Return to Work of Lymphoma Survivors After Autologous Stem Cell Transplantation: A Single-Center Cross-Sectional Study
Vol. 23 No. 7 (2021), Research articles
Vol. 23 No. 7 (2021)

Return to Work of Lymphoma Survivors After Autologous Stem Cell Transplantation: A Single-Center Cross-Sectional Study

Research articles
https://doi.org/10.32592/ircmj.2021.23.7.644
Published 2021-08-03 — Updated on 2021-08-29
  • Jale Yıldız+−
  • Mehmet Sinan Dal
  • Merih Kızıl Çakar
  • Tuğçe Nur Yiğenoğlu
  • Alparslan Merdin
  • Dicle İskender
  • Nuran Ahu Baysal
  • Hikmetullah Batgi
  • Derya Şahin
  • Mehmet Bakırtaş
  • Tahir Darçın
  • Semih Başçı
  • Bahar Uncu Ulu+−
  • Fevzi Altuntaş
Jale Yıldız
Dr.A.Y. Ankara Oncology Training and Research Hospital
Mehmet Sinan Dal
Merih Kızıl Çakar
Tuğçe Nur Yiğenoğlu
Alparslan Merdin
Dicle İskender
Nuran Ahu Baysal
Hikmetullah Batgi
Derya Şahin
Mehmet Bakırtaş
Tahir Darçın
Semih Başçı
Bahar Uncu Ulu
Dr.A.Y.Ankara Oncology Research and Education Hospital
Fevzi Altuntaş

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Keywords

Autologous stem cell transplantation
Chemotherapy
Employment
Lymphoma

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How to Cite

Yıldız, J., Dal, M. S., Çakar, M. K., Yiğenoğlu, T. N., Merdin, A., İskender, D., Baysal, N. A., Batgi, H., Şahin, D., Bakırtaş, M., Darçın, T., Başçı, S., Ulu, B. U., & Altuntaş, F. (2021). Return to Work of Lymphoma Survivors After Autologous Stem Cell Transplantation: A Single-Center Cross-Sectional Study . Iranian Red Crescent Medical Journal, 23(7). https://doi.org/10.32592/ircmj.2021.23.7.644 (Original work published August 3, 2021)
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Abstract

Background: The effectiveness of autologous stem cell transplantation (ASCT) in patients with relapsed/refractory lymphoma is accepted by all authors. After ASCT, the 5-year overall survival rates can reach up to 80%. However, returning to work after ASCT and the employment status of these patients are unknown.

Objectives: This study aimed to examine the rate of not returning to work in the post-treatment period and the factors that may affect the employment status of patients who underwent ASCT with the diagnosis of relapsed/refractory lymphoma.

Methods: This cross-sectional study was conducted from January to June 2020. It was performed on patients within the age ranges of 18-65 who had undergone ASCT with the diagnosis of relapsed or refractory lymphoma and were in remission without recurrence one year after ASCT.

Results: In total, 80 (74.8%) out of 107 patients included in the study were male, and the median age was 49.0 (21-63). Majority of participants were primary school graduates (n=66, 61.7%) and married (n=90, 84.1%). Before ASCT, 30 (28.0%) patients worked in the private sector and 17 (15.9%) of them were self-employed. The median follow-up time was 34.8 months (12.4 - 124.7 months). During this follow-up period, 35 (57.3%) out of 61 patients did not return to work. Most of these patients had retired (n=29, 47.5%). It was observed that having a higher education level (OR: 0.32 [0.14-1.22] 95% CI, p:0.041) and being a public employee (OR: 0.30 (0.12-0.97) 95% CI, p:0.033) are independent factors that reduce the risk of not returning to work.

Conclusion: It was found that more than half of the patients did not return to work. The low level of education and employment in non-public sectors posed the risk of not returning to work. It may be possible for patients to return to work with well-planned options, such as part-time shifts.

https://doi.org/10.32592/ircmj.2021.23.7.644
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