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Occupational status among adult survivors following allogeneic stem cell transplantation in childhood.
Winterling, Jeanette; Johansson, Eva; Wettergren, Lena; Ljungman, Per; Alexanderson, Kristina.
Afiliação
  • Winterling J; Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
  • Johansson E; Center of Haematology, Karolinska University Hospital, Stockholm, Sweden.
  • Wettergren L; Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
  • Ljungman P; Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Stockholm, Sweden.
  • Alexanderson K; Center of Haematology, Karolinska University Hospital, Stockholm, Sweden.
Eur J Cancer Care (Engl) ; 27(2): e12808, 2018 Mar.
Article em En | MEDLINE | ID: mdl-29315926
This study examined occupational status and factors associated with sick leave and disability pension among adult long-term survivors previously treated with allogeneic stem cell transplantation (allo-SCT) during childhood. Moreover, occupational status was compared to that of a reference group. Data were collected with questionnaires and from medical records. The SCT group included 59 adults (18-45 years old: response rate 63%) treated with allo-SCT in childhood with a median of 17 (range 3-28) years earlier. The reference group included 296 individuals randomly selected from the general population. The results show that 54% of the long-term survivors were working part- or full-time and that 19% were on sick leave or disability pension. A larger proportion of the SCT group was on sick leave or disability pension (19% vs. 6%: p < .001) than of the reference group. The logistic regression analysis revealed that being on sick leave or disability pension among long-term survivors was associated with late effects related to the allo-SCT (OR 12.28: 95% CI 1.3-111.6: p = .03). The results underscore that long-term survivors' engagement in paid work is influenced many years after treatment and highlights the need to include vocational assistance in the rehabilitation following allo-SCT in childhood.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pensões / Pessoas com Deficiência / Licença Médica / Transplante de Células-Tronco / Sobreviventes de Câncer Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pensões / Pessoas com Deficiência / Licença Médica / Transplante de Células-Tronco / Sobreviventes de Câncer Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged País como assunto: Europa Idioma: En Ano de publicação: 2018 Tipo de documento: Article