Reintegrating cancer patients into the workplace

Dtsch Arztebl Int. 2012 Oct;109(42):702-8. doi: 10.3238/arztebl.2012.0702. Epub 2012 Oct 19.

Abstract

Background: In Germany at present, 64% of women and 59% of men who receive a diagnosis of cancer are still alive five years later. 45% of men and 57% of women with cancer are still of working age. Cancer can markedly harm their ability to work.

Methods: We analyzed data from selected publications to calculate the percentage of cancer patients in Germany who are now returning to work.

Results: The efficacy of oncological rehabilitation has not been demonstrated by a randomized controlled trial, nor is it clear whether the existing studies have accounted for potentially confounding variables. A combined assessment of reports from various countries reveals that 63% of cancer patients who are of working age go back to work after being unable to work for an average of five months. The situation varies markedly across countries: In Germany, the percentage of women with breast cancer who return to work is only 59%, compared to 80% in the USA and 82% in the United Kingdom. Younger and better educated patients are more likely to return to work, as are those who have received less invasive treatment with fewer complications.

Conclusion: Most cancer patients of working age go back to work, but the percentages vary widely from one country to another, perhaps reflecting differences in social systems.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Disabled Persons / rehabilitation*
  • Disabled Persons / statistics & numerical data*
  • Employment / statistics & numerical data*
  • Germany / epidemiology
  • Humans
  • Incidence
  • Neoplasms / epidemiology*
  • Neoplasms / rehabilitation*
  • Occupational Therapy / statistics & numerical data*
  • Prevalence