Resignation and return to work in patients receiving allogeneic hematopoietic cell transplantation close up View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-08-27

AUTHORS

Saiko Kurosawa, Takuhiro Yamaguchi, Ayako Mori, Tomoko Matsuura, Takehiko Mori, Masatsugu Tanaka, Tadakazu Kondo, Yukari Umemoto, Hideki Goto, Satoshi Yoshioka, Shinichiro Machida, Takahiko Sato, Yuta Katayama, Seiko Kato, Katsuhiro Shono, Ishikazu Mizuno, Shin-ichiro Fujiwara, Akio Kohno, Miyako Takahashi, Takahiro Fukuda

ABSTRACT

PurposeTo characterize the issues regarding work and employment specific to allogeneic hematopoietic cell transplantation (allo-HCT) survivors, we conducted a nationwide cross-sectional questionnaire survey.MethodsWe targeted allo-HCT survivors employed at diagnosis, aged 20–64 at survey, and survived ≥2 years without relapse. The questionnaire included the timing of and reasons for resignation (termination of employment contract), and patient-related, HCT-related, work-related, and HCT center-related factors.ResultsA total of 1048 eligible participants were included in the analysis (response rate, 60%). The median time after allo-HCT was 5 years (range, 2–30) at the time of survey. After diagnosis, 41% of participants resigned from work throughout the course of treatment. The most frequent timing of the first resignation was “after discharge post-HCT” (46%), followed by “from diagnosis to initial treatment” (27%). Factors significantly associated with resignation included female gender, older age, and part-time employment. Favorable factors included the presence of occupational health staff at the workplace, employment of ≥10 years, and self-employed/freelance. After resignation, the overall incidence of return to work with some accommodations was 76% at 5 years after HCT, but it was 52% without any accommodation.ConclusionsOverall, the rate of resignation was 41%, and the most frequent timing of resignation was after discharge post-HCT, accounting for approximately half of the resignations (46%). Workplace accommodations increased the rate of return to work from 52% to 76%.Implications for Cancer survivorsEarly detection of employment-related concerns and support throughout the treatment process are necessary for patients receiving allo-HCT. More... »

PAGES

1004-1015

References to SciGraph publications

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  • Journal

    TITLE

    Journal of Cancer Survivorship

    ISSUE

    5

    VOLUME

    16

    Author Affiliations

  • Department of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan
  • Division of Biostatistics, Tohoku University Graduate School of Medicine, Sendai, Japan
  • Nursing Division, National Cancer Center Hospital, Tokyo, Japan
  • Nursing Division, National Kyushu Cancer Center, Fukuoka, Japan
  • Division of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan
  • Department of Hematology, Kanagawa Cancer Center, Yokohama, Japan
  • Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Department of Hematology, Osaka City University Hospital, Osaka, Japan
  • Department of Hematology, Hokkaido University Hospital, Sapporo, Japan
  • Department of Hematology, Kobe City Medical Center General Hospital, Kobe, Japan
  • Department of Hematology and Oncology, Tokai University School of Medicine, Isehara, Japan
  • Department of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan
  • Department of Hematology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima, Japan
  • Department of Hematology/Oncology Institute of Medical Science, The University of Tokyo, Tokyo, Japan
  • Department of Hematology, Chiba Aoba Municipal Hospital, Chiba, Japan
  • Department of Hematology, Hyogo Cancer Center, Hyogo, Japan
  • Division of Hematology, Jichi Medical University Hospital, Shimotsuke, Japan
  • Department of Hematology and Oncology, Konan Kosei Hospital, Konan, Japan
  • Division of Cancer Survivorship Research, National Cancer Center, Tokyo, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11764-021-01092-w

    DOI

    http://dx.doi.org/10.1007/s11764-021-01092-w

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1140698761

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34449050


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