Vocational rehabilitation services for patients with cancer: design of a feasibility study incorporating a pilot randomised controlled trial among women with breast cancer following surgeryReportar como inadecuado

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, 12:89

First Online: 30 March 2011Received: 15 October 2010Accepted: 30 March 2011DOI: 10.1186-1745-6215-12-89

Cite this article as: Kyle, R.G., Culbard, B., Evans, J. et al. Trials 2011 12: 89. doi:10.1186-1745-6215-12-89


BackgroundDue to improvements in cancer survival the number of people of working age living with cancer across Europe is likely to increase. UK governments have made commitments to reduce the number of working days lost to ill-health and to improve access to vocational rehabilitation VR services. Return to work for people with cancer has been identified as a priority. However, there are few services to support people to remain in or return to work after cancer and no associated trials to assess their impact. A pilot randomised controlled trial among women with breast cancer has been designed to assess the feasibility of a larger definitive trial of VR services for people with cancer.

MethodsPatients are being recruited from three clinical sites in two Scottish National Health Service NHS Boards for 6 months. Eligible patients are all women who are: 1 aged between 18 and 65 years; 2 in paid employment or self-employed; 3 living or working in Lothian or Tayside, Scotland, UK; 4 diagnosed with an invasive breast cancer tumour; 5 treated first with surgery. Patients are randomly allocated to receive referral to a VR service or usual care, which involves no formal employment support. The primary outcome measure is self-reported sickness absence in the first 6 months following surgery. Secondary outcome measures include changes in quality of life FACT-B, fatigue FACIT-Fatigue and employment status between baseline and 6- and 12-months post-surgery. A post-trial evaluation will be conducted to assess the acceptability of the intervention among participants and the feasibility of a larger, more definitive, trial with patients with lung and prostate cancer.

DiscussionTo our knowledge this is the first study to determine the feasibility of a randomised controlled trial of the effectiveness of VR services to enable people with cancer to remain in or return to employment. The study will provide evidence to assess the relevance and feasibility of a larger future trial involving patients with breast, prostate or lung cancer and inform the development of appropriate VR services for people living with cancer.

Trial RegistrationISRCTN: ISRCTN29666484

Registration date: 07-10-10; Randomisation of first patient: 03-12-10

5 AbbreviationsBCSBreast Cancer Subscale

CNSClinical Nurse Specialist

COPMCanadian Occupational Performance Measure

DCISDuctal Carcinoma in Situ

EQ-5DEuropean Quality of Life - 5 Dimensions

FACT-BFunctional Assessment of Cancer Therapy-Breast Cancer

FACIT-FatigueFunctional Assessment of Chronic Illness Therapy-Fatigue Scale

FACT-GFunctional Assessment of Cancer Therapy-General

GHQ-1212 item General Health Questionnaire

NHSNational Health Service

PASWPredictive Analytics SoftWare

PRIPerth Royal Infirmary

SCHWLScottish Centre for Healthy Working Lives

VRvocational rehabilitation

WGHWestern General Hospital, Edinburgh.

Electronic supplementary materialThe online version of this article doi:10.1186-1745-6215-12-89 contains supplementary material, which is available to authorized users.

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Autor: Richard G Kyle - Bill Culbard - Josie Evans - Nicola M Gray - Dolapo Ayansina - Gill Hubbard

Fuente: https://link.springer.com/

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