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Tytuł pozycji:

Returning to work by thyroid cancer survivors 5 years after diagnosis: the VICAN survey.

Tytuł:
Returning to work by thyroid cancer survivors 5 years after diagnosis: the VICAN survey.
Autorzy:
Creff G; Department of Otolaryngology-Head and Neck Surgery, Rennes University Hospital, Rennes, France. .
Jegoux F; Department of Otolaryngology-Head and Neck Surgery, Rennes University Hospital, Rennes, France.
Bendiane MK; UMR 912 SESSTIM (INSERM), Marseille, France.
Babin E; Head and Neck Department, University Hospital Centre Caen, Caen, France.; Cancer & Cognition Platform, Ligue Contre le Cancer, Caen, France.
Licaj I; Cancer & Cognition Platform, Ligue Contre le Cancer, Caen, France.; Clinical Research Department, Centre François Baclesse, Caen, France.; Department of Community Medicine, Faculty of Health Sciences, The UiT Arctic University of Norway, Tromsø, Norway.
Źródło:
Journal of cancer survivorship : research and practice [J Cancer Surviv] 2022 Aug; Vol. 16 (4), pp. 801-811. Date of Electronic Publication: 2021 Aug 12.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: New York, N.Y. : Springer Science + Business Media, c2007-
MeSH Terms:
Cancer Survivors*
Thyroid Neoplasms*/diagnosis
Thyroid Neoplasms*/epidemiology
Adult ; Employment ; Fatigue ; Female ; Humans ; Male ; Quality of Life ; Survivors ; Weight Gain
References:
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Grant Information:
N°05-2011 Institute of Cancer Research
Contributed Indexing:
Keywords: Cohort study; Employment; Incomes; Survivors; Thyroid cancer
Entry Date(s):
Date Created: 20210812 Date Completed: 20220722 Latest Revision: 20220922
Update Code:
20240105
DOI:
10.1007/s11764-021-01074-y
PMID:
34382180
Czasopismo naukowe
Purpose: Return to work (RTW) following cancer diagnosis is a challenge for both the patient and society. As thyroid cancer (TC) incidence is increasing, this study aims to assess difficulties in returning to work and income changes in TC survivors 5 years post-diagnosis.
Methods: This study belongs to the national VICAN survey conducted in France among TC patients diagnosed between January and June 2010. Data were collected through phone interviews, medical surveys and from the national medico-administrative register in 2012 and 2015. We used multivariate logistic regressions to investigate TC impact on employment and income changes.
Results: Of 146 patients, 121(82.9%) were women; the mean age was 42 years (SD = 8.34), 119 (81.3%) were diagnosed at an early stage, and 142(97.6%) underwent thyroidectomy. At 5 years post-diagnosis, 116 (79.7%) of the TC survivors were professionally active, 22 (15.4%) were unemployed and 8 (4.90%) were receiving disability. Among the patients employed at the time of diagnosis (n = 122), 15 (12.3%) had not returned to work 5 years post-diagnosis. Between 2 and 5 years post-diagnosis, there was no significant improvement in rates of RTW. At 5 years post-diagnosis, 90 (61.6%) reported an income decline. All TC survivors who have not returned to work were women and declared higher fatigue. Moreover, in multivariate analyses, not returning to work was associated with weight gain (OR = 8.41 (1.21; 58.23)) and working arrangements (6.90 (1.18-38.48)), while income decline was associated with comorbidities (OR = 2.28 (1.07; 4.86)) and to be engaged in manual work (OR = 2.28 (1.07; 4.88)).
Conclusion: This study highlights that, despite a good prognostic, up to 12.3% of TC survivors had not returned to work and 61.6% reported an income decline, 5 years post-diagnosis. Weight gain, fatigue, to be a woman and working-type arrangement were associated with higher probability of not returning to work.
Implications for Cancer Survivors: TC affects a young working population. Our study identified potentially vulnerable TC survivors and important modifiable factors which may help TC survivors to be professionally active and, therefore, increase their overall quality of life.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

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