Predictors of early retirement after cancer rehabilitation—a longitudinal study

This longitudinal study was designed to assess patients’ desire for early retirement and investigate which cancer‐related and psychosocial characteristics are associated with early retirement. We assessed 750 cancer patients at the beginning (t0) and end (t1) of, and 12 months after (t2) inpatient c...

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Bibliographic Details
Published in:	European journal of cancer care Vol. 26; no. 5; pp. e12528 - n/a
Main Authors:	Mehnert, A., Barth, J., Gaspar, M., Leibbrand, B., Kegel, C.‐D., Bootsveld, W., Friedrich, M., Hartung, T.J., Berger, D., Koch, U.
Format:	Journal Article
Language:	English
Published:	England Hindawi Limited 01-09-2017
Subjects:	Adult Age Factors Attitude Cancer Correlation analysis Early retirement Efficiency Employee benefits Female Humans Job Satisfaction Longitudinal Studies Male Middle Aged Neoplasms - psychology Neoplasms - rehabilitation Nursing Odds Ratio Patients pension Pensions psychosocial oncology Quality of Life Rehabilitation Remission Remission (Medicine) Retirement Retirement - psychology Retirement - statistics & numerical data return to work Return to Work - psychology Return to Work - statistics & numerical data Risk Factors Sick Leave - statistics & numerical data Stress, Psychological - epidemiology Stress, Psychological - psychology survivorship Workplace Young Adult survivorship pension psychosocial oncology cancer return to work
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Summary:	This longitudinal study was designed to assess patients’ desire for early retirement and investigate which cancer‐related and psychosocial characteristics are associated with early retirement. We assessed 750 cancer patients at the beginning (t0) and end (t1) of, and 12 months after (t2) inpatient cancer rehabilitation. At t0, 22% had a desire to retire early. These patients reported significantly longer sick leave periods, less favourable workplace environments, lower work ability, higher psychological distress and lower quality of life than other patients. At t2, 12.5% of patients received temporary or permanent early retirement pensions. Of all patients with a desire for early retirement at t0, 43% had returned to work at t2. This subgroup had a significantly lower physical quality of life than other patients returning to work. The most influential predictors of early retirement were being on sick leave (OR = 6.50, 95% CI = 1.97–21.47) and a desire for early retirement (OR = 5.61, 95% CI = 2.73–11.52). Inverse predictors of early retirement were cancer remission (OR = 0.23, 95% CI = 0.10–0.53), perceived productivity (OR = 0.38, 95% CI = 0.18–0.83), work satisfaction (OR = 0.36, 95% CI = 0.17–0.77) and mental quality of life (OR = 0.94, 95% CI = 0.91–0.98). This underlines the need for cancer‐specific multi‐professional rehabilitation and occupational therapy programmes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0961-5423 1365-2354
DOI:	10.1111/ecc.12528