oncotomskСибирский онкологический журналSiberian journal of oncology1814-48612312-3168Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences10.21294/1814-4861-2024-23-4-19-31oncotomsk-3189Research ArticleЭПИДЕМИОЛОГИЧЕСКИЕ ИССЛЕДОВАНИЯEPIDEMIOGICAL STUDIESВлияние диагноза рак на статус занятости трудоспособного населенияThe impact of cancer diagnosis on employment status in a working populationhttps://orcid.org/0009-0003-6366-0356PalizgirA.PalizgirA.

Ali Palizgir, специалист по профессиональной медицине кафедры профессиональной медицины, медицинский факультет

г. Тегеран

Ali Palizgir, MD, Occupational Medicine Specialist, Occupational Medicine Department, School of Medicine

Tehran

https://orcid.org/0000-0002-2123-9956KhodakarimN.KhodakarimN.

Nastaran Khodakarim, доцент кафедры внутренних болезней, медицинский факультет

Author ID (Scopus): 36018502200

г. Тегеран

Nastaran Khodakarim, MD, Assistant Professor, Department of Internal Medicine, School of Medicine

Author ID (Scopus): 36018502200

Tehran

https://orcid.org/0000-0003-0650-6654MohammadiS.MohammadiS.

Saber Mohammadi, профессор кафедры профессиональной медицины, медицинский факультет

Author ID (Scopus): 8726719600

Researcher ID (WOS): C-9484-2011

г. Тегеран

Saber Mohammadi, MD, Professor, Occupational Medicine department, School of Medicine

Author ID (Scopus): 8726719600

Researcher ID (WOS): C-9484-2011

Tehran

https://orcid.org/0009-0002-0668-5699RezaeiF.RezaeiF.

Fakhri Rezaei, специалист по профессиональной медицине кафедры профессиональной медицины, медицинский факультет

г. Тегеран

Fakhri Rezaei, MD, Occupational Medicine Specialist, Occupational Medicine department, School of Medicine

Tehran

https://orcid.org/0000-0002-0443-4717HosseininejadM.HosseininejadM.

Mahin Hosseininejad, доцент кафедры профессиональной медицины, медицинский факультет

Author ID (Scopus): 57211712285

Researcher ID (WOS): J-2582-2018

г. Тегеран

Mahin Hosseininejad, MD, Assistant Professor, Occupational Medicine department, School of Medicine

Author ID (Scopus): 57211712285

Researcher ID (WOS): J-2582-2018

Tehran

Иранский университет медицинских наукИранIran University of Medical SciencesIslamic Republic of Iran2024070920242341931Copyright © Palizgir A., Khodakarim N., Mohammadi S., Rezaei F., Hosseininejad M., 20242024Palizgir A., Khodakarim N., Mohammadi S., Rezaei F., Hosseininejad M.Palizgir A., Khodakarim N., Mohammadi S., Rezaei F., Hosseininejad M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.siboncoj.ru/jour/article/view/3189

Цели исследования – изучение статуса возвращения к работе и влияющих на это факторов у пациентов с распространенными видами рака, обратившихся в три медицинских центра в период с 2020 по 2022 г. Материал и метод. Ретроспективное исследование включало пациентов, которые обращались в 3 медицинских центра в 2020–2022 гг. и у которых диагностированы различные виды злокачественных опухолей (неходжкинская лимфома, лимфома Ходжкина, рак органов желудочнокишечного тракта и саркома). Оценка трудоспособности проводилась с помощью анкеты WAI (Work Ability Index). Госпитальная шкала тревоги и депрессии (HADS) использовалась для оценки уровня тревоги и депрессии, а субъективная шкала оценки астении (MFI-20) – для оценки уровня усталости. Затем ответы, полученные от лиц, вернувшихся к трудовой деятельности, сравнивались с данными тех, кто не вернулся на работу. Результаты. Из 750 пациентов, соответствующих критериям для включения в исследование, было выбрано 135 человек. Из них 114 (84,4 %) пациентов мужского пола. Средний возраст составил 50,2 ± 10,4 года. У большинства диагностирован рак желудка (n=66; 48,9 %). После завершения лечения 36 (26,7 %) пациентов вернулись к трудовой деятельности, причем большинство (n=24; 66,6 %) сообщили о снижении физической способности выполнять привычную работу. Не вернулись к работе 66 (73,3 %) пациентов, наиболее частой причиной была физическая нетрудоспособность – у 60 (66,6 %) человек. У людей, вернувшихся к трудовой деятельности, отмечен более высокий показатель качества жизни. Заключение. Показатель возвращения к работе составил около 27 %. Он был самым высоким у пациентов с неходжкинской лимфомой и самым низким – у больных раком пищевода и лимфомой Ходжкина. Наиболее значимыми факторами, влияющими на трудовую реабилитацию, являются рецидив заболевания и качество жизни.

The aim of this study was to investigate the status of return to work and the influencing factors in patients with common cancers referring to three medical centers during the years 2020 to 2022. Material and Methods. In the present study (a retrospective cohort), all patients who visited three medical centers during the years 2020–2022 and were diagnosed with common cancers (non-Hodgkin’s lymphoma, Hodgkin’s lymphoma, gastrointestinal cancers and sarcoma), were included in the study. Work ability index (WAI) was assessed based on selected questions from the WAI questionnaire. Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety, and Multidimensional Fatigue Inventory (MFI-20) was used to assess the level of fatigue. Then, the data obtained from individuals who returned to work were compared with those who did not return. Results. Out of 750 eligible patients, 135 individuals were enrolled in the study. 114 patients were male (84.4 %). The mean age of individuals was 50.2 ± 10.4 years. The most of individuals were diagnosed with gastric cancer (n=66, 48.9 %). After treatment, 36 (26.7 %) individuals returned to work, with the majority (24 individuals: 66.6 %) reporting a decrease in physical ability to do work. Sixty-six (73.3 %) patients did not return to work, with the most common reason being physical inability to work in 60 (66.6 %) individuals. Higher quality of life score was reported in individuals who returned to work. Conclusion. The rate of return to work was approximately 27 %. The return to work rate was highest among individuals with non-Hodgkin’s lymphoma and lowest among individuals with oesophageal cancer and Hodgkin’s lymphoma. The most influential factors affecting the return to work include disease recurrence and quality of life.

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The authors declare that there are no conflicts of interest present.