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@ARTICLE{Arndt:143980,
      author       = {V. Arndt$^*$ and L. Koch-Gallenkamp$^*$ and H. Bertram and
                      A. Eberle and B. Holleczek and R. Pritzkuleit and M.
                      Waldeyer-Sauerland and A. Waldmann and S. R. Zeissig and D.
                      Doege$^*$ and M. Thong$^*$ and H. Brenner$^*$},
      title        = {{R}eturn to work after cancer. {A} multi-regional
                      population-based study from {G}ermany.},
      journal      = {Acta oncologica},
      volume       = {58},
      number       = {5},
      issn         = {0001-6926},
      address      = {Abingdon},
      publisher    = {Taylor $\&$ Francis Group},
      reportid     = {DKFZ-2019-01537},
      pages        = {811 - 818},
      year         = {2019},
      abstract     = {Background: With improving prognosis, the ability to return
                      to work after cancer has become a realistic goal but only
                      little is known regarding details such as sustainability,
                      financial consequences, and potential determinants of return
                      to work in long-term survivors in Germany. Methods: We
                      studied return to work in a population-based sample of 1558
                      long-term cancer survivors, diagnosed in 1994-2004 with
                      breast, colorectal or prostate cancer before age 60 (mean
                      50.1). Information regarding employment status and financial
                      difficulties was obtained via mailed questionnaires from
                      patients who were identified by six population-based cancer
                      registries in Germany. Cumulative incidence of return to
                      work was determined by time-to-event analysis with
                      consideration of competing events. Chi2 tests and multiple
                      logistic regression modeling were employed to identify
                      potential sociodemographic and clinical determinants of
                      return to work. Results: Within a mean period since
                      diagnosis of 8.3 years, $63\%$ of all working-age cancer
                      survivors initially returned to their old job and another
                      $7\%$ took up a new job. Seventeen percent were granted a
                      disability pension, $6\%$ were early retired (not
                      cancer-related), $4\%$ became unemployed, and $1\%$ left the
                      job market for other reasons. Resumption of work occurred
                      within the first 2 years after diagnosis in $90\%$ of all
                      returnees. Cancer-related reduction of working hours was
                      reported by $17\%$ among all returnees and $6\%$ quit their
                      job due to cancer within 5 years past return to work. The
                      probability of return to work was strongly related with age
                      at diagnosis, tumor stage, education, and occupational class
                      but did not differ with respect to the tumor site, gender
                      nor marital status. Conclusions: Most long-term survivors
                      after breast, colorectal, or prostate cancer of working-age
                      are able to return to work. However, financial problems
                      might arise due to a reduction in working hours. An
                      additional provision of targeted interventions for high-risk
                      groups should be discussed.},
      cin          = {C070 / C071 / L101 / C120},
      ddc          = {610},
      cid          = {I:(DE-He78)C070-20160331 / I:(DE-He78)C071-20160331 /
                      I:(DE-He78)L101-20160331 / I:(DE-He78)C120-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:30777496},
      doi          = {10.1080/0284186X.2018.1557341},
      url          = {https://inrepo02.dkfz.de/record/143980},
}