{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:15:26Z","timestamp":1792131326844,"version":"4.4.0"},"reference-count":37,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002706","name":"AFA insurance","doi-asserted-by":"publisher","award":["200015"],"award-info":[{"award-number":["200015"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002706","name":"AFA insurance","doi-asserted-by":"publisher","award":["2015\/363"],"award-info":[{"award-number":["2015\/363"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002706","name":"AFA insurance","doi-asserted-by":"publisher","award":["2018\/502"],"award-info":[{"award-number":["2018\/502"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002706","name":"AFA insurance","doi-asserted-by":"publisher","award":["2021\/0371"],"award-info":[{"award-number":["2021\/0371"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Swedish cancer society","award":["200015"],"award-info":[{"award-number":["200015"]}]},{"name":"Swedish cancer society","award":["2015\/363"],"award-info":[{"award-number":["2015\/363"]}]},{"name":"Swedish cancer society","award":["2018\/502"],"award-info":[{"award-number":["2018\/502"]}]},{"name":"Swedish cancer society","award":["2021\/0371"],"award-info":[{"award-number":["2021\/0371"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Striving to return to work is of great importance to many cancer survivors. The purpose of the study is to prospectively investigate the factors that hinder and facilitate return to work (RTW) at 3 and 12 months after the end of treatment in head and neck cancer (HNC) survivors and whether these factors influence the ability to continue working after treatment. Participants (n = 227) aged \u2264 65 years at diagnosis with HNC were included. Data were collected before the start of treatment and at 3 and 12 months after the end of treatment. The Rubin causal model was used for statistical analysis. Within the 3-month follow-up period, 92 participants had RTW and 30 had retired. At the 12-month follow-up, 80 of these participants were still working, another 51 participants had RTW, and five participants working still suffered from cancer. The hindrance to RTW within 3 months was advanced tumour stage (stage III and IV) (p = 0.0038). Hindrances to RTW at the 12-month follow-up were oral cancer (p = 0.0210) and larynx cancer (p = 0.0041), and facilitators were living in a relationship (p = 0.0445) and a white-collar job (p = 0.00267). Participants with early tumour stage (stage I and II) (p = 0.0019) and a white-collar job (p = 0.0185) had earlier RTW. The conclusion is that disease factors were the most important hindrances to RTW, and type of work and living with a spouse or partner were nonclinical factors influencing RTW.<\/jats:p>","DOI":"10.3390\/cancers15194705","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T04:15:38Z","timestamp":1695615338000},"page":"4705","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Predicting Return to Work after Head and Neck Cancer Treatment Is Challenging Due to Factors That Affect Work Ability"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7435-167X","authenticated-orcid":false,"given":"Ylva","family":"Tiblom Ehrsson","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Section of Otorhinolaryngology and Head & Neck Surgery, Uppsala University, 751 85 Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0410-1509","authenticated-orcid":false,"given":"Marta A.","family":"Kisiel","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2623-8549","authenticated-orcid":false,"given":"Yukai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Statistics, Uppsala University, 751 20 Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7760-246X","authenticated-orcid":false,"given":"G\u00f6ran","family":"Laurell","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Section of Otorhinolaryngology and Head & Neck Surgery, Uppsala University, 751 85 Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1002\/pon.1522","article-title":"Long-term cancer survivors experience work changes after diagnosis: Results of a population-based study","volume":"18","author":"Mols","year":"2009","journal-title":"Psychooncology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s11060-019-03371-0","article-title":"Preoperative predictive factors affecting return to work in patients with gliomas undergoing awake brain mapping","volume":"146","author":"Yoshida","year":"2020","journal-title":"J. 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