{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:06:56Z","timestamp":1784009216091,"version":"3.55.0"},"reference-count":69,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006450","name":"University of G\u00e4vle","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006450","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To longitudinally assess fatigue, physical and daily activity, and work ability 7 years post therapy in a radiotherapy-treated cohort, and to compare the long-term data with matched non-cancer referents from the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A questionnaire assessed fatigue, concurrent symptoms, and physical and daily activity including work ability during radiotherapy and at a 7-year follow-up. For comparison, randomized matched population referents were included at the corresponding time point for each cancer survivor\u2019s follow-up and responded the same questionnaire once. Generalized linear mixed models identified factors predicting and associated with fatigue and work ability at follow-up among survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 221 cancer survivors (49% females; mean age 72\u2009\u00b1\u200911\u00a0years; 39% breast, 42% prostate, 20% other cancers) and 241 referents, survivors reported less fatigue over time but still more than referents (prevalence 58% vs. 41%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001; score 2.1 vs. 1.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001). Their physical and daily activities improved to levels similar to referents. Working survivors reported lower self-perceived work ability (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.016) and percentage of full-time work (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.005). Fatigue during radiotherapy predicted fatigue at follow-up independent of depressed mood, pain, and number of concurrent symptoms. Among working survivors, fatigue was associated with poorer work ability, whereas being female, higher work self-efficacy, and work-related well-being were associated with better work ability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and implication<\/jats:title>\n                    <jats:p>Fatigue during treatment may be an early indicator for persistent fatigue in cancer survivors, which may be related to reduced work ability. Long-term cancer survivors reported worse fatigue compared with referents. Future studies are warranted to examine whether early identification and supportive strategies may influence later fatigue and its potential implications for work ability in cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-026-02041-1","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:44:19Z","timestamp":1779381859000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fatigue, physical and daily activity, and self-perceived work ability in cancer survivors: a long-term follow-up study with a matched non-cancer reference group"],"prefix":"10.1007","author":[{"given":"Kristina","family":"T\u00f6dt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Engstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Heiden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela G. E. M.","family":"de Boer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Efverman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"issue":"5","key":"2041_CR1","first-page":"409","volume":"72","author":"KD Miller","year":"2022","unstructured":"Miller KD, Nogueira L, Devasia T, Mariotto AB, Yabroff KR, Jemal A, et al. Cancer treatment and survivorship statistics, 2022. CA Cancer J Clin. 2022;72(5):409\u201336.","journal-title":"CA Cancer J Clin"},{"key":"2041_CR2","doi-asserted-by":"crossref","unstructured":"De Lorenzo F, Apostolidis K, Florindi F, Makaroff L.E. Improving European policy to support cancer survivors J Canc Policy 2018;15:72\u20135.","DOI":"10.1016\/j.jcpo.2018.01.004"},{"issue":"4","key":"2041_CR3","first-page":"323","volume":"1","author":"CP Hsiao","year":"2016","unstructured":"Hsiao CP, Daly B, Saligan LN. The etiology and management of radiotherapy-induced