title: Long-term workforce participation patterns following head and neck cancer.
abstract: OBJECTIVE
  This analysis describes the long-term workforce participation patterns of individuals diagnosed with head and neck cancer (HNC).
  
  
  METHODS
  Survivors of HNC (ICD10 C00-C14, C32) diagnosed at least 8 months previously were identified from the National Cancer Registry Ireland and sent a survey including questions about working arrangements before and since diagnosis. Descriptive statistics and multivariate logistic regression were used to examine the factors that influence workforce participation at 0, 1 and 5 years after diagnosis.
  
  
  RESULTS
  Two hundred sixty-four individuals employed at the time of diagnosis responded to the survey, an average 6 years post-diagnosis. Seventy-seven percent took time off work after diagnosis, with a mean work absence of 9 months (range 0-65 months). Fifty-two percent of participants reduced their working hours (mean reduction 15 h/week). The odds of workforce participation following HNC were increased by not being eligible for free medical care (OR 2.61, 95% CI 1.15-5.94), having lip, mouth or salivary gland cancer (compared to cancer of the pharynx or cancer of the larynx, OR 2.79, 1.20-6.46), being self-employed (OR 2.01, 1.07-3.80), having private health insurance (OR 2.06, 1.11-3.85) and not receiving chemotherapy (OR 2.82, 1.31-6.06). After 5 years, only the effect of medical card remained (i.e., medical insurance) (OR 4.03, 1.69-9.62).
  
  
  CONCLUSIONS
  Workforce participation patterns after HNC are complex and are influenced by cancer, treatment and employment factors.
  
  
  CONCLUSIONS
  Patients should be informed of the potential impacts of HNC on workforce participation, and clinicians, policy makers and employers should be aware of these potential longer-term effects and related variables.
authors: National Cancer Registry Ireland, Building 6800, Cork Airport Business Park, Kinsale Rd, Cork, Ireland, a.pearce@ncri.ie.
authors: Alison
authors: A
authors: Pearce
authors: Aileen
authors: A
authors: Timmons
authors: Eleanor
authors: E
authors: O'Sullivan
authors: Pamela
authors: P
authors: Gallagher
authors: Rachael
authors: R
authors: Gooberman-Hill
authors: Audrey Alforque
authors: AA
authors: Thomas
authors: Michal
authors: M
authors: Molcho
authors: Phyllis
authors: P
authors: Butow
authors: Linda
authors: L
authors: Sharp
mesh_terms: D000368:Aged; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology* / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D017741:Survivors