Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review: Physical and psychosocial problems in cancer survivors beyond RTW
Abstract
OBJECTIVE: Attention for the expanding group of cancer survivors at work, and the late effects they are confronted with while working, has been limited. The objective of this systematic review is to identify and summarize studies, exploring ongoing physical and/or psychosocial problems related to functioning of employees with a history of cancer, beyond their return to work. METHODS: Publications were identified through computerized Medline, Psychinfo, Embase, and Cinahl searches (January 2000-March 2013). Studies had to be directed at cancer survivors, who were employed during the study. Both qualitative and quantitative studies were included. Quality assessment of these studies was performed. Two reviewers independently extracted data from each publication, e.g., physical and/or psychosocial problems (e.g., fatigue and cognitive limitations), outcome measures (e.g., work productivity), and qualitative and quantitative results. RESULTS: The search identified 8979 articles. After exclusion on title and abstract, 64 were retrieved for full text screening, of which 30 met the inclusion criteria. A total of 20 studies reported quantitative and 10 studies reported qualitative results. The majority of studies assessed psychosocial problems in cancer survivors at work. Cognitive limitations, coping issues, fatigue, depression, and anxiety were reported to influence work ability. Physical problems, such as difficulties with lifting and treatment-induced menopausal symptoms, were frequently described to affect functioning at work. CONCLUSIONS: Ongoing physical and/or psychosocial problems are present in occupationally active cancer survivors, which may cause serious difficulties at work. The results of this study may be used as input for developing supportive interventions for these survivors.
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Depression and anxiety are more common in female people with cancer.
“Depression and anxiety are more common in female PWC.3,8-11”
From Mindfulness and Psychosocial Symptoms in People with Cancer: Testing Rumination and Experiential Avoidance as Mediators, and Sex as a Moderator. (2025) · cites this paper as [10]
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“Most studies of cancer-related work limitations have been cross-sectional assessments of patients at different points in their treatment (10,13,15,23).”
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InfluentialColorectal cancer survival: prevalence of psychosocial distress and unmet supportive care needs
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“Frequently, people who have survived cancer experience long-term and late physical effects, such as pain, cognitive impairment, and fatigue [2, 3] in conjunction with psychological, social, and financial difficulties: fear of recurrence; trouble in reassuming family, work, and social roles, and issues surrounding empl…”
BackgroundDorland, H. F., Abma, F. I., van Zon, S. K. R., Stewart, R. E., Amick, B. C., Ranchor, A. V., Roelen, C. A. M., & Bültmann, U. (2018) · Journal of Cancer Survivorship · doi:10.1007/s11764-018-0676-x · Cited by 48 · see citing works
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“This is particularly problematic when functional impairments prevent cancer survivors from performing their demanding job tasks, for instance, lifting.(18,47) In addition, decision latitude and support from supervisors or colleagues can facilitate positive work outcomes, whereas discrimination or low social support at…”
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“Importantly, even subtle impairments, indicated by small statistical effect sizes, can impede quality of life and have a profound negative impact on social, occupational, and educational performance.(5,6) CRCI is most often attributed to the neurotoxic effects of chemotherapy treatment(7-9); however, recent findings s…”
BackgroundImpact of physical and psychosocial dysfunction on return to work in survivors of oral cavity cancer
Chen, S., Huang, B., Hung, T., Lin, C., & Chang, Y. (2019) · Psycho-Oncology · doi:10.1002/pon.5173 · Cited by 44 · see citing works
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“A recent systematic review of 30 studies suggested that, even among cancer survivors returning to employment, ongoing physical and/or psychosocial problems such as fatigue, difficulty lifting, treatment‐induced menopause symptoms, cognitive limitations, depression, and anxiety may persist and cause work‐related diffic…”
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“4 times more likely to be unemployed than ‘healthy’ employees [4] for example, and when cancer survivors are employed, they report facing psychological and physical difficulties at work [5, 6].”
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Greidanus, M. A., Tamminga, S. J., de Rijk, A. E., Frings‐Dresen, M. H. W., & de Boer, A. G. E. M. (2018) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-018-9800-z · Cited by 39 · see citing works
Persistent fatigue in hematopoietic stem cell transplantation survivors
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Health-Related Quality of Life among Cancer Survivors Depending on the Occupational Status
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“Cognitive limitations and fatigue caused by cancer and various side effects of treatment procedures can limit physical ability, emotional health and cause functional disorders [18].”
BackgroundBarriers to empathy-based care: oncology nurses’ perceptions
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Future research in cancer survivorship
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“It is 1 of the most prevalent and distressing long-term consequences of cancer [2], interferes with the activities of daily living, work ability [3], and maintenance of social relations, and consequently impacts patients’ well-being [4].”