fatigue. Expert Rev Qual Life Cancer Care. 2016;1(4):323\u20138.","journal-title":"Expert Rev Qual Life Cancer Care"},{"key":"2041_CR4","doi-asserted-by":"crossref","unstructured":"Fabi A, Bhargava R, Fatigoni S, Guglielmo M, Horneber M, Roila F, Weis J, Jordan K, Ripamonti CI, clinicalguidelines@esmo.org EGCEa: Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment. Ann Oncol 2020;31(6):713\u2013723.","DOI":"10.1016\/j.annonc.2020.02.016"},{"issue":"8","key":"2041_CR5","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.6004\/jnccn.2015.0122","volume":"13","author":"AM Berger","year":"2015","unstructured":"Berger AM, Mooney K, Alvarez-Perez A, Breitbart WS, Carpenter KM, Cella D, et al. Cancer-related fatigue, version 2.2015. J Natl Compr Canc Netw. 2015;13(8):1012\u201339.","journal-title":"J Natl Compr Canc Netw"},{"issue":"8","key":"2041_CR6","doi-asserted-by":"publisher","first-page":"1957","DOI":"10.1016\/j.ejca.2013.01.012","volume":"49","author":"MS Thong","year":"2013","unstructured":"Thong MS, Mols F, Wang XS, Lemmens VE, Smilde TJ, van de Poll-Franse LV. Quantifying fatigue in (long-term) colorectal cancer survivors: a study from the population-based patient reported outcomes following initial treatment and long term evaluation of survivorship registry. Eur J Cancer. 2013;49(8):1957\u201366.","journal-title":"Eur J Cancer"},{"issue":"7","key":"2041_CR7","first-page":"2165","volume":"23","author":"O Husson","year":"2015","unstructured":"Husson O, Mols F, van de Poll-Franse L, de Vries J, Schep G, Thong MS. Variation in fatigue among 6011 (long-term) cancer survivors and a normative population: a study from the population-based PROFILES registry. Support Care Cancer. 2015;23(7):2165\u201374.","journal-title":"Support Care Cancer"},{"issue":"1","key":"2041_CR8","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.radonc.2016.02.016","volume":"119","author":"JM Borras","year":"2016","unstructured":"Borras JM, Lievens Y, Barton M, Corral J, Ferlay J, Bray F, et al. How many new cancer patients in Europe will require radiotherapy by 2025? An ESTRO-HERO analysis. Radiother Oncol. 2016;119(1):5\u201311.","journal-title":"Radiother Oncol"},{"issue":"1","key":"2041_CR9","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1002\/pon.2072","volume":"22","author":"JM Blaney","year":"2013","unstructured":"Blaney JM, Lowe-Strong A, Rankin-Watt J, Campbell A, Gracey JH. Cancer survivors\u2019 exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013;22(1):186\u201394.","journal-title":"Psychooncology"},{"issue":"4","key":"2041_CR10","first-page":"2063","volume":"29","author":"ME Schmidt","year":"2021","unstructured":"Schmidt ME, Bergbold S, Hermann S, Steindorf K. Knowledge, perceptions, and management of cancer-related fatigue: the patients\u2019 perspective. Support Care Cancer. 2021;29(4):2063\u201371.","journal-title":"Support Care Cancer"},{"issue":"8","key":"2041_CR11","doi-asserted-by":"publisher","first-page":"1280","DOI":"10.1002\/ijc.34152","volume":"151","author":"ME Schmidt","year":"2022","unstructured":"Schmidt ME, Goldschmidt S, Hermann S, Steindorf K. Late effects, long-term problems and unmet needs of cancer survivors. Int J Cancer. 2022;151(8):1280\u201390.","journal-title":"Int J Cancer"},{"issue":"15","key":"2041_CR12","doi-asserted-by":"publisher","first-page":"1805","DOI":"10.1200\/JCO.2011.34.6148","volume":"30","author":"D Goldstein","year":"2012","unstructured":"Goldstein D, Bennett BK, Webber K, Boyle F, de Souza PL, Wilcken NR, et al. Cancer-related fatigue in women with breast cancer: outcomes of a 5-year prospective cohort study. J Clin Oncol. 2012;30(15):1805\u201312.","journal-title":"J Clin Oncol"},{"issue":"1","key":"2041_CR13","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/s11764-015-0450-2","volume":"10","author":"JM Jones","year":"2016","unstructured":"Jones JM, Olson K, Catton P, Catton CN, Fleshner NE, Krzyzanowska MK, et al. Cancer-related fatigue and associated disability in post-treatment cancer survivors. J Cancer Surviv. 