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Favré E, Sallard C. Enjeux psychologiques du retour à l’emploi après un cancer : illustrations autour de deux cas cliniques. PSYCHO-ONCOLOGIE 2023. [DOI: 10.3166/pson-2022-0224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
Du fait des changements tant physiques que psychologiques induits par la maladie et les traitements oncologiques, le retour au travail après un cancer peut être perçu comme un véritable enjeu pour les patients. Étant donné la prédominance des questionnements, les ajustements psychologiques nécessaires et les diverses possibilités de réorganisation du temps de travail, les patients peuvent régulièrement solliciter ou être orientés vers une consultation psychologique pour aborder le retour à leur emploi. Cette thématique, parfois présente dès le début de la prise en charge médicale, nécessite d’être prise en considération par les professionnels de santé, et ce à tout moment du parcours de soins. Il convient pour ces derniers d’avoir une certaine connaissance des dispositifs d’aides proposés pour pouvoir orienter au mieux les patients. Cela peut faciliter le sentiment de légitimité quant à leurs interrogations et à leur vécu émotionnel, permettant ainsi de les aider à se réajuster. C’est pourquoi la stratégie décennale de lutte contre les cancers 2021–2030 a parmi ses ambitions celle de réduire les séquelles liées au cancer et prévoit ainsi des évolutions pour proposer des dispositifs du droit du travail et de la sécurité sociale plus adaptés. Ces évolutions montrent bien que les enjeux pour les patients s’insèrent dans une dimension plus globale, dans laquelle le milieu hospitalier et les employeurs sont notamment impliqués, ce qui en fait un enjeu sociétal. Afin de mettre en perspective ces enjeux, cet article présente deux situations cliniques de patientes, actuellement en rémission d’un cancer du sein, ayant été suivies sur le plan psychologique et dont la question du retour à l’emploi a été un sujet important dans la prise en charge globale de leur pathologie.
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Harada A, Tateishi S, Ishimaru T, Nagata M, Eguchi H, Tsuji M, Ikegami K, Matsugaki R, Fujino Y. Association Between Types of Chronic Disease and Receiving Workplace Accommodations: A Cross-Sectional Study of Japanese Workers. J Occup Environ Med 2023; 65:93-97. [PMID: 36735620 DOI: 10.1097/jom.0000000000002723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE This study aimed to evaluate the association between the type of chronic disease and receiving workplace accommodations. METHODS This online cross-sectional study analyzed a self-reported questionnaire administered in Japan. A total of 6775 full-time workers who reported needing work accommodations were included. RESULTS Workplace accommodations were more likely to be provided for workers with cancer, mental illness, and benign gynecological disorders than for workers with no disease under treatment. In contrast, workplace accommodations were less likely for workers with low back pain and skin diseases. CONCLUSIONS Receiving workplace accommodations depends on the type of chronic disease. Chronic diseases for which workers frequently receive workplace accommodations may be those for which support is encouraged by law. It is necessary to support workers with chronic diseases that do not receive adequate workplace accommodations.
