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   type of cancer treatment and cognitive symptoms in working cancer survivors: an 18-month follow-up study  
   
نویسنده ehrenstein johanna k. ,zon sander k.r. van ,duijts saskia f.a. ,dijk boukje a.c. van ,dorland heleen f. ,schagen sanne b. ,bültmann ute
منبع journal of cancer survivorship - 2020 - دوره : 14 - شماره : 2 - صفحه:158 -167
چکیده    Cognitive symptoms are reported to affect cancer survivors’ functioning at work. however, little is known about the type of cancer treatment and cognitive symptoms in working cancer survivors. we examined the longitudinal association between type of cancer treatment and cognitive symptoms in cancer survivors post return to work, and whether the course of cognitive symptoms over 18 months differed per type of cancer treatment. data from the dutch longitudinal “work-life after cancer” study were used. the study population consisted of 330 working cancer survivors who completed questionnaires at baseline, and 6, 12, and 18 months follow-up. cognitive symptoms were assessed with the cognitive symptom checklist-work and linked with cancer treatment data from the netherlands cancer registry. data were analyzed using generalized estimating equations. cancer survivors who received chemotherapy reported comparable memory symptom levels (b: − 2.3; 95% ci = − 7.1, 2.5) to those receiving locoregional treatment. executive function symptom levels (b: − 4.1; 95% ci = − 7.8, − 0.4) were significantly lower for cancer survivors who received chemotherapy, compared with those receiving locoregional treatment. in cancer survivors who received other systemic therapy, memory (b: 0.4; 95% ci = 0.1, 0.7) and executive function symptom levels (b: 0.4; 95% ci = 0.0, 0.7) increased over time. in cancer survivors who received chemotherapy and locoregional treatment, memory and executive function symptom scores were persistent during the first 18 months after return to work. the contradictory finding that cancer patients receiving chemotherapy report fewer cognitive symptoms warrants further research. working cancer survivors have cognitive symptom management needs irrespective of the type of cancer treatment they received.
کلیدواژه cancer-related cognitive impairment ,type of cancer treatment ,employment ,psycho-oncology
آدرس university of groningen, university medical center groningen, community and occupational medicine, department of health sciences, the netherlands, university of groningen, university medical center groningen, community and occupational medicine, department of health sciences, the netherlands, vrije universiteit amsterdam, amsterdam public health research institute, department of public and occupational health, the netherlands. comprehensive cancer center the netherlands (iknl), department of research and development, the netherlands, comprehensive cancer center the netherlands (iknl), department of research and development, the netherlands. university of groningen, university medical center groningen, department of epidemiology, the netherlands, university of groningen, university medical center groningen, community and occupational medicine, department of health sciences, the netherlands, the netherlands cancer institute, division of psychosocial research and epidemiology, the netherlands. university of amsterdam, department of psychology, the netherlands, university of groningen, university medical center groningen, community and occupational medicine, department of health sciences, the netherlands
 
     
   
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