2016;10(1):51\u201361.","journal-title":"J Cancer Surviv"},{"key":"2041_CR14","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13061301","author":"S Maass","year":"2021","unstructured":"Maass S, Brandenbarg D, Boerman LM, Verhaak PFM, de Bock GH, Berendsen AJ. Fatigue among long-term breast cancer survivors: a controlled cross-sectional study. Cancers (Basel). 2021. https:\/\/doi.org\/10.3390\/cancers13061301.","journal-title":"Cancers (Basel)"},{"issue":"6","key":"2041_CR15","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s00432-003-0540-9","volume":"130","author":"H Geinitz","year":"2004","unstructured":"Geinitz H, Zimmermann FB, Thamm R, Keller M, Busch R, Molls M. Fatigue in patients with adjuvant radiation therapy for breast cancer: long-term follow-up. J Cancer Res Clin Oncol. 2004;130(6):327\u201333.","journal-title":"J Cancer Res Clin Oncol"},{"issue":"9","key":"2041_CR16","doi-asserted-by":"publisher","first-page":"1761","DOI":"10.1093\/annonc\/mdw252","volume":"27","author":"JL Vardy","year":"2016","unstructured":"Vardy JL, Dhillon HM, Pond GR, Renton C, Dodd A, Zhang H, et al. Fatigue in people with localized colorectal cancer who do and do not receive chemotherapy: a longitudinal prospective study. Ann Oncol. 2016;27(9):1761\u20137.","journal-title":"Ann Oncol"},{"issue":"11","key":"2041_CR17","first-page":"3361","volume":"23","author":"O Husson","year":"2015","unstructured":"Husson O, Mols F, van de Poll-Franse LV, Thong MS. The course of fatigue and its correlates in colorectal cancer survivors: a prospective cohort study of the PROFILES registry. Support Care Cancer. 2015;23(11):3361\u201371.","journal-title":"Support Care Cancer"},{"issue":"11","key":"2041_CR18","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.7313","volume":"13","author":"G Trudel","year":"2024","unstructured":"Trudel G, Lebel S, Stephens RL, Leclair CS, Leach CR, Westmaas JL. Afraid and tired: a longitudinal study of the relationship between cancer-related fatigue and fear of cancer recurrence in long-term cancer survivors. Cancer Med. 2024;13(11):e7313.","journal-title":"Cancer Med"},{"key":"2041_CR19","doi-asserted-by":"publisher","DOI":"10.1177\/15347354221138576","volume":"21","author":"K Todt","year":"2022","unstructured":"Todt K, Engstrom M, Ekstrom M, Efverman A. Fatigue during cancer-related radiotherapy and associations with activities, work ability and quality of life: paying attention to subgroups more likely to experience fatigue. Integr Cancer Ther. 2022;21:15347354221138576.","journal-title":"Integr Cancer Ther"},{"issue":"2","key":"2041_CR20","doi-asserted-by":"publisher","first-page":"517","DOI":"10.11124\/JBISRIR-2016003282","volume":"15","author":"CJ Cabilan","year":"2017","unstructured":"Cabilan CJ, Hines S. The short-term impact of colorectal cancer treatment on physical activity, functional status and quality of life: a systematic review. JBI Database System Rev Implement Rep. 2017;15(2):517\u201366.","journal-title":"JBI Database System Rev Implement Rep"},{"issue":"6","key":"2041_CR21","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1016\/j.ejon.2015.04.008","volume":"19","author":"R Branstrom","year":"2015","unstructured":"Branstrom R, Petersson LM, Saboonchi F, Wennman-Larsen A, Alexanderson K. Physical activity following a breast cancer diagnosis: implications for self-rated health and cancer-related symptoms. Eur J Oncol Nurs. 2015;19(6):680\u20135.","journal-title":"Eur J Oncol Nurs"},{"issue":"11","key":"2041_CR22","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.1249\/MSS.0000000000002116","volume":"51","author":"KL Campbell","year":"2019","unstructured":"Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375\u201390.","journal-title":"Med Sci Sports Exerc"},{"key":"2041_CR23","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.breast.2017.02.002","volume":"32","author":"A Lipsett","year":"2017","unstructured":"Lipsett A, Barrett S, Haruna F, Mustian K, O\u2019Donovan A. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: a systematic review and meta-analysis. The Breast. 