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Chi-square tests\/<jats:italic>t<\/jats:italic>tests and multivariable logistic regression analysis were used to identify prospective factors associated with not working at 36\u00a0months follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nearly three quarter of LPCa survivors (<jats:italic>N<\/jats:italic>\u2009=\u2009377, 73%) worked 3\u00a0years after post-acute rehabilitation. Most participants (<jats:italic>N<\/jats:italic>\u2009=\u2009365, 71%) showed continuous return-to-work (RTW) patterns as they worked both 1 and 3\u00a0years 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\u00a0months follow-up. Low socio-economic status [Odds ratio (OR) 4.81, 95% confidence interval (CI) 2.07\u201311.16] and unambitious work behavior [OR 4.48, 95% CI 2.16\u20139.31] were the strongest predictors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00520-021-06376-6","type":"journal-article","created":{"date-parts":[[2021,8,15]],"date-time":"2021-08-15T16:02:11Z","timestamp":1629043331000},"page":"843-854","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long-term outcomes among localized prostate cancer survivors: prospective predictors for return-to-work three years after cancer rehabilitation"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1759-4461","authenticated-orcid":false,"given":"Anneke","family":"Ullrich","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilke Maria","family":"Rath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ullrich","family":"Otto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christa","family":"Kerschgens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Raida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christa","family":"Hagen-Aukamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinna","family":"Bergelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,15]]},"reference":[{"key":"6376_CR1","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","volume":"85","author":"NK Aaronson","year":"1993","unstructured":"Aaronson NK, Ahmedzai S, Bergman, et al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30; A quality o life instrument for use in international clinical trials in oncology. 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