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Affiliation(s)
- Arisa Harada
- From the Department of Occupational Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Harada, Dr Nagata); Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Tateishi); Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Ishimaru, Dr Fujino); Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Eguchi); Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Tsuji); Department of Work Systems and Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Ikegami); and Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Fukuoka, Japan (Dr Matsugaki)
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Kaku S, Miyata K, Tsuchiya M, Kusaka S, Koitabashi M, Moroi N, Shimizu R, Shimizu M, Arai M, Yabumoto M, Matsunaga N, Maeda R, Iwasa S, Horinouchi H, Satomi E. [Investigation the contents of employment consultation and support in a cancer center hospital]. SANGYO EISEIGAKU ZASSHI = JOURNAL OF OCCUPATIONAL HEALTH 2022; 64:337-344. [PMID: 34911877 DOI: 10.1539/sangyoeisei.2021-019-e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVES This study aimed to analyze and categorize the actual situation of employment consultation and support according to consultation times or employment status at the Consultation Support Center of the National Cancer Center Hospital of Japan. METHODS We retrospectively analyzed the patient backgrounds, consultation contents, and the number of employment consultation cases conducted at the Consultation Support Center of the National Cancer Center Hospital during a 6-month period from May to December 2018. RESULTS During the study period, 117 patients (male: female = 46:71) visited the Consultation Support Center. The median age of patients was 48 years old. The most common primary cancer site was the breast in 28 patients followed by the lung in 16 patients, and then gynecologic cancer in 10 patients. The most common cancer treatment was chemotherapy in 53 patients (45.3%), and 12 patients (10.2%) were recurrent patients. Fifty-two patients were in regular employment, 24 were unemployed, 17 were of unknown employment status, 16 were in non-regular employment, and 8 were classified/categorized as other. In terms of working status, 40 were on leave, 35 were working, 15 were seeking work, 8 were unemployed, and 19 were categorized as other. The median number of consultations was 1 (1,11). The content of consultations was the social security system in 44 cases (37.6%) job seeking in 24 cases (20.5%), how to inform the workplace in 14 cases (12%), and workplace environment adjustment in 13 cases (11.1%). CONCLUSIONS We conducted a survey on the actual status of employment consultation in a cancer center hospital. The majority of consultations were completed in one session. In terms of the content of consultations, there was a high need for consultations on the social security system and job seeking. Further study is needed on the characteristics of employment consultations according to employment status and other attributes.
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Affiliation(s)
- Sawako Kaku
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
- Department of Diagnostic Radiology, National Cancer Center Hospital
| | - Kayoko Miyata
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Miyako Tsuchiya
- Division of Cancer Survivorship Research Center for Cancer Control and Information Services, National Cancer Center
| | - Sachiko Kusaka
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Miho Koitabashi
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Natsuko Moroi
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Rieko Shimizu
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Mariko Shimizu
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Mari Arai
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Masako Yabumoto
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Naoko Matsunaga
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Ryoko Maeda
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
| | - Satoru Iwasa
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
- Department of Gastrointestinal Medical Oncology, National Cancer Center Hospital
| | - Hidehito Horinouchi
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
- Department of Thoracic Oncology, National Cancer Center Hospital
| | - Eriko Satomi
- Department of Regional Medical Liaison Office, National Cancer Center Hospital
- Department of Palliative Medicine, National Cancer Center Hospital
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Teramatsu H, Yamato H, Jiang Y, Kako H, Kuhara S, Ohya R, Itoh H, Kuroda K, Matsushima Y, Saeki S. Pre-operative Physical Performance Is Associated With Early Return to Work in Peri-operative Lung Cancer Patients. J UOEH 2022; 44:341-351. [PMID: 36464308 DOI: 10.7888/juoeh.44.341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Little is known about the factors related to return to work (RTW) in patients with peri-operative lung cancer (LC). This study aimed to investigate whether pre-operative physical performance is associated with early RTW in patients with peri-operative LC. A total of 59 patients who wished to resume work after lung resection surgery were included and were divided into three groups: early RTW (within 14 days after discharge), delayed RTW (within 15-90 days), and non-RTW (failure of RTW within 90 days). The early RTW group had significantly lower scores on the modified Medical Research Council dyspnea scale (mMRC) and significantly higher scores on the Euro Quality of Life 5-Dimension 3-Level (EQ-5D-3L) than the non-RTW group. Multivariate logistic regression analysis showed that EQ-5D-3L scores were significantly associated with early RTW, and mMRC scores and knee extensor strength tended to be associated with early RTW. Better pre-operative quality of life, mild dyspnea, and greater lower limb muscle strength tended to be associated with early RTW in patients with peri-operative LC.
