title: [Work ability in cancer patients: Six years assessment after diagnosis in a cohort of 153 workers].
abstract: OBJECTIVE
  If several studies analyse the working abilities of cancer survivors two years after the diagnosis, few of them analyse the long term becoming at work of these patients. Here we study a cohort of 153 workers, 6 years after they returned to work after experiencing a cancer in 2005 or 2006. All these workers participated in a previous study realised in 2008, two years after the diagnosis.
  
  
  METHODS
  Fourty occupational physicians included 153 workers out of the 319 particpating in a first study conducted in 2008. Two questionnaires were completed by both the worker and the occupationnal physician. Twenty four patients' interviews and nine physician's interviews were also realized for qualitative analysis.
  
  
  RESULTS
  Six years after they returned to work, 46% were still working in the same company. Among patients aged less than 55 years (113 out of 153), they were 20% to leave the company (a 4% annual rate). Concerning the 83 salaries still at work, sequelaes of the disease are often still present: fatigue (57%), sleep disorders (56% vs 34% at 2 years), memory and concentration disorders (34%) and chronic pain (16%). Thirty one percent reported serious anxious disorders vs 29% in 2008. Difficulties are still present in 71% of the responders. Fourty percent of the nonexecutive workers feeled penalized. Qualitative study shows that a successfull return to work is associated with a friendly environement, the support of the company, and a long term accompagnying policy.
  
  
  CONCLUSIONS
  Six years after returning to work, one employee out of two is still working in the same company. Far to disappear, the identified difficulties two years after the diagnosis are still present, long time after stopping the treatments. A successfull return to work needs an important support from both the company and the co-workers.
authors.affiliation: Institut Curie, Maison des patients, 26, rue d'Ulm, 75005 Paris, France. Electronic address: monique.sevellec@gmail.com.
authors.forename: Monique
authors.initials: M
authors.lastname: Sevellec
authors.affiliation: Institut Curie, Service de biostatistiques, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: Lisa
authors.initials: L
authors.lastname: Belin
authors.affiliation: Société de médecine du travail ouest Ile-de-France (SMTOIF), 4, Place de Bagatelle, 92200 Neuilly-sur-Seine, France.
authors.forename: Marie-Françoise
authors.initials: MF
authors.lastname: Bourrillon
authors.affiliation: Conservatoire national des arts et métiers (CNAM), 292, rue Saint-Martin; 75141 Paris cedex 03, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Lhuilier
authors.affiliation: Institut Curie, Maison des patients, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: Emilie
authors.initials: E
authors.lastname: Rérolle
authors.affiliation: Société de médecine du travail ouest Ile-de-France (SMTOIF), 4, Place de Bagatelle, 92200 Neuilly-sur-Seine, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Le Bideau
authors.affiliation: Société de médecine du travail ouest Ile-de-France (SMTOIF), 4, Place de Bagatelle, 92200 Neuilly-sur-Seine, France.
authors.forename: Françoise
authors.initials: F
authors.lastname: Cotasson-Guillet
authors.affiliation: Institut Curie, Service de biostatistiques, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: Nelly
authors.initials: N
authors.lastname: Le Peltier
authors.affiliation: Institut Curie, Service de biostatistiques, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Asselain
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000453:epidemiology / Q000209:etiology; D015331:Cohort Studies; D005221:Fatigue / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006304:Health Status; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008569:Memory Disorders / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D009787:Occupational Medicine; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D036301:Qualitative Research; D062707:Return to Work / Q000706:statistics & numerical data*; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology; D012944:Social Support; D011795:Surveys and Questionnaires; D013997:Time Factors; D017132:Workplace / Q000706:statistics & numerical data
keywords: Après cancer; Difficultés; Employment after cancer; Maintien dans; Psychological difficulties; Sequelaes; Support; Séquelles; l'entreprise; psychologiques