2017;32:144\u201355.","journal-title":"The Breast"},{"issue":"5","key":"2041_CR24","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1080\/0284186X.2018.1562210","volume":"58","author":"GM Gjerset","year":"2019","unstructured":"Gjerset GM, Kiserud CE, Loge JH, Fossa SD, Wisloff T, Gudbergsson SB, et al. Changes in fatigue, health-related quality of life and physical activity after a one-week educational program for cancer survivors. Acta Oncol. 2019;58(5):682\u20139.","journal-title":"Acta Oncol"},{"issue":"4","key":"2041_CR25","volume":"28","author":"ME Schmidt","year":"2019","unstructured":"Schmidt ME, Scherer S, Wiskemann J, Steindorf K. Return to work after breast cancer: the role of treatment-related side effects and potential impact on quality of life. Eur J Cancer Care (Engl). 2019;28(4):e13051.","journal-title":"Eur J Cancer Care (Engl)"},{"issue":"3","key":"2041_CR26","first-page":"1061","volume":"74","author":"IG Boelhouwer","year":"2023","unstructured":"Boelhouwer IG, Vermeer W, van Vuuren T. Work ability among employees 2-10 years beyond breast cancer diagnosis: late treatment effects and job resources - a longitudinal study. Work. 2023;74(3):1061\u201376.","journal-title":"Work"},{"issue":"1","key":"2041_CR27","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1093\/bmb\/ldac028","volume":"145","author":"A de Boer","year":"2023","unstructured":"de Boer A, de Wind A, Coenen P, van Ommen F, Greidanus MA, Zegers AD, et al. Cancer survivors and adverse work outcomes: associated factors and supportive interventions. Br Med Bull. 2023;145(1):60\u201371.","journal-title":"Br Med Bull"},{"issue":"7","key":"2041_CR28","first-page":"5991","volume":"30","author":"D Hequet","year":"2022","unstructured":"Hequet D, Hamy AS, Girard N, Laas E, Coussy F, Rouzier R, et al. Variation over time of the factors influencing return to work and work capacities after a diagnosis of breast cancer: a study on the behalf of the Seintinelles research network. Support Care Cancer. 2022;30(7):5991\u20139.","journal-title":"Support Care Cancer"},{"issue":"2","key":"2041_CR29","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s11764-020-00862-2","volume":"14","author":"AG de Boer","year":"2020","unstructured":"de Boer AG, Torp S, Popa A, Horsboel T, Zadnik V, Rottenberg Y, et al. Long-term work retention after treatment for cancer: a systematic review and meta-analysis. J Cancer Surviv. 2020;14(2):135\u201350.","journal-title":"J Cancer Surviv"},{"issue":"6","key":"2041_CR30","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1002\/pon.3459","volume":"23","author":"ML Lindbohm","year":"2014","unstructured":"Lindbohm ML, Kuosma E, Taskila T, Hietanen P, Carlsen K, Gudbergsson S, et al. Early retirement and non-employment after breast cancer. Psychooncology. 2014;23(6):634\u201341.","journal-title":"Psychooncology"},{"issue":"4","key":"2041_CR31","first-page":"1481","volume":"76","author":"M Bjuhr","year":"2023","unstructured":"Bjuhr M, Engstrom M, Welmer AK, Elmstahl S, Sjolund BM. Health and work-related factors as predictors of still being active in working life at age 66 and 72 in a Swedish population: a longitudinal study. Work. 2023;76(4):1481\u201392.","journal-title":"Work"},{"issue":"4","key":"2041_CR32","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1002\/cncr.21671","volume":"106","author":"JE Bower","year":"2006","unstructured":"Bower JE, Ganz PA, Desmond KA, Bernaards C, Rowland JH, Meyerowitz BE, et al. Fatigue in long-term breast carcinoma survivors: a longitudinal investigation. Cancer. 2006;106(4):751\u20138.","journal-title":"Cancer"},{"issue":"10","key":"2041_CR33","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S1470-2045(16)30093-6","volume":"17","author":"S Kreissl","year":"2016","unstructured":"Kreissl S, Mueller H, Goergen H, Mayer A, Brillant C, Behringer K, et al. Cancer-related fatigue in patients with and survivors of Hodgkin\u2019s lymphoma: a longitudinal study of the German Hodgkin Study Group. Lancet Oncol. 