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Affiliation(s)
- Hiroaki Teramatsu
- Department of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8556, Japan
| | - Hiroshi Yamato
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan. 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| | - Ying Jiang
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan. 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| | - Hiroaki Kako
- Department of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8556, Japan
| | - Satoshi Kuhara
- Department of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8556, Japan
| | - Ryosuke Ohya
- Department of Rehabilitation, University Hospital of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8556, Japan
| | - Hideaki Itoh
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| | - Koji Kuroda
- Second Department of Surgery, University of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| | - Yasuyuki Matsushima
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
| | - Satoru Saeki
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health, Japan. 1-1, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan
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Thandrayen J, Joshy G, Stubbs J, Bailey L, Butow P, Koczwara B, Laidsaar-Powell R, Rankin NM, Beckwith K, Soga K, Yazidjoglou A, Bin Sayeed MS, Canfell K, Banks E. Workforce participation in relation to cancer diagnosis, type and stage: Australian population-based study of 163,556 middle-aged people. J Cancer Surviv 2021; 16:461-473. [PMID: 34008147 PMCID: PMC8964624 DOI: 10.1007/s11764-021-01041-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 04/07/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE To quantify the relationship of cancer diagnosis to workforce participation in Australia, according to cancer type, clinical features and personal characteristics. METHODS Questionnaire data (2006-2009) from participants aged 45-64 years (n=163,556) from the population-based 45 and Up Study (n=267,153) in New South Wales, Australia, were linked to cancer registrations to ascertain cancer diagnoses up to enrolment. Modified Poisson regression estimated age- and sex-adjusted prevalence ratios (PRs) for non-participation in the paid workforce-in participants with cancer (n=8,333) versus without (n=155,223), for 13 cancer types. RESULTS Overall, 42% of cancer survivors and 29% of people without cancer were out of the workforce (PR=1.18; 95%CI=1.15-1.21). Workforce non-participation varied substantively by cancer type, being greatest for multiple myeloma (1.83; 1.53-2.18), oesophageal (1.70; 1.13-2.58) and lung cancer (1.68; 1.45-1.93) and moderate for colorectal (1.23; 1.15-1.33), breast (1.11; 1.06-1.16) and prostate cancer (1.06; 0.99-1.13). Long-term survivors, 5 or more years post-diagnosis, had 12% (7-16%) greater non-participation than people without cancer, and non-participation was greater with recent diagnosis, treatment or advanced stage. Physical disability contributed substantively to reduced workforce participation, regardless of cancer diagnosis. CONCLUSIONS Cancer survivors aged 45-64 continue to participate in the workforce. However, participation is lower than in people without cancer, varying by cancer type, and is reduced particularly around the time of diagnosis and treatment and with advanced disease. IMPLICATIONS FOR CANCER SURVIVORS While many cancer survivors continue with paid work, participation is reduced. Workforce retention support should be tailored to survivor preferences, cancer type and cancer journey stage.
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Affiliation(s)
- Joanne Thandrayen
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
| | - Grace Joshy
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - John Stubbs
- CanSpeak, Sydney, New South Wales, Australia
| | - Louise Bailey
- Primary Care Collaborative Cancer Clinical Trials Group Community Advisory Group, Melbourne, Victoria, Australia
- Psycho-oncology Cooperative Research Group Community Advisory Group, Camperdown, New South Wales, Australia
| | - Phyllis Butow
- The University of Sydney, Sydney, New South Wales, Australia
| | - Bogda Koczwara
- Flinders University and Flinders Medical Centre, Adelaide, South Australia, Australia
| | | | - Nicole M Rankin
- The University of Sydney, Sydney, New South Wales, Australia
| | - Katie Beckwith
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Kay Soga
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Amelia Yazidjoglou
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Muhammad Shahdaat Bin Sayeed
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Karen Canfell
- The Daffodil Centre, The University of Sydney, Sydney, New South Wales, Australia
- Prince of Wales Clinical School, University of New South Wales, Sydney, New South Wales, Australia
| | - Emily Banks
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
- Sax Institute, Glebe, New South Wales, Australia
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