Abstract
Background
Returning to work is a key unmet need for working-age cancer survivors.
Objective
This study sought to evaluate return-to-work outcomes of a multidisciplinary intervention provided as routine employee support.
Methods
In a retrospective cohort analysis, patients with cancer and more than 3 months of absence from work were provided with an intervention consisting of digital resources and calls with a health coach. Propensity score matching was used to define a similar cohort of cancer patients absent from work, who were not offered the coaching intervention. The return-to-work rate as a percentage of all participants and secondary outcomes, such as the rate of death, were measured. The median time to return to work was compared between the cohorts using the Kaplan-Meier method.
Results
A total of 220 participants were enrolled in the intervention, of which 125 met the criteria for analysis. The median follow-up from cancer diagnosis was 79 weeks (IQR 60-106 weeks). In the matched control group, 22 (17.6%) participants returned to work compared with 38 (30.4%) in the intervention group (P=.02). Additionally, 19 (15.2%) matched controls died prior to claim closure compared with 13 (10.4%) in the intervention group (P=.26). The Kaplan-Meier estimated median time for the first 15% of the cohort to return to work was 87.1 weeks (95% CI 60.0-109.1 weeks) for the matched control group compared with 70.6 weeks (95% CI 52.6-79.6 weeks; P=.08) for the intervention group.
Conclusions
Patients receiving a remotely delivered coaching program in a real-world setting returned to work at a higher frequency than did control participants receiving usual care.
Reference40 articles.
1. Cancer statistics, 2013
2. Surveillance, Epidemiology, and End Results Program2021-04-09https://seer.cancer.gov/
3. Cancer Data in AustraliaAustralian Institute of Health and Welfare2021-04-09https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/summary
4. Work ability and return-to-work in cancer patients
5. Employment pathways in a large cohort of adult cancer survivors
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献