2016;17(10):1453\u201362.","journal-title":"Lancet Oncol"},{"issue":"2","key":"2041_CR34","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1080\/10428194.2021.1984450","volume":"63","author":"MR LeBlanc","year":"2022","unstructured":"LeBlanc MR, Zimmerman S, LeBlanc TW, Bryant AL, Hudson KE, Smith SK. Persistent fatigue among long-term non-Hodgkin lymphoma survivors. Leuk Lymphoma. 2022;63(2):344\u201352.","journal-title":"Leuk Lymphoma"},{"key":"2041_CR35","doi-asserted-by":"publisher","DOI":"10.1177\/15347354241303454","volume":"23","author":"T Bylund-Grenklo","year":"2024","unstructured":"Bylund-Grenklo T, Efverman A. Kinesiophobia as a barrier to symptom management using physical activity when undergoing cancer therapy: a preparatory study describing patients\u2019 experiences with the new instrument Tampa-Scale for Kinesiophobia-Symptoms and interviews. Integr Cancer Ther. 2024;23:15347354241303454.","journal-title":"Integr Cancer Ther"},{"issue":"2","key":"2041_CR36","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1093\/occmed\/kqm008","volume":"57","author":"J Ilmarinen","year":"2007","unstructured":"Ilmarinen J. The Work Ability Index (WAI). Occup Med Oxf. 2007;57(2):160\u2013160.","journal-title":"Occup Med Oxf"},{"issue":"3","key":"2041_CR37","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1080\/02841860260088782","volume":"41","author":"G Steineck","year":"2002","unstructured":"Steineck G, Bergmark K, Henningsohn L, al-Abany M, Dickman PW, Helgason A. Symptom documentation in cancer survivors as a basis for therapy modifications. Acta Oncol. 2002;41(3):244\u201352.","journal-title":"Acta Oncol"},{"issue":"1","key":"2041_CR38","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.jpainsymman.2012.07.023","volume":"46","author":"M Browall","year":"2013","unstructured":"Browall M, Kenne Sarenmalm E, Nasic S, Wengstrom Y, Gaston-Johansson F. Validity and reliability of the Swedish version of the Memorial Symptom Assessment Scale (MSAS): an instrument for the evaluation of symptom prevalence, characteristics, and distress. J Pain Symptom Manage. 2013;46(1):131\u201341.","journal-title":"J Pain Symptom Manage"},{"issue":"1","key":"2041_CR39","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1177\/1403494815602830","volume":"44","author":"SJ Olsson","year":"2016","unstructured":"Olsson SJ, Ekblom O, Andersson E, Borjesson M, Kallings LV. Categorical answer modes provide superior validity to open answers when asking for level of physical activity: a cross-sectional study. Scand J Public Health. 2016;44(1):70\u20136.","journal-title":"Scand J Public Health"},{"key":"2041_CR40","doi-asserted-by":"crossref","unstructured":"Efverman A. Physical, leisure, and daily living activities in patients before, during, and after radiotherapy for cancer: Which patients need support in activities?. Cancer Nurs 2024;47(3)169\u201379.","DOI":"10.1097\/NCC.0000000000001187"},{"issue":"4","key":"2041_CR41","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1177\/1403494817702759","volume":"45","author":"A Lundin","year":"2017","unstructured":"Lundin A, Leijon O, Vaez M, Hallgren M, Torgen M. Predictive validity of the Work Ability Index and its individual items in the general population. Scand J Public Health. 2017;45(4):350\u20136.","journal-title":"Scand J Public Health"},{"issue":"2","key":"2041_CR42","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1007\/s00420-020-01567-w","volume":"94","author":"IG Boelhouwer","year":"2021","unstructured":"Boelhouwer IG, Vermeer W, van Vuuren T. The associations between late effects of cancer treatment, work ability and job resources: a systematic review. Int Arch Occup Environ Health. 2021;94(2):147\u201389.","journal-title":"Int Arch Occup Environ Health"},{"issue":"2","key":"2041_CR43","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1097\/01.jom.0000052967.43131.51","volume":"45","author":"RC Kessler","year":"2003","unstructured":"Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D, et al. The World Health Organization Health and Work Performance Questionnaire (HPQ). J Occup Environ Med. 2003;45(2):156\u201374.","journal-title":"J Occup Environ Med"},{"issue":"2","key":"2041_CR44","doi-asserted-by":"publisher","first-page":"109","DOI":"10.5271\/sjweh.3139","volume":"37","author":"WS Shaw","year":"2011","unstructured":"Shaw WS, Reme SE, Linton SJ, Huang YH, Pransky G. 3rd place, PREMUS best paper competition: development of the return-to-work self-efficacy (RTWSE-19) questionnaire\u2013psychometric properties and predictive validity. Scand J Work Environ Health. 