abstract: 'Purpose This study aimed at (1) investigating the work status of men

  treated by radical prostatectomy due to diagnosis of localized prostate

  cancer (LPCa) three years after having attended a cancer rehabilitation

  program and (2) identifying prospective risk factors for not working at

  this time point. Methods In a longitudinal, questionnaire-based

  multicenter study, 519 working-age LPCa survivors reported on their work

  status 12 and 36 months following rehabilitation. Chi-square tests/t

  tests and multivariable logistic regression analysis were used to

  identify prospective factors associated with not working at 36 months

  follow-up. Results Nearly three quarter of LPCa survivors (N = 377,

  73\%) worked 3 years after post-acute rehabilitation. Most participants

  (N = 365, 71\%) showed continuous return-to-work (RTW) patterns as they

  worked both 1 and 3 years following rehabilitation. Multivariable

  regression analysis revealed older age, low or middle socio-economic

  status as well as resigned and unambitious work behavior and fatigue at

  the time of attending the rehabilitation program to be prospective

  factors for not working at 36 months follow-up. Low socio-economic

  status {[}Odds ratio (OR) 4.81, 95\% confidence interval (CI)

  2.07-11.16] and unambitious work behavior {[}OR 4.48, 95\% CI 2.16-9.31]

  were the strongest predictors. Conclusion Long-term work retention is a

  realistic goal among LPCa survivors. The results contribute to the

  identification of at-risk LPCa survivors early in the RTW process.

  Special attention should be paid to social inequality. Further,

  interventions related to the management of fatigue and work-related

  coping styles could improve long-term RTW, as these were relevant, but

  potentially modifiable factors impeding work retention.'
affiliation: 'Ullrich, A (Corresponding Author), Univ Med Ctr Hamburg Eppendorf, Dept
  Med Psychol, Martinistr 52, D-20246 Hamburg, Germany.

  Ullrich, Anneke; Rath, Hilke Maria; Bergelt, Corinna, Univ Med Ctr Hamburg Eppendorf,
  Dept Med Psychol, Martinistr 52, D-20246 Hamburg, Germany.

  Otto, Ullrich, Rehabil Clin Hartenstein GmbH, Clin Quellental, Bad Wildungen, Germany.

  Kerschgens, Christa, Vivantes Rehabil Clin GmbH, Berlin, Germany.

  Raida, Martin, HELIOS Rehabil Clin Berg Land, Wuppertal, Germany.

  Hagen-Aukamp, Christa, Niederrhein Rehabil Clin, Korschenbroich, Germany.'
author: Ullrich, Anneke and Rath, Hilke Maria and Otto, Ullrich and Kerschgens, Christa
  and Raida, Martin and Hagen-Aukamp, Christa and Bergelt, Corinna
author-email: a.ullrich@uke.de
author_list:
- family: Ullrich
  given: Anneke
- family: Rath
  given: Hilke Maria
- family: Otto
  given: Ullrich
- family: Kerschgens
  given: Christa
- family: Raida
  given: Martin
- family: Hagen-Aukamp
  given: Christa
- family: Bergelt
  given: Corinna
da: '2023-09-28'
doi: 10.1007/s00520-021-06376-6
earlyaccessdate: AUG 2021
eissn: 1433-7339
files: []
issn: 0941-4355
journal: SUPPORTIVE CARE IN CANCER
keywords: 'Prostate cancer; Employment; Long term; Rehabilitation; Return to work;

  Survivorship'
keywords-plus: 'QUALITY-OF-LIFE; META-SYNTHESIS; EXPERIENCES; INTERVENTIONS; INSTRUMENT;

  EMPLOYMENT; FATIGUE'
language: English
month: JAN
number: '1'
number-of-cited-references: '47'
orcid-numbers: 'Bergelt, Corinna/0000-0003-1413-1872

  Ullrich, Anneke/0000-0002-1759-4461'
pages: 843-854
papis_id: fe79a0354bbe8ac7745bec6e7f2dee89
ref: Ullrich2022longtermoutcomes
researcherid-numbers: 'Bergelt, Corinna/HJI-3342-2023

  '
times-cited: '0'
title: 'Long-term outcomes among localized prostate cancer survivors: prospective
  predictors for return-to-work three years after cancer rehabilitation'
type: Article
unique-id: WOS:000685146100002
usage-count-last-180-days: '2'
usage-count-since-2013: '6'
volume: '30'
web-of-science-categories: Oncology; Health Care Sciences \& Services; Rehabilitation
year: '2022'