Unemployment Status Subsequent to Cancer Diagnosis and Therapies: A Systematic Review and Meta-Analysis

The purpose of our study is to examine whether cancer and treatments are associated with job loss or changes in employment status. Eight prospective studies were included in the systematic review and meta-analysis, with a population aged 18-65 years, analyzing treatment regimen and psychophysical an...

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Bibliographic Details
Published in:Cancers 2023-02, Vol.15 (5), p.1513
Main Authors: Chimienti, Martina, Morlino, Giustino, Ingravalle, Fabio, Vinci, Antonio, Colarusso, Emilio, De Santo, Carolina, Formosa, Valeria, Gentile, Lavinia, Lorusso, Grazia, Mosconi, Claudia, Scaramella, Martina, Rosca, Virginia, Veneziano, Elena, Torino, Francesco, Emberti Gialloreti, Leonardo, Palombi, Leonardo
Format: Article
Language:English
Subjects:
Age
Bias
Body weight
Cancer
Cancer survivors
Cancer therapies
Care and treatment
Chemotherapy
Diagnosis
Employment
Fallout
France
Health aspects
Medical diagnosis
Meta-analysis
Morbidity
Population
Psychophysics
Public health
Retirement
Risk factors
Social interactions
Statistics
Systematic Review
Unemployment
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Summary:The purpose of our study is to examine whether cancer and treatments are associated with job loss or changes in employment status. Eight prospective studies were included in the systematic review and meta-analysis, with a population aged 18-65 years, analyzing treatment regimen and psychophysical and social status in post-cancer follow-up of at least 2 years. In the meta-analysis, a comparison was made between recovered unemployed cases and cases from a standard reference population. Results are summarized graphically using a forest plot. We showed that cancer and subsequent treatment are risk factors for unemployment with an overall relative risk of 7.24 (lnRR: 1.98, 95% CI: 1.32-2.63) or for change in employment status. Individuals undergoing chemotherapy and/or radiation treatment and those with brain and colorectal cancers are more likely to develop disabilities that negatively affect the risk of unemployment. Finally, variables such as low level education, female sex, older age, and being overweight before starting therapy are associated with higher risk of unemployment. In the future, it will be necessary for people with cancer to have access to specific health, social welfare, and employment support programs. In addition, it is desirable that they become more involved in their choice of therapeutic treatment.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers15051513