The associations between late effects of cancer treatment, work ability and job resources: a systematic review

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The associations between late effects of cancer treatment, work ability and job resources: a systematic review Ingrid G. Boelhouwer1   · Willemijn Vermeer1 · Tinka van Vuuren2,3 Received: 30 July 2019 / Accepted: 25 August 2020 © The Author(s) 2020

Abstract Objective  The aim of this review is to evaluate associations between possible late effects of cancer treatment (i.e. physical complaints, fatigue, or cognitive complaints) and work ability among workers beyond 2 years after cancer diagnosis who returned to work. The role of job resources (social support, autonomy, leadership style, coaching, and organizational culture) is also evaluated. Methods  The search for studies was conducted in PsycINFO, Medline, Business Source Premier, ABI/Inform, CINAHL, Cochrane Library and Web of Science. A quality assessment was used to clarify the quality across studies. Results  The searches included 2303 records. Finally, 36 studies were included. Work ability seemed to decline shortly after cancer treatment and recover in the first 2 years after diagnosis, although it might still be lower than among healthy workers. No data were available on the course of work ability beyond the first 2 years. Late physical complaints, fatigue and cognitive complaints were negatively related with work ability across all relevant studies. Furthermore, social support and autonomy were associated with higher work ability, but no data were available on a possible buffering effect of these job resources on the relationship between late effects and work ability. As far as reported, most research was carried out among salaried workers. Conclusion  It is unknown if late effects of cancer treatment diminish work ability beyond 2 years after being diagnosed with cancer. Therefore, more longitudinal research into the associations between possible late effects of cancer treatment and work ability needs to be carried out. Moreover, research is needed on the buffering effect of job resources, both for salaried and self-employed workers. Keywords  Cancer treatment · Job resources · Late effects · Work ability · Work ability index

Introduction A growing number of people in the workforce have experienced a cancer diagnosis at some time during their life. The majority of working people diagnosed with cancer re-enter Electronic supplementary material  The online version of this article (https​://doi.org/10.1007/s0042​0-020-01567​-w) contains supplementary material, which is available to authorized users. * Ingrid G. Boelhouwer [email protected] 1



Department of Applied Psychology, Amsterdam University of Applied Sciences, Wibauthuis, Wibautstraat 3b, 1091 GH Amsterdam, The Netherlands

2



Faculty of Management, Open University of The Netherlands, Heerlen, The Netherlands

3

Loyalis Knowledge and Consult, Heerlen, The Netherlands



the workplace. The mean rates of return to work reported in reviews are 62% (Spelten et al. 2002), 64% (Mehnert 2011), and 73% (De Boer et al. 2020a). Return to work pathways vary, among others because of differe