Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Duijts, Saskia F. A.; Egmond, M.P. van; Spelten, Evelien; Muijen, Peter van; Anema, Johannes R.; Beek, Allard J. van der

doi:10.1002/pon.3467

Cited by 299 publications

(290 citation statements)

References 48 publications

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“…However, the sub-scores of the scales did only have predictive value of formulation of two of the six types of goals. Physical goals were defined by almost all patients regardless of subscores, which is in line with the literature showing that physical problems are frequent and easily addressed by both patients and health professionals [32,33]. Physical goals covered a broad range of problems and activities, i.e.…”

Section: Discussionsupporting

confidence: 58%

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Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

et al. 2015

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AbstrActbackground. Rehabilitation should be integrated in the routine cancer care of women treated for gynaecological cancers. Goal setting is expected to facilitate the process through patient involvement and motivation. Our knowledge about goal setting in cancer rehabilitation is, however, sparse. Objectives. This study aimed to: 1) analyse rehabilitation goals defined during hospital-based rehabilitation in patients with gynaecological cancer, with regard to number, category, changes over time, and differences between cancer diagnosis, and 2) analyse the association between health-related quality of life and goals defined for rehabilitation. Material and methods. Consecutively, all patients treated surgically for endometrial, ovarian, and cervical cancer were invited for hospital-based rehabilitation at Odense University Hospital, Denmark, including two sessions at the hospital one and three months following surgery and two phone calls for follow-up. Questionnaires from the EORTC were used to prepare patients and facilitate individual goal setting with definitions of up to three goals. All goals were grouped into six categories. results. A total of 151 (63%) patients accepted the invitation including 50 endometrial, 65 ovarian, and 36 cervical cancers patients. All patients defined goals at the first session, 76.4% defined three goals, 21.9% two, and 1.6% had one goal. Physical goals decreased over time but were the most frequent at both sessions (98% and 89%). At both sessions, the social and emotional categories were the second and third most frequent among patients with endometrial and ovarian cancer. Sexual issues were dominant among the cervical cancer patients. Regression analysis showed significant association between quality of life scores and goal setting within the social and emotional domains. conclusion. Goal setting seemed feasible in all problem areas. The EORTC questionnaires were helpful during the process although expectations of the sub-scores being predictive of which areas to address were not convincing.

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Section: Discussionsupporting

confidence: 58%

“…Patients are generally not familiar with the concept of goal setting in health care [32]. The present rehabilitation programme succeeded in asking the women to formulate goals both one and three months following surgery.…”

Section: Discussionmentioning

confidence: 99%

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

et al. 2015

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“…This is in line with the conclusion of Duijts et al. (2014) that cancer survivors experience problems that may cause serious difficulties at work, as well as that of Harding (2012), suggesting that cancer survivors may need support to engage in healthy lifestyle behaviours.…”

Section: Discussionmentioning

confidence: 99%

“…Feedback from a pilot study among eight cancer survivors, primarily concerning scoring instructions, led to a definitive version of the CaSUN‐NL. During this process, the CaSUN‐NL was extended with five items on return to work and four on lifestyle, because return to work and lifestyle are prominent issues among cancer survivors and cancer survivors may also experience unmet needs in these domains (Demark‐Wahnefried & Jones, 2008; Duijts et al., 2014; Harding, 2012; Küsters, Lechner, Willems, Bolman, & Mesters, 2012; Stergiou‐Kita et al., 2014; Wolin & Colditz, 2013). The CaSUN‐NL was subsequently applied in the two Dutch studies (hereafter called “first study” and “second study”; Kanera, Bolman, Mesters, et al., 2016; Kanera, Bolman, Willems, et al., 2016; Kanera, Willems et al., 2016; Willems et al., 2015, 2016a,b).…”

Section: Methodsmentioning

confidence: 99%

“…Cancer survivors can experience physical and psychosocial problems, which are most prevalent during the first year after cancer treatment completion, but may endure for many subsequent years (Andrykowski, Lykins, & Floyd, 2008; Duijts et al., 2014; Hodgkinson, Butow, Fuchs, et al., 2007; Hodgkinson, Butow, Hunt, et al., 2007; Mehnert & Koch, 2008). Many cancer survivors also report having unmet information and support needs in dealing with these issues (Geller, Vacek, Flynn, Lord, & Cranmer, 2014; Hodgkinson, Butow, Fuchs, et al., 2007; Hodgkinson, Butow, Hunt, et al., 2007; Willems et al., 2016a).…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Dutch extended Cancer Survivors’ Unmet Needs measure (CaSUN-NL)

et al. 2018

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Information and support needs increase emotional distress and can impede cancer survivors’ adjustment. To investigate the information and support needs of Dutch cancer survivors, the Cancer Survivors’ Unmet Needs measure (CaSUN) was translated into Dutch and applied in two Dutch studies with cancer survivors (N = 255; N = 467). The CaSUN‐NL entailed the original five CaSUN scales, extended with respectively a returning to work and lifestyle scale. This study aimed to determine the psychometric properties of the CaSUN‐NL. To assess validity, a maximum likelihood factor analysis was employed. Construct validity was analysed using Pearson's and Spearman's correlation coefficients. To assess reliability, test–retest (Kappa coefficient) and internal consistency (Cronbach's alpha) values were determined. Factor analysis revealed the original five factors. Test–retest reliability was low (r ≤ .15, 93% retest response). Internal consistency values were high (Cronbach's alpha = 0.92–0.94), except for lifestyle. Significant correlations were found between total number of unmet needs with anxiety (r = .55), depression (r = .49), negative adjustment (r = .50), quality of life (r = −.52) and age (r = −.24). The CaSUN‐NL is valid and reliable to investigate the unmet information and support needs of Dutch cancer survivors.

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Incidence of Death From Unintentional Injury Among Patients With Cancer in the United States

et al. 2020

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IMPORTANCE Previous studies have suggested that patients with cancer may be at an increased risk of death from unintentional injury, but to our knowledge, no large studies have examined the rates of death from unintentional injury among patients with cancer. OBJECTIVE To characterize the incidence of death from unintentional injury among patients with cancer in the United States. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study included patients diagnosed with a first primary cancer between January 1, 1973, and December 31, 2015, identified from the Surveillance, Epidemiology, and End Results (SEER) program data. Comparisons with the general US population were based on mortality data collected by the National Center for Health Statistics. Analyses were performed from February 1, 2019, to August 15, 2019. MAIN OUTCOMES AND MEASURES Rates and standardized mortality ratios (SMRs) of death from unintentional injury among patients with cancer. RESULTS A total of 8 271 020 patients with cancer were included in this study (50.2% female; mean [SD] age, 63.0 [15.7] years). Among them, 40 599 deaths from unintentional injury were identified. The rates of death from unintentional injury were 81.90 per 100 000 person-years among patients with cancer and 51.21 per 100 000 person-years in the corresponding US general population. The

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Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Abstract: Ongoing physical and/or psychosocial problems are present in occupationally active cancer survivors, which may cause serious difficulties at work. The results of this study may be used as input for developing supportive interventions for these survivors.

Cited by 299 publications

References 48 publications

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

Goal setting in cancer rehabilitation and relation to quality of life among women with gynaecological cancer

Psychometric properties of the Dutch extended Cancer Survivors’ Unmet Needs measure (CaSUN-NL)

Incidence of Death From Unintentional Injury Among Patients With Cancer in the United States

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