Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation.

Abstract

PURPOSE:

This study aimed at (1) investigating the work status of men treated by radical prostatectomy due to diagnosis of localized prostate cancer (LPCa) three years after having attended a cancer rehabilitation program and (2) identifying prospective risk factors for not working at this time point.

METHODS:

In a longitudinal, questionnaire-based multicenter study, 519 working-age LPCa survivors reported on their work status 12 and 36 months following rehabilitation. Chi-square tests/t tests and multivariable logistic regression analysis were used to identify prospective factors associated with not working at 36 months follow-up.

RESULTS:

Nearly three quarter of LPCa survivors (N = 377, 73%) worked 3 years after post-acute rehabilitation. Most participants (N = 365, 71%) showed continuous return-to-work (RTW) patterns as they worked both 1 and 3 years following rehabilitation. Multivariable regression analysis revealed older age, low or middle socio-economic status as well as resigned and unambitious work behavior and fatigue at the time of attending the rehabilitation program to be prospective factors for not working at 36 months follow-up. Low socio-economic status [Odds ratio (OR) 4.81, 95% confidence interval (CI) 2.07-11.16] and unambitious work behavior [OR 4.48, 95% CI 2.16-9.31] were the strongest predictors.

CONCLUSION:

Long-term work retention is a realistic goal among LPCa survivors. The results contribute to the identification of at-risk LPCa survivors early in the RTW process. Special attention should be paid to social inequality. Further, interventions related to the management of fatigue and work-related coping styles could improve long-term RTW, as these were relevant, but potentially modifiable factors impeding work retention.

• Authors: Anneke Ullrich, Hilke Maria Rath, Ullrich Otto, Christa Kerschgens, Martin Raida, Christa Hagen-Aukamp, Corinna Bergelt
• Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer (Support Care Cancer) Vol. 30 Issue 1 Pg. 843-854 (Jan 2022) ISSN: 1433-7339 [Electronic] Germany
• PMID: 34392427 (Publication Type: Journal Article, Multicenter Study)
• Copyright: © 2021. The Author(s).

Topics

• Aged
• Cancer Survivors
• Child, Preschool
• Humans
• Infant
• Male
• Prospective Studies
• Prostate
• Prostatic Neoplasms (surgery)
• Return to Work
• Survivors