2011;37(2):109\u201319.","journal-title":"Scand J Work Environ Health"},{"issue":"3","key":"2041_CR45","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1093\/workar\/waab003","volume":"7","author":"R Jonsson","year":"2021","unstructured":"Jonsson R, Hasselgren C, Dellve L, Selden D, Larsson D, Stattin M. Matching the pieces: the presence of idiosyncratic deals and their impact on retirement preferences among older workers. Work Aging Retire. 2021;7(3):240\u201355.","journal-title":"Work Aging Retire"},{"issue":"5","key":"2041_CR46","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1007\/s40271-020-00427-6","volume":"13","author":"MA Greidanus","year":"2020","unstructured":"Greidanus MA, de Boer A, de Rijk AE, Brouwers S, de Reijke TM, Kersten MJ, et al. The successful return-to-work questionnaire for cancer survivors (I-RTW_CS): development, validity and reproducibility. Patient. 2020;13(5):567\u201382.","journal-title":"Patient"},{"issue":"1","key":"2041_CR47","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s10654-010-9521-x","volume":"26","author":"C Almqvist","year":"2011","unstructured":"Almqvist C, Adami HO, Franks PW, Groop L, Ingelsson E, Kere J, et al. LifeGene- -a large prospective population-based study of global relevance. Eur J Epidemiol. 2011;26(1):67\u201377.","journal-title":"Eur J Epidemiol"},{"issue":"2","key":"2041_CR48","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s40258-017-0310-5","volume":"15","author":"NJ Devlin","year":"2017","unstructured":"Devlin NJ, Brooks R. EQ-5D and the EuroQol Group: past, present and future. Appl Health Econ Health Policy. 2017;15(2):127\u201337.","journal-title":"Appl Health Econ Health Policy"},{"issue":"6","key":"2041_CR49","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1080\/02841860601156124","volume":"46","author":"E Onelov","year":"2007","unstructured":"Onelov E, Steineck G, Nyberg U, Hauksdottir A, Kreicbergs U, Henningsohn L, et al. Measuring anxiety and depression in the oncology setting using visual-digital scales. Acta Oncol. 2007;46(6):810\u20136.","journal-title":"Acta Oncol"},{"key":"2041_CR50","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s12874-016-0167-6","volume":"16","author":"A Nordin","year":"2016","unstructured":"Nordin A, Taft C, Lundgren-Nilsson A, Dencker A. Minimal important differences for fatigue patient reported outcome measures-a systematic review. BMC Med Res Methodol. 2016;16:62.https:\/\/doi.org\/10.1186\/s12874-016-0167-6","journal-title":"BMC Med Res Methodol"},{"issue":"3","key":"2041_CR51","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1097\/00012272-199703000-00003","volume":"19","author":"ER Lenz","year":"1997","unstructured":"Lenz ER, Pugh LC, Milligan RA, Gift A, Suppe F. The middle-range theory of unpleasant symptoms: an update. ANS Adv Nurs Sci. 1997;19(3):14\u201327.","journal-title":"ANS Adv Nurs Sci"},{"key":"2041_CR52","doi-asserted-by":"publisher","unstructured":"Cohen J. Statistical Power Analysis for the Behavioral Sciences (2nd ed.) Routledge. https:\/\/doi.org\/10.4324\/9780203771587;1988.","DOI":"10.4324\/9780203771587;1988"},{"issue":"3","key":"2041_CR53","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1002\/cncr.28434","volume":"120","author":"XS Wang","year":"2014","unstructured":"Wang XS, Zhao F, Fisch MJ, O\u2019Mara AM, Cella D, Mendoza TR, et al. Prevalence and characteristics of moderate to severe fatigue: a multicenter study in cancer patients and survivors. Cancer. 2014;120(3):425\u201332.","journal-title":"Cancer"},{"issue":"9","key":"2041_CR54","first-page":"3463","volume":"27","author":"K Susanne","year":"2019","unstructured":"Susanne K, Michael F, Thomas S, Peter E, Andreas H. Predictors of fatigue in cancer patients: a longitudinal study. Support Care Cancer. 