Important factors associated with sick leave after allogeneic haematopoietic stem cell transplantation—a 1-year prospective study

Purpose This study examines sick leave (SL) and factors associated with full-time SL 1 year after allogeneic haematopoietic stem cell transplantation (allo-HSCT) in patients of working age from 2009 to 2016 ( n = 122). Methods Questionnaire data were collected on admission to the allo-HSCT unit, at...

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Veröffentlicht in:Journal of cancer survivorship 2021-12, Vol.15 (6), p.933-941
Hauptverfasser: Eriksson, Linda, Wennman-Larsen, Agneta, Bergkvist, Karin, Ljungman, Per, Winterling, Jeanette
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container_end_page 941
container_issue 6
container_start_page 933
container_title Journal of cancer survivorship
container_volume 15
creator Eriksson, Linda
Wennman-Larsen, Agneta
Bergkvist, Karin
Ljungman, Per
Winterling, Jeanette
description Purpose This study examines sick leave (SL) and factors associated with full-time SL 1 year after allogeneic haematopoietic stem cell transplantation (allo-HSCT) in patients of working age from 2009 to 2016 ( n = 122). Methods Questionnaire data were collected on admission to the allo-HSCT unit, at 7 months and 1 year after allo-HSCT. Associations between factors and SL were analysed using logistic regression analyses. Results One year after allo-HSCT, 76% of participants were on SL, with 36% on full-time SL. In univariable analyses, chronic graft-versus-host-disease (cGvHD) (OR 3.07; 95% CI 1.34–7.07; p = 0.01), having symptoms of depression at 7 months (OR 4.81; 95% CI 1.69–13.69; p = 0.00) and low levels of vocational satisfaction at 7 months after treatment (OR 3.27; 95% CI 1.27–8.41; p = 0.01) were associated with full-time SL 1 year after allo-HSCT. cGvHD (OR 3.43; 95% CI 1.35–8.73; p = 0.01) and having symptoms of depression at 7 months after allo-HSCT (OR 3.37; 95% CI 1.2–11.58; p = 0.02) remained significant in multivariable analysis. Conclusion The majority of allo-HSCT survivors were on SL 1 year after treatment, and cGvHD, low vocational satisfaction and depressive symptoms were associated with full-time SL 1 year after allo-HSCT. Implications for Cancer Survivors Healthcare professionals need to be observant of and manage the consequences of cGvHD and patients’ symptoms of depression in order to support them appropriately in their return-to-work process.
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Methods Questionnaire data were collected on admission to the allo-HSCT unit, at 7 months and 1 year after allo-HSCT. Associations between factors and SL were analysed using logistic regression analyses. Results One year after allo-HSCT, 76% of participants were on SL, with 36% on full-time SL. In univariable analyses, chronic graft-versus-host-disease (cGvHD) (OR 3.07; 95% CI 1.34–7.07; p = 0.01), having symptoms of depression at 7 months (OR 4.81; 95% CI 1.69–13.69; p = 0.00) and low levels of vocational satisfaction at 7 months after treatment (OR 3.27; 95% CI 1.27–8.41; p = 0.01) were associated with full-time SL 1 year after allo-HSCT. cGvHD (OR 3.43; 95% CI 1.35–8.73; p = 0.01) and having symptoms of depression at 7 months after allo-HSCT (OR 3.37; 95% CI 1.2–11.58; p = 0.02) remained significant in multivariable analysis. Conclusion The majority of allo-HSCT survivors were on SL 1 year after treatment, and cGvHD, low vocational satisfaction and depressive symptoms were associated with full-time SL 1 year after allo-HSCT. Implications for Cancer Survivors Healthcare professionals need to be observant of and manage the consequences of cGvHD and patients’ symptoms of depression in order to support them appropriately in their return-to-work process.