar 22.