Top

BMC Urology

Published in:

01-12-2020 | Prostate Cancer | Research article

A cross-sectional study of current work ability after radical prostatectomy

Authors: Alv A. Dahl, Bjørn Brennhovd, Sophie D. Fosså, Karol Axcrona

Published in: BMC Urology | Issue 1/2020

Abstract

Background

Work ability represents a person’s subjective assessment of current ability to work compared to his lifetime best. Since many men with prostate cancer are retired, work ability represents a more relevant work measure than employment status. The primary aim was to examine the prevalence of men who had high versus moderate/poor current work ability compared to their lifetime best work ability at a mean of 3.0 years after robot-assisted laparoscopic prostatectomy. The secondary aim was to study variables associated with moderate/poor work ability at survey.

Methods

This is a questionnaire-based study of men who had robot-assisted laparoscopic prostatectomy at Oslo University Hospital, Radiumhospitalet between January 2005 and August 2010. Among them 777 responded (79%), 730 reported on current work ability, socio-demographic data, somatic and mental health, and typical adverse effects (the EPIC-26) after prostatectomy. High versus moderate/poor work ability was the primary outcome. Descriptive statistics and logistic regression analyses were applied.

Results

The mean age of the sample at survey was 65.5 years (SD 5.9). At survey 42% of the sample reported moderate/poor current work ability and 58% reported high work ability. In multivariable analysis older age at survey, low basic education, comorbidity, poor self-rated health, presence of depression and low EPIC-26 hormonal domain score remained significantly associated with moderate/poor work ability.

Conclusions

Current work ability is a useful measure for the working capacity particularly of retired men. Socio-demographic, cancer-related, health, psychological and typical adverse effect variables were significantly associated with moderate/poor current work ability after robot-assisted laparoscopic prostatectomy, and several health and psychological variables are amenable to identification and treatment by health care providers.

Dahl AA, Nilsson R, Axcrona K, Fosså SD. Addressing erectile dysfunction in prostate cancer survivors after radical prostatectomy. Exp Rev Qual Life Cancer Care. 2016;1(5):403–20. https://doi.org/10.1080/23809000.2016.1236660.CrossRef

Ladehoff N, Sturm K, Mehnert A. Work-related self-report measures and assessment tools in cancer survivorship: a systematic literature review. Disabil rehab 2013; 35(2):100–112. DOI: https://doi.org/10.3109/09