Non-graduation after comprehensive school, and early retirement but not unemployment are prominent in childhood cancer survivors—a Finnish registry-based study

Ahomäki, Ritva; Harila‐Saari, Arja; Matomäki, Jaakko; Lähteenmäki, Päivi

doi:10.1007/s11764-016-0574-z

Cited by 35 publications

(71 citation statements)

References 46 publications

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“…However, in the present study, as well as in a study of childhood cancer survivors, including several diagnoses (Ahomaki et al, 2017), a statistically significant higher proportion of survivors were on sick leave or disability pension compared to non-cancer groups. However, in the present study, as well as in a study of childhood cancer survivors, including several diagnoses (Ahomaki et al, 2017), a statistically significant higher proportion of survivors were on sick leave or disability pension compared to non-cancer groups.…”

Section: Discussioncontrasting

confidence: 65%

Occupational status among adult survivors following allogeneic stem cell transplantation in childhood

et al. 2018

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This study examined occupational status and factors associated with sick leave and disability pension among adult long-term survivors previously treated with allogeneic stem cell transplantation (allo-SCT) during childhood. Moreover, occupational status was compared to that of a reference group. Data were collected with questionnaires and from medical records. The SCT group included 59 adults (18-45 years old: response rate 63%) treated with allo-SCT in childhood with a median of 17 (range 3-28) years earlier. The reference group included 296 individuals randomly selected from the general population. The results show that 54% of the long-term survivors were working part- or full-time and that 19% were on sick leave or disability pension. A larger proportion of the SCT group was on sick leave or disability pension (19% vs. 6%: p < .001) than of the reference group. The logistic regression analysis revealed that being on sick leave or disability pension among long-term survivors was associated with late effects related to the allo-SCT (OR 12.28: 95% CI 1.3-111.6: p = .03). The results underscore that long-term survivors' engagement in paid work is influenced many years after treatment and highlights the need to include vocational assistance in the rehabilitation following allo-SCT in childhood.

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Section: Discussioncontrasting

confidence: 65%

Occupational status among adult survivors following allogeneic stem cell transplantation in childhood

et al. 2018

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“…Studies of the employment status of survivors of a broad range of childhood cancers in comparison with the general population or sibling comparisons had inconsistent findings . Seven studies observed higher unemployment rates among survivors, whereas five studies found similar unemployment rates . Studies with stratification by type of unemployment found that survivors were more likely to be unemployed due to illness or disability .…”

Section: Resultsmentioning

confidence: 95%

“…Many studies found that survivors of a CNS tumour achieved a much lower educational level than an external group without a history of childhood cancer or than survivors of other types of childhood cancer . Additional determinants identified across the studies included treatment with radiation therapy (most frequently CRT) and younger age at diagnosis …”

Section: Resultsmentioning

confidence: 99%

“…Most studies found that survivors of various childhood cancers had a lower income than the general population or a sibling comparison group . CNS tumour survivors in particular had a lower income than the general population, a sibling comparison group and survivors of other childhood cancers . Treatment with CRT was also associated with a lower income .…”

Section: Resultsmentioning

confidence: 99%

“…CNS tumour survivors in particular had a lower income than the general population, a sibling comparison group and survivors of other childhood cancers . Treatment with CRT was also associated with a lower income . A study in Switzerland indicated that survivors were less likely than their siblings to have a high monthly net income (excluding social insurance and retirement insurance) (OR: 0.46, 95% CI: 0.33–0.64), even after adjustment for working hours.…”

Section: Resultsmentioning

confidence: 99%

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Surviving childhood cancer: a systematic review of studies on risk and determinants of adverse socioeconomic outcomes

Frederiksen

Mader

Feychting

et al. 2018

Intl Journal of Cancer

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Substantial improvements in childhood cancer survival have resulted in a steadily increasing population of childhood cancer survivors. Whereas somatic late effects have been assessed in many studies, less is known about the impact of childhood cancer on socioeconomic outcomes in survivors. The aim of this article was to evaluate and summarise the evidence on the socioeconomic conditions of childhood cancer survivors and to identify survivors at particular risk of adverse socioeconomic outcomes. An extensive literature search of three electronic databases was conducted. Of 419 articles identified, 52 met the inclusion criteria. All the selected articles were appraised for quality, and findings were summarised in a narrative synthesis. Childhood cancer survivors were at higher risk of adverse socioeconomic outcomes with regard to educational achievement, income and social security benefits than the general population or a sibling comparison group. The risks for unemployment and a lower occupational position were significantly increased only for survivors of a central nervous system tumour. Notably, survivors of central nervous system tumours, survivors treated with cranial radiotherapy and those diagnosed at younger age independent of cancer type were determinants of particular adverse socioeconomic outcomes. Given the increasing population of childhood cancer survivors, targeted follow-up interventions and support strategies addressing not only the somatic and psychiatric late effects but also the socioeconomic difficulties that some childhood cancer survivors face is of high importance to reduce social inequity, and ensure a high quality of life after childhood cancer.

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Occupational outcomes after high‐grade or low‐grade brain tumors in childhood: A Swedish, nationwide, registry‐based study

et al. 2022

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Background Survivors of pediatric brain tumors are at high risk of late complications that may affect their daily life in both short‐ and long‐term perspectives. Methods In this nationwide registry‐based study we explored the occupational outcomes, including employment, sickness or activity compensation and parental leave, in 452 individuals in Sweden, born 1988–1996, and diagnosed with a brain tumor before their 15th birthday. Their results were compared with 2188 matched controls. Results There were significant differences between cases and controls for all assessed variables. The cases had benefitted from sickness or activity compensation 11 times more often than controls (CI 7.90–15.83; p < 0.001) between 2005 and 2016. Controls were almost three times more likely to have an employment (OR 0.36; CI 0.28–0.47; p < 0.001) and nearly twice as likely to have been on parental leave (OR 0.56; CI 0.39–0.80; p = 0.002). Although cases treated for high‐grade tumors typically fared worse than those treated for low‐grade tumors, significant differences for all assessed variables were also observed for cases treated for a low‐grade tumor compared with controls. Conclusions Our findings emphasize the need for follow‐up programs for all brain tumor diagnoses, not only those known to be at most risk. This is evident, for example, from the high number of cases who received sickness or activity compensation.

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Non-graduation after comprehensive school, and early retirement but not unemployment are prominent in childhood cancer survivors—a Finnish registry-based study

Abstract: Reassuring is that premature retirement was less common during the most recent treatment era. Screening and follow-up of psychosocial performance more effectively might be essential, and there is a need for studies on possibility for effective rehabilitation of the survivors.

Cited by 35 publications

References 46 publications

Occupational status among adult survivors following allogeneic stem cell transplantation in childhood

Occupational status among adult survivors following allogeneic stem cell transplantation in childhood

Surviving childhood cancer: a systematic review of studies on risk and determinants of adverse socioeconomic outcomes

Occupational outcomes after high‐grade or low‐grade brain tumors in childhood: A Swedish, nationwide, registry‐based study

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