Educational and vocational achievement among long‐term survivors of adolescent cancer in Germany

Dieluweit, Ute; Debatin, Klaus‐Michael; Grabow, Desiree; Kaatsch, Peter; Peter, Richard; Seitz, D; Goldbeck, Lutz

doi:10.1002/pbc.22806

Cited by 75 publications

(120 citation statements)

References 27 publications

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“…This is an important consideration since middle and late adolescence is defined as ages 15-21 years (Erikson, 1950;Marshall & Tanner, 1974;Nelson et al, 2004). Previous studies of adult survivors of adolescent and young adult (AYA) cancer have described rates of employment (Dieluweit et al, 2011;Parsons et al, 2012;Tai et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Successful reentry into work and school may be impacted by neurocognitive morbidities potentially impacting occupational functioning. (Dieluweit et al, 2011) The ability to work has been shown to improve cancer survivors' quality of life, reduce social isolation, and increase self-esteem. Spelten, 2002) A recent study reported that survivors of AYA cancer are significantly more likely to experience disability and unemployment than healthy controls (24% vs. 14%) (Tai et al, 2012); however, it is unclear why this disparity exists and what factors may be associated.…”

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confidence: 99%

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Cognitive and Occupational Function in Survivors of Adolescent Cancer

Nugent

Bender

Sereika

et al. 2018

Journal of Adolescent and Young Adult Oncology

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The number of cancer survivors living in the U.S. is dramatically increasing. Cognitive decline is a commonly reported and burdensome symptom of cancer survivors. In addition, many cancer survivors experience difficulty maintaining employment. This dissertation addresses gaps in the literature of cognitive and occupational function of cancer survivors, with particular emphasis on the understudied population of cancer survivors diagnosed as an adolescent or young adult (AYA). For this dissertation, a series of studies were conducted to 1) explore the association between occupation and symptom burden in breast cancer survivors, 2) synthesize the evidence of cognitive outcomes in survivors of AYA cancer, and 3) describe cognitive and occupational function in survivors of adolescent cancer compared to healthy controls.To address aim one, a secondary analysis of data from early-stage breast cancer survivors explored the relationship between occupation and symptom burden. Breast cancer survivors employed in lower skill level jobs reported greater symptom burden over the first year of anastrozole treatment than women employed at the higher skill level. Survivors employed at lower skill levels had higher levels of fatigue and worse depressive, musculoskeletal, vasomotor, and gastrointestinal symptoms.To address aim two, an integrative review synthesized the current state of science in terms of cognitive outcomes of those diagnosed with cancer as an AYA. Survivors of AYA cancer tended to experience cognitive difficulties; however, to date, no study has focused exclusively on those diagnosed as an AYA or encompassed the entirety of the AYA age range. Future iv studies are needed because cognitive outcomes of survivors of AYA cancer have been largely neglected.Lastly, a cross-sectional, descriptive comparative study described cognitive and occupational function in survivors of adolescent cancer compared to healthy controls. Survivors of adolescent cancer perceived greater cognitive difficulty than healthy peers, although there were not significant measurable differences in performance on neuropsychological tests. Survivors of adolescent cancer also reported poorer work output than healthy controls.This dissertation contributes to the growing body of literature pertaining to health and well-being of cancer survivors, in particular cognitive and occupational function, and unique considerations needed for those diagnosed with cancer as an AYA.v Study 2. While there is a growing body of literature suggesting that many cancer survivors may experience cognitive decline after cancer diagnosis and treatment, much less is known about the cognitive outcomes of those diagnosed during the AYA timeframe. Therefore, the second study of this dissertation is an integrative review to summarize and appraise the current state of published literature involving cognitive function in those diagnosed during adolescence and young adulthood. While the review is a distinct study within the dissertation project, it provides a critically important ...

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Cognitive and Occupational Function in Survivors of Adolescent Cancer

Nugent

Bender

Sereika

et al. 2018

Journal of Adolescent and Young Adult Oncology

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“…Dieluweit et al reported a higher proportion of adolescent cancer survivors who were employed compared to an age-matched sample from the general population [20]. Nevertheless, most of the published studies found the employment rate to be lower among childhood cancer survivors compared with the controls [6,13,[15][16][17][18]29].…”

Section: Discussionmentioning

confidence: 97%

“…Concerning occupational outcomes, most of the studies conducted have reported higher rates of unemployment among childhood cancer survivors than among their siblings or the population as a whole [4,6,[13][14][15][16][17][18]. Factors found to be associated with unemployment risk in the survivor population are both demographic (current age, female gender, interrupted schooling, lower education) [16,17,19,20] and cancerrelated (younger age at diagnosis, treatment with cranial irradiation, somatic late effects) [13,14,[16][17][18][19][20][21][22]. However, when childhood cancer survivors obtain employment, the literature on their occupational achievements is rather sparse.…”

Section: Introductionmentioning

confidence: 94%

Employment in French young adult survivors of childhood leukemia: an LEA study (for Leucemies de l’Enfant et de l’Adolescent—childhood and adolescent leukemia)

et al. 2016

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“…Les résultats concernant le niveau des études ont été confirmés en GrandeBretagne, où les patients ayant reçu une radiothérapie encépha-lique pour une leucémie, ou suivis pour une tumeur du SNC ont un niveau d'éducation plus faible que les autres [15]. À propos plus spéci-fiquement de l'avenir des adolescents traités entre 15 et 18 ans, leur niveau d'étude est plus élevé que celui de la population générale en Allemagne, ils ont plus souvent un emploi, mais débutent leur activité professionnelle plus tardivement [6]. En Suède, après un cancer pris en charge avant l'âge de 16 ans, le niveau d'éducation est significativement plus faible uniquement pour les patients ayant eu une tumeur cérébrale, et les revenus de ce groupe sont plus bas, y compris après exclusion de ceux touchant une allocation pour handicapé [2].…”

Section: Insertion Socioprofessionnelleunclassified

Health status and quality of life of long term survivors of childhood cancer

et al. 2011

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Survival of children treated for cancer has now reached 75%. Relapses are rare after five years of remission. Long term follow-up should also detect treatment related, late adverse effects. Repeated cardiac evaluations are necessary, due to cumulative dose-dependent cardiotoxicity of anthracycline. Endocrinological disorders are mainly related to radiotherapy or high dose chemotherapy. Bone mineral density can be altered. Cognitive function, academic level and social outcome of non-irradiated patients are usually normal. Incidence of second neoplasms is low, but some of them are related to previous treatments. One of the major ongoing treatment objective is to preserve the quality of life of cured patients. Improvement of patient's information regarding late effects is also required. To cite this journal: Oncologie 13 (2011).

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Educational and vocational achievement among long‐term survivors of adolescent cancer in Germany

Cited by 75 publications

References 27 publications

Cognitive and Occupational Function in Survivors of Adolescent Cancer

Cognitive and Occupational Function in Survivors of Adolescent Cancer

Employment in French young adult survivors of childhood leukemia: an LEA study (for Leucemies de l’Enfant et de l’Adolescent—childhood and adolescent leukemia)

Health status and quality of life of long term survivors of childhood cancer

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