Purpose

Work is important for identity formation, social status, and economic independency. Although some evidence within the field of work and cancer survivorship exists, no study has so far investigated employment status across all cancer diagnoses. Thus, the aim of the present study was to investigate the impact of all cancer diagnoses on employment status.

Methods

Danish cancer patients aged 20–60 years, diagnosed between 2000 and 2015, were identified through Danish registers and matched 1:5 with cancer-free controls. Logistic and linear regression was performed separately in 11 cancer types to assess and compare work status and work participation between cancer patients and cancer-free controls one, three, and five years after diagnosis.

Results

A total of 111,770 cancer patients and 507,003 cancer-free controls were included. All cancer types had lower chances of working one year after diagnosis (ORs between 0.05 and 0.76), with lung, colorectal, upper gastrointestinal, and blood cancer patients having the lowest chances. After three years, 10 of 11 cancer types had lower chances (ORs between 0.39 and 0.84). After five years, there were minimal differences between cancer patients and controls among most cancer types (ORs between 0.75 and 1.36).

Conclusion

Most cancer patients had lower chances of working compared with the general population until five years after diagnosis. However, patients with certain cancer types experienced lower chances of working all years, despite improvement over time.

Implications for Cancer Survivors

The knowledge will help increase awareness on challenges regarding work-life after cancer. Furthermore, the distinguishing between diagnoses can inform to more targeted vocational rehabilitation.

中文翻译：

---

癌症患者诊断后前五年的就业状况——一项基于登记的研究

目的

工作对于身份形成、社会地位和经济独立很重要。尽管存在工作和癌症生存领域的一些证据，但迄今为止还没有研究调查所有癌症诊断中的就业状况。因此，本研究的目的是调查所有癌症诊断对就业状况的影响。

方法

通过丹麦登记册识别 2000 年至 2015 年间诊断的 20-60 岁丹麦癌症患者，并与无癌症对照进行 1:5 匹配。对 11 种癌症类型分别进行逻辑回归和线性回归，以评估和比较癌症患者和无癌症对照者在诊断后一年、三年和五年的工作状态和工作参与度。

结果

总共包括 111,770 名癌症患者和 507,003 名无癌症对照者。所有癌症类型在诊断后一年内工作的机会均较低（OR 在 0.05 至 0.76 之间），其中肺癌、结直肠癌、上消化道癌和血癌患者的机会最低。三年后，11 种癌症类型中有 10 种的发病率较低（OR 在 0.39 至 0.84 之间）。五年后，大多数癌症类型的癌症患者和对照组之间的差异很小（OR 在 0.75 和 1.36 之间）。

结论

与普通人群相比，大多数癌症患者在诊断后五年内工作的机会较低。然而，患有某些癌症类型的患者多年来工作的机会较低，尽管随着时间的推移有所改善。

对癌症幸存者的影响

这些知识将有助于提高人们对癌症后工作生活挑战的认识。此外，区分诊断可以为更有针对性的职业康复提供信息。