2019;27(9):3463\u201371.","journal-title":"Support Care Cancer"},{"issue":"1","key":"2041_CR55","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-00337-z","volume":"11","author":"YMJ Goertz","year":"2021","unstructured":"Goertz YMJ, Braamse AMJ, Spruit MA, Janssen DJA, Ebadi Z, Van Herck M, et al. Fatigue in patients with chronic disease: results from the population-based Lifelines Cohort Study. Sci Rep. 2021;11(1):20977.","journal-title":"Sci Rep"},{"issue":"1","key":"2041_CR56","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1007\/s11764-020-00921-8","volume":"15","author":"C IJsbrandy","year":"2021","unstructured":"IJsbrandy C, Ottevanger PB, Gerritsen WR, van Harten WH, Hermens R. Determinants of adherence to physical cancer rehabilitation guidelines among cancer patients and cancer centers: a cross-sectional observational study. J Cancer Surviv. 2021;15(1):163\u201377.","journal-title":"J Cancer Surviv"},{"key":"2041_CR57","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.2147\/JMDH.S355055","volume":"15","author":"IM Olsson","year":"2022","unstructured":"Olsson IM, Malmstrom M, Ryden L, Olsson Moller U. Feasibility and relevance of an intervention with systematic screening as a base for individualized rehabilitation in breast cancer patients: a pilot trial of the ReScreen randomized controlled trial. J Multidiscip Healthc. 2022;15:1057\u201368.","journal-title":"J Multidiscip Healthc"},{"issue":"1","key":"2041_CR58","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05107-7","volume":"20","author":"U Olsson Moller","year":"2020","unstructured":"Olsson Moller U, Olsson IM, Sjovall K, Beck I, Ryden L, Malmstrom M. Barriers and facilitators for individualized rehabilitation during breast cancer treatment - a focus group study exploring health care professionals\u2019 experiences. BMC Health Serv Res. 2020;20(1):252.","journal-title":"BMC Health Serv Res"},{"issue":"5","key":"2041_CR59","doi-asserted-by":"publisher","first-page":"1393","DOI":"10.1007\/s11136-024-03867-x","volume":"34","author":"R Sawatzky","year":"2025","unstructured":"Sawatzky R, Verdam MGE, Dubuy Y, Sajobi TT, Russell L, Awosoga OA, et al. Response shift results of quantitative research using patient-reported outcome measures: a meta-regression analysis. Qual Life Res. 2025;34(5):1393\u2013406.","journal-title":"Qual Life Res"},{"issue":"2","key":"2041_CR60","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1002\/pon.5213","volume":"29","author":"TI Bootsma","year":"2020","unstructured":"Bootsma TI, Schellekens MPJ, van Woezik RAM, van der Lee ML, Slatman J. Experiencing and responding to chronic cancer-related fatigue: a meta-ethnography of qualitative research. Psychooncology. 2020;29(2):241\u201350.","journal-title":"Psychooncology"},{"key":"2041_CR61","doi-asserted-by":"publisher","DOI":"10.1016\/j.tipsro.2024.100241","volume":"30","author":"Z Iyizoba-Ebozue","year":"2024","unstructured":"Iyizoba-Ebozue Z, Nicklin E, Price J, Prestwich R, Brown S, Hall E, et al. Why am I still suffering?\": experience of long-term fatigue and neurocognitive changes in oropharyngeal cancer survivors following (chemo)radiotherapy. Tech Innov Patient Support Radiat Oncol. 2024;30:100241.","journal-title":"Tech Innov Patient Support Radiat Oncol"},{"issue":"3","key":"2041_CR62","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1007\/s11764-023-01503-0","volume":"19","author":"GH Le","year":"2025","unstructured":"Le GH, Hermansen A, Dahl E. Return to work after cancer-the impact of working conditions: a Norwegian register-based study. J Cancer Surviv. 2025;19(3):766\u201378.","journal-title":"J Cancer Surviv"},{"issue":"7","key":"2041_CR63","volume":"33","author":"L Eklund","year":"2025","unstructured":"Eklund L, Engstrom M, de Boer A, Bejerholm U, Fjell M, Fesse P, et al. Work-related experiences and needs while undergoing curative cancer therapy: exploring the target population\u2019s perspective during the developmental phase of a work-oriented intervention. Support Care Cancer. 