Predictors of the course of quality of life during therapy in women with primary breast cancer
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“Broader literature concerning cancer survivorship suggests that return to work is an important dimension of social recovery after cancer but other work-related and economic outcomes are important as well (Duijts et al., 2013; Groeneveld, de Boer & Frings-Dresen, 2013; Mak, Chaidaroon, Fan, & Thalib, 2014; McGrath, Har…”
BackgroundPatient and provider experiences with active surveillance: A scoping review
Kim, C., Wright, F. C., Hong, N. J. L., Groot, G., Helyer, L. K., Meiers, P., Quan, M. L., Urquhart, R., Warburton, R., & Gagliardi, A. R. (2018) · PLoS ONE · doi:10.1371/journal.pone.0192097 · Cited by 31 · see citing works
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“The impact of cancer on patients is multifaceted and has been documented in some studies [17,18].”
ResultAdvanced Practice Providers and Survivorship Care: They Can Deliver
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“Such a measure might incorporate additional job accommodation strategies to address the non-musculoskeletal functional problems of workers with depression [52], workers surviving extensive cancer treatment [53,54], and those with stroke or heart attack [55,56].”
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“Physical and cognitive limitations may impact ability to work (9, 10).”
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“Physical function and emotional function are hypothesised to be most distinctive for the health of different subgroups of cancer patients and can have significant impact on economic circumstances [22].”
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“, fatigue, pain, emotional distress) to be predicted [34,35].”
BackgroundThe perceptions of Australian oncologists about cognitive changes in cancer survivors
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Predictors of fatigue and work ability in cancer survivors
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Integrated Rehabilitation for Breast Cancer Survivors
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“Many studies have identified factors that are associated with positive or suboptimal employment outcomes among individuals with BC.(108,109) For example, social support, accommodating employers, and financial security are associated with continued employment.”
Morales, C. Z., McDowell, L. J., Lisy, K., Piper, A., & Jefford, M. (2019) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2019.09.001 · Cited by 27 · see citing works
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Work Experiences During and After Treatment Among Self-Employed People with Cancer
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“Physical goals were defined by almost all patients regardless of subscores, which is in line with the literature showing that physical problems are frequent and easily addressed by both patients and health professionals [32,33].”
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Ehrenstein, J. K., van Zon, S. K. R., Duijts, S. F. A., van Dijk, B. A. C., Dorland, H. F., Schagen, S. B., & Bültmann, U. (2020) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00839-w · Cited by 23 · see citing works
Self-citationCancer survivors' experiences with conversations about work‐related issues in the hospital setting
Zegers, A. D., Coenen, P., van Belzen, M. A., Engelen, V., Richel, C., Dona, D. J. S., van der Beek, A. J., & Duijts, S. F. A. (2020) · Psycho-Oncology · doi:10.1002/pon.5529 · Cited by 23 · see citing works
Self-citationSelf-reported work ability in breast cancer survivors; a prospective cohort study in the Netherlands
Gregorowitsch, M. L., van den Bongard, H. J. G. D., Couwenberg, A. M., Young‐Afat, D. A., Haaring, C., van Dalen, T., Schoenmaeckers, E. J. P., Agterof, M. J., Baas, I. O., F, S., et al. (2019) · The Breast · doi:10.1016/j.breast.2019.08.004 · Cited by 22 · see citing works
Examining the role of pets in cancer survivors’ physical and mental wellbeing
Trigg, J. (2021) · Journal of psychosocial oncology · doi:10.1080/07347332.2021.1936337 · Cited by 19 · see citing works
- Authors
- Duijts, S. F. A., van Egmond, M. P., Spelten, E., van Muijen, P., Anema, J. R., & van der Beek, A. J.
- Affiliations
- University Medical Center Groningen (NL)
- Department of Public and Occupational Health, EMGO Institute for Health and Care Research; VU University Medical Center; Amsterdam the Netherlands
- Dutch Organisation of Psychosocial Oncology; Amsterdam the Netherlands
- Corresponding author
- Duijts, Saskia F. A.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-12-23
- Volume
- 23
- Issue
- 5
- Pages
- 481-492
- ISSN
- 1057-9249 (ISSN-L)
- OpenAlex
- W1650914523
- Cited by
- 356
- References
- 46
- Citations by year
- 2026: 19 · 2025: 23 · 2024: 33 · 2023: 27 · 2022: 38 · 2021: 45 · 2020: 42 · 2019: 37 · 2018: 31 · 2017: 26 · 2016: 16 · 2015: 13 · 2014: 5
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- cancer survivors, return to work, late effects of cancer, psychosocial problems, physical problems, fatigue, cognitive limitations, depression, anxiety, coping, labor productivity, work ability, menopausal symptoms, occupational functioning
- MeSH terms
- Adaptation, Psychological, Anxiety, Depression, Employment, Fatigue, Humans, Neoplasms, Quality of Life, Work, Survivors, Return to Work
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