</description><identifier>ISSN: 1932-2259</identifier><identifier>ISSN: 1932-2267</identifier><identifier>EISSN: 1932-2267</identifier><identifier>DOI: 10.1007/s11764-020-00986-5</identifier><identifier>PMID: 33417181</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Allogeneic haematopoietic stem cell transplantation ; Employee benefits ; Graft vs Host Disease ; Health Informatics ; Health Promotion and Disease Prevention ; Health services ; Hematopoietic Stem Cell Transplantation ; Hematopoietic stem cells ; Humans ; Medicine ; Medicine &amp; Public Health ; Mental depression ; Oncology ; Patients ; Primary Care Medicine ; Prospective Studies ; Public Health ; Quality of Life Research ; Retrospective Studies ; Return to work ; Sick Leave ; Sickness absence ; Signs and symptoms ; Stem cell transplantation ; Stem cells ; Transplantation</subject><ispartof>Journal of cancer survivorship, 2021-12, Vol.15 (6), p.933-941</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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Methods Questionnaire data were collected on admission to the allo-HSCT unit, at 7 months and 1 year after allo-HSCT. Associations between factors and SL were analysed using logistic regression analyses. Results One year after allo-HSCT, 76% of participants were on SL, with 36% on full-time SL. In univariable analyses, chronic graft-versus-host-disease (cGvHD) (OR 3.07; 95% CI 1.34–7.07; p = 0.01), having symptoms of depression at 7 months (OR 4.81; 95% CI 1.69–13.69; p = 0.00) and low levels of vocational satisfaction at 7 months after treatment (OR 3.27; 95% CI 1.27–8.41; p = 0.01) were associated with full-time SL 1 year after allo-HSCT. cGvHD (OR 3.43; 95% CI 1.35–8.73; p = 0.01) and having symptoms of depression at 7 months after allo-HSCT (OR 3.37; 95% CI 1.2–11.58; p = 0.02) remained significant in multivariable analysis. 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Methods Questionnaire data were collected on admission to the allo-HSCT unit, at 7 months and 1 year after allo-HSCT. Associations between factors and SL were analysed using logistic regression analyses. Results One year after allo-HSCT, 76% of participants were on SL, with 36% on full-time SL. In univariable analyses, chronic graft-versus-host-disease (cGvHD) (OR 3.07; 95% CI 1.34–7.07; p = 0.01), having symptoms of depression at 7 months (OR 4.81; 95% CI 1.69–13.69; p = 0.00) and low levels of vocational satisfaction at 7 months after treatment (OR 3.27; 95% CI 1.27–8.41; p = 0.01) were associated with full-time SL 1 year after allo-HSCT. cGvHD (OR 3.43; 95% CI 1.35–8.73; p = 0.01) and having symptoms of depression at 7 months after allo-HSCT (OR 3.37; 95% CI 1.2–11.58; p = 0.02) remained significant in multivariable analysis. Conclusion The majority of allo-HSCT survivors were on SL 1 year after treatment, and cGvHD, low vocational satisfaction and depressive symptoms were associated with full-time SL 1 year after allo-HSCT. Implications for Cancer Survivors Healthcare professionals need to be observant of and manage the consequences of cGvHD and patients’ symptoms of depression in order to support them appropriately in their return-to-work process.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33417181</pmid><doi>10.1007/s11764-020-00986-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0661-4890</orcidid><oa>free_for_read</oa></addata></record>
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subjects Allogeneic haematopoietic stem cell transplantation
Employee benefits
Graft vs Host Disease
Health Informatics
Health Promotion and Disease Prevention
Health services
Hematopoietic Stem Cell Transplantation
Hematopoietic stem cells
Humans
Medicine
Medicine & Public Health
Mental depression
Oncology
Patients
Primary Care Medicine
Prospective Studies
Public Health
Quality of Life Research
Retrospective Studies
Return to work
Sick Leave
Sickness absence
Signs and symptoms
Stem cell transplantation
Stem cells
Transplantation
title Important factors associated with sick leave after allogeneic haematopoietic stem cell transplantation—a 1-year prospective study
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