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@ARTICLE{Vlaski:305683,
author = {T. Vlaski$^*$ and R. Caspari and H. Fischer and T. Trarbach
and M. Slavic$^*$ and H. Brenner$^*$ and B. Schöttker$^*$},
title = {{E}valuation of the {S}ocio-{M}edical {A}ssessment of
{W}ork {C}apacity in {P}atients with {C}olorectal {C}ancer
in {G}erman {R}ehabilitation {C}linics: {I}ts {D}iagnostic
{A}ccuracy for {A}ctual {R}eturn to {W}ork and the
{P}hysicians' {V}iews on {P}otential {C}hanges in {C}urrent
{P}ractice.},
journal = {The journal of occupational rehabilitation},
volume = {nn},
issn = {1053-0487},
address = {Dordrecht [u.a.]},
publisher = {Springer Science + Business Media B.V.},
reportid = {DKFZ-2025-02306},
pages = {nn},
year = {2025},
note = {#EA:C070#LA:C070# epub},
abstract = {Return to work (RTW) is a goal of many patients with
colorectal cancer (PwCRC) attending inpatient
rehabilitation. In German rehabilitation clinics, physicians
conduct the socio-medical assessment of work capacity (SMWC)
with the aim of assessing the current ability to work. We
tested how well it also predicts the actual RTW of
PwCRC.This study combined a nationwide physician survey (n =
38) with longitudinal data from a cohort study of PwCRC (n =
172) aged 65 or younger who were employed prior to CRC
diagnosis. Physicians were asked about their use of
validated tools for the SMWC and their attitudes toward a
standardized assessment checklist. PwCRC completed baseline
and 9-month follow-up questionnaires about their employment
status. SMWC results of the cohort study's participants were
extracted from rehabilitation discharge reports.While $97\%$
of PwCRC were predicted to be capable of working ≥ 6
h/day, only $70\%$ actually returned to work 9 months after
rehabilitation. The SMWC showed high sensitivity $(98\%)$
but low specificity $(6\%)$ for predicting RTW, with a
positive predictive value (PPV) of about $70\%.$ Most
physicians $(73\%)$ at least partly saw the need for an
evidence-based structured checklist for an improved SMWC,
and almost all $(95\%)$ would use it if it did not take more
than 10 min to apply it.The SMWC for PwCRC in German
rehabilitation clinics is not standardized and overestimates
the return-to-work rate. There is a need for a standardized
checklist, and most physicians would be willing to use it.},
keywords = {Cancer rehabilitation (Other) / Cancer survivorship (Other)
/ Colorectal cancer (Other) / Return to work (Other) /
Social medical assessment of work capacity (Other)},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41205086},
doi = {10.1007/s10926-025-10338-8},
url = {https://inrepo02.dkfz.de/record/305683},
}