Accommodating employees with breast cancer

Posted by / 04-Feb-2021 04:00

Each had relatively small sample sizes ranging from 235 to 296 survivors.Findings from these studies are difficult to summarize as different sets of measures were used.Even though the evidence is that most cancer survivors are eventually able to return to work, it should be noted that a significant minority do not.Spelten [12] systematically reviewed 14 studies conducted between 19 using a work, disease/treatment and person-related framework.Another review [13] examined a total of 18 studies published between 19 using six methodological criteria: (i) use of population-based samples from cancer registries to avoid selection bias; (ii) prospective and longitudinal assessment commencing as near to diagnosis and initial treatment as possible to gauge short- and long-term impact; (iii) detailed assessment of work intensity, role and content at multiple time points; (iv) assessment of impact of cancer on individual and family's economic status; (v) identification of multi-dimensional moderators of return to work and function (e.g.cancer site/stage, treatment modality, co-morbidities, age, family structure, health insurance status) with a particular focus on those amenable to intervention and (vi) sample sizes of sufficient number to allow multivariate analysis, with sufficient numbers in subgroups for provision of prognostic information.Again, the review authors were similarly critical of the methodological quality of the research and suggested a conceptual model to guide future research providing a comprehensive assessment of the influences on work after cancer. The authors [13] also called for the development and evaluation of practical work-related interventions to achieve optimal work outcomes for survivors.However, it was acknowledged that while return to work may be the most desirable outcome from a wider social and economic perspective, this will not necessarily be the optimal outcome for individuals.

‘Cancer’ refers to a heterogeneous group of diagnoses with a range of prognoses.In addition, gaps in the existing literature are identified and future research possibilities are considered.Literature relating to the extent of work limitations experienced by cancer survivors is addressed in the accompanying article by Munir A number of studies conducted in North America suggest that the impact of cancer on work status may be generally transient rather than permanent.Return to work following cancer has been of research interest since at least 1973 when the President of the American Cancer Society described it as ‘a joint responsibility of all society’ [1].A series of American studies published between 19 [2–4] showed high rates of return to work after cancer but highlighted two main categories of difficulties experienced by cancer survivors—(i) disease and treatment issues and (ii) workplace issues including health insurance, attitudes of co-workers and managers and job discrimination.

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