Sietske J. Tamminga|Angela G. E. M. de Boer|Jos Verbeek|M. H. W. Frings-Dresen
Return-to-work interventions integrated into cancer care: a systematic review
Academic Medical Center|University of Amsterdam|Academic Medical Center|University of Amsterdam|Finnish Institute of Occupational Health|Academic Medical Center|University of Amsterdam|Academic Medical Center|University of Amsterdam
objectives purpose study review literature content interventions focusing return work employment status work retention patients cancerfurthermore effect interventions return work assessed studies reporting return workmethods literature search conducted using databases medline psycinfo embase cinahlarticles described workdirected intervention focusing return work employment status work retention patients cancer includedthe content workdirected part interventions assessed based two criteria content analysis 1 setting fit shared care model cancer survivor care 2 intervention target work ability physical workloadfor studies reporting returntowork outcomes returntowork rates assessedfor studies used control group ors 95 cis calculatedresults twentythree articles describing 19 interventions met inclusion criteriaseven studies reported returntowork outcomes four used control grouponly three interventions aimed primarily enhancing return work employment statusthe frequently reported workdirected components encouragement education advice work workrelated subjects 68 vocational occupational training 21 work accommodations 11one intervention fit shared care model cancer survivor care five interventions enhanced work ability decreased physical workloadthe rate return work ranged 37 89in one four controlled studies intervention increased return work significantly studies results insignificantconclusions interventions primarily aimed enhancing return work patients cancer fit shared care model involving integrated cancer carefuture studies developed wellstructured workdirected components evaluated randomised controlled trials