2025;33(7):589.","journal-title":"Support Care Cancer"},{"key":"2041_CR64","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-024-01735-8","author":"Z Iyizoba-Ebozue","year":"2025","unstructured":"Iyizoba-Ebozue Z, Nicklin E, Currie S, Price J, Baldwin JPC, Prestwich R, et al. Multidimensional fatigue and its impact on work productivity, mood and quality of life in long-term survivors following definitive intensity-modulated radiotherapy for oropharyngeal cancer: a cross-sectional study. J Cancer Surviv. 2025. https:\/\/doi.org\/10.1007\/s11764-024-01735-8.","journal-title":"J Cancer Surviv"},{"issue":"4","key":"2041_CR65","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1007\/s11764-013-0297-3","volume":"7","author":"P van Muijen","year":"2013","unstructured":"van Muijen P, Duijts SF, van der Beek AJ, Anema JR. Prognostic factors of work disability in sick-listed cancer survivors. J Cancer Surviv. 2013;7(4):582\u201391.","journal-title":"J Cancer Surviv"},{"issue":"4","key":"2041_CR66","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1080\/02841860600649293","volume":"45","author":"G Steineck","year":"2006","unstructured":"Steineck G, Hunt H, Adolfsson J. A hierarchical step-model for causation of bias-evaluating cancer treatment with epidemiological methods. Acta Oncol. 2006;45(4):421\u20139.","journal-title":"Acta Oncol"},{"issue":"8","key":"2041_CR67","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.1001\/jamaoncol.2018.0887","volume":"4","author":"X Liu","year":"2018","unstructured":"Liu X, Zhang Y, Tang LL, Le QT, Chua MLK, Wee JTS, et al. Characteristics of radiotherapy trials compared with other oncological clinical trials in the past 10 years. JAMA Oncol. 2018;4(8):1073\u20139.","journal-title":"JAMA Oncol"},{"key":"2041_CR68","volume-title":"Nursing research: Generating and assessing evidence for nursing practice","author":"D Polit","year":"2008","unstructured":"Polit D, Beck C. Nursing research: Generating and assessing evidence for nursing practice. 9th Edition. Philadelphia: Wolters Kluwer Health\/Lippincott Williams & Wilkins; 2008.","edition":"9th Edition"},{"issue":"3","key":"2041_CR69","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1007\/s11136-021-02982-3","volume":"31","author":"FS Teni","year":"2022","unstructured":"Teni FS, Gerdtham UG, Leidl R, Henriksson M, Astrom M, Sun S, et al. Inequality and heterogeneity in health-related quality of life: findings based on a large sample of cross-sectional EQ-5D-5L data from the Swedish general population. Qual Life Res. 2022;31(3):697\u2013712.","journal-title":"Qual Life Res"}],"updated-by":[{"DOI":"10.1007\/s11764-026-02059-5","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000}}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02041-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-026-02041-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-026-02041-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:02:01Z","timestamp":1784008921000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11764-026-02041-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"references-count":69,"alternative-id":["2041"],"URL":"https:\/\/doi.org\/10.1007\/s11764-026-02041-1","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]},"assertion":[{"value":"12 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2026","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The original version of this article was revised: to update Ethical approval statement.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2026","order":8,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Correction","order":9,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A Correction to this paper has been published:","order":10,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s11764-026-02059-5","URL":"https:\/\/doi.org\/10.1007\/s11764-026-02059-5","order":11,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This study was performed in accordance with the ethical guidelines of the Declaration of Helsinki. Ethical approval\u00a0was obtained from the Swedish Ethical Review Authority (Reg. nos. 2022-03685-01 and 2024-07140-02).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}}]}}