scholarly journals Erratum: Ekenga, C.; et al. Long-Term Employment Outcomes among Female Cancer Survivors. Int. J. Environ. Res. Public Health 2020, 17, 2751

Author(s):  
Christine C. Ekenga ◽  
Eunsun Kwon ◽  
BoRin Kim ◽  
Sojung Park

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Author(s):  
Christine C. Ekenga ◽  
Eunsun Kwon ◽  
BoRin Kim ◽  
Sojung Park

Advances in early detection and treatment have led to a growing population of female cancer survivors, many of whom are of working age. We examined the relationship between cancer and long-term (>5 years) employment outcomes in a nationally representative sample of working-age women in the United States. Data from nine waves of the Health and Retirement Study were used to examine employment status and weekly hours worked among cancer survivors (n = 483) and women without cancer (n = 6605). We used random slope regression models to estimate the impact of cancer and occupation type on employment outcomes. There was no difference in employment status between cancer survivors and women without cancer at baseline; however, during follow-up, cancer survivors were more likely to be employed than women without cancer (odds ratio (OR) = 1.33, 95% confidence interval (CI): 1.11–1.58). Among 6–10-year survivors, professional workers were less likely (OR = 0.40, 95% CI: 0.21–0.74) to be employed than manual workers. Among >10-year survivors, professional workers averaged fewer weekly hours worked (−2.4 h, 95% CI: −4.4–−0.47) than manual workers. The impact of cancer on long-term employment outcomes may differ by occupation type. Identifying the occupation-specific mechanisms associated with the return to work will be critical to developing targeted strategies to promote employment in the growing female cancer survivor population.


1996 ◽  
Vol 4 (2) ◽  
pp. 153-170 ◽  
Author(s):  
Gwen Wyatt ◽  
Margot E. Kurtz ◽  
Laurie L. Friedman ◽  
Barbara Given ◽  
Charles W. Given

The purpose of this study was to develop a quality of life instrument for longterm female cancer survivors. A factor analysis (n = 188) of 34 items resulted in the Long-Term Quality of Life (LTQL) instrument. Internal consistency was high for the four subscales: somatic concerns (alpha = .86), spiritual/philosophical views of life (alpha = .87), fitness (alpha = .92), and social support (alpha = .88). These four factors are congruent with Ferrell’s four theoretical domains of quality of life developed for women with breast cancer. Content validity was supported through interrater agreement of subscale items. Significant correlations between the LTQL and the CaRES, an established measure of quality of life, support the concurrent validity of the LTQL. Construct validity was supported by differential subscale scores according to demographic and health status data. Although the LTQL retained all of Ferrell’s four domains of quality of life (physical, psychological, social, and spiritual) within one instrument, individual items reconfigured to suggest an overlapping of domains for the long-term female cancer survivor. This research suggests that the LTQL warrants further testing and may be a useful measure of quality of life in long-term female cancer survivors.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049479
Author(s):  
Linda Åkeflo ◽  
Gail Dunberger ◽  
Eva Elmerstig ◽  
Viktor Skokic ◽  
Gunnar Steineck ◽  
...  

PurposeThe study ‘Health among women after pelvic radiotherapy’ was conducted in response to the need for more advanced and longitudinal data concerning long-term radiotherapy-induced late effects and chronic states among female cancer survivors. The objective of this paper is to detail the cohort profile and the study procedure in order to provide a sound basis for future analyses of the study cohort.ParticipantsSince 2011, and still currently ongoing, participants have been recruited from a population-based study cohort including all female patients with cancer, over 18 years of age, treated with pelvic radiotherapy with curative intent at Sahlgrenska University Hospital in Gothenburg, in the western region of Sweden, which covers 1.7 million of the Swedish population. The dataset presented here consists of baseline data provided by 605 female cancer survivors and 3-month follow-up data from 260 individuals with gynaecological, rectal or anal cancer, collected over a 6-year period.Findings to dateData have been collected from 2011 onwards. To date, three studies have been published using the dataset reporting long-term radiation-induced intestinal syndromes and late adverse effects affecting sexuality, the urinary tract, the lymphatic system and physical activity. These projects include the evaluation of interventions developed by and provided in a nurse-led clinic.Future plansThis large prospective cohort offers the possibility to study health outcomes in female pelvic cancer survivors undergoing a rehabilitation intervention in a nurse-led clinic, and to study associations between demographics, clinical aspects and long-term late effects. Analysis focusing on the effect of the interventions on sexual health aspects, preinterventions and postinterventions, is currently ongoing. The cohort will be expanded to comprise the entire data collection from 2011 to 2020, including baseline data and data from 3-month and 1-year follow-ups after interventions. The data will be used to study conditions and treatment-induced late effects preintervention and postintervention.


Author(s):  
Mary E. Sesto ◽  
Panel Participants: K. Robin Yabroff ◽  
Cathy J. Bradley ◽  
Michael Feuerstein ◽  
Gregg C. Vanderheiden

The good news is that the number of cancer survivors and length of survival has increased due to early detection and treatment improvements. Of the estimated 10.5 million cancer survivors in the United States, approximately 40% are of working age (NCI, 2006). Unfortunately, one out of five survivors experience cancer-related disabilities that affect employment. Survivors may experience long-term and late-effects (including functional and general health changes) resulting in less than optimal employment outcomes, including long-term employment and work productivity. Although employment issues have been recognized in this area, to date, the majority of research on work productivity and return to work in human factors and ergonomics has focused on common occupational injuries and illnesses. The application of theories, methodologies, and perspectives from human factors research may serve to optimize employment outcomes for cancer survivors.


Author(s):  
Kristen M. Carpenter ◽  
Lora L. Black

Abstract: Advances in screening and treatment have improved long-term survival for individuals diagnosed with cancer, necessitating an increased focus on issues of survivorship. Sexual function can be impacted by anatomical and hormonal changes, psychological concerns, and body image disruption following cancer treatments. In addition, cancer treatments and their sequelae can have devastating impact on fertility for individuals who have not yet completed planned childbearing. While some of these problems are acute, others are chronic and outlast many of the most common survivorship concerns (e.g., fatigue, psychological distress, insomnia). Although these problems are common and distressing, discussions of these concerns are rarely initiated by survivors or their providers. This chapter reviews common concerns related to sexuality and fertility among male and female cancer survivors, as well as special considerations for pediatric cancer survivors. It also provides a review of evidence-based interventions for sexual problems and fertility preservation.


2001 ◽  
Author(s):  
M. H. Antoni ◽  
J. M. Lehman ◽  
K. M. Kilbourne ◽  
A. E. Boyers ◽  
J. L. Culver ◽  
...  

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