Document Detail


Affiliation to the work market after curative treatment of head-and-neck cancer: A population-based study from the DAHANCA database.
MedLine Citation:
PMID:  23282115     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. Survivors of squamous cell carcinoma of the head and neck (HNSCC) are more severely affected in regard to affiliation to the work market than other cancer survivors. Few studies have investigated associations between socioeconomic and disease-related factors and work market affiliation after curative treatment of HNSCC. We investigated the factors for early retirement pension due to disability and unemployment in patients who had been available for work one year before diagnosis. Methods. In a nationwide, population-based cohort study, data on 2436 HNSCC patients treated curatively in 1992-2008 were obtained from the Danish Head and Neck Cancer Group database and linked to Danish administrative population-based registries to obtain demographic and socioeconomic variables. We used multivariate logistic regression models to assess associations between socioeconomic factors (education, income and cohabitating status), cancer-specific variables such as tumour site and stage, comorbidity, early retirement pension and unemployment, with adjustment for age, gender and year of diagnosis. Results. Short education [odds ratio (OR) 4.8; 95% confidence interval (CI) 2.2-10.4], low income (OR 3.2; 95% CI 1.8-5.8), living alone (OR 3.0; 95% CI 2.1-4.4) and having a Charlson comorbidity index score of 3 or more (OR 5.9; 95% CI 3.1-11) were significantly associated with early retirement overall and in all site groups. For the subgroup of patients who were employed before diagnosis, the risk pattern was similar. Tumour stage was not associated with early retirement or unemployment. Conclusions. Cancer-related factors were less strongly associated with early retirement and unemployment than socioeconomic factors and comorbidity. Clinicians treating HNSCC patients should be aware of the socioeconomic factors related to work market affiliation in order to provide more intensive social support or targeted rehabilitation for this patient group.
Authors:
Trille Kjær; Charlotte Rotbøl Bøje; Maja Halgren Olsen; Jens Overgaard; Jørgen Johansen; Else Ibfelt; Marianne Steding-Jessen; Christoffer Johansen; Susanne Oksbjerg Dalton
Related Documents :
24236685 - Using a population-based observational cohort study to address difficult comparative ef...
23154795 - Impact of margin size on the predicted risk of radiogenic second cancers following prot...
23681795 - Associations of three common polymorphisms in cd95 and cd95l promoter regions with gast...
24621115 - Colorectal cancer in inflammatory bowel disease: a shift in risk?
16842245 - The relation of pepsinogen group ii (pgii) expression to intestinal metaplasia and gast...
21881515 - Hypertension and risk of renal cell carcinoma among white and black americans.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-3
Journal Detail:
Title:  Acta oncologica (Stockholm, Sweden)     Volume:  -     ISSN:  1651-226X     ISO Abbreviation:  Acta Oncol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709065     Medline TA:  Acta Oncol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Survivorship, Danish Cancer Society Research Center , Denmark.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Risk of hypothyroidism in patients with cancer treated with sunitinib: A systematic review and meta-...
Next Document:  Two combinatorial optimization problems for SNP discovery using base-specific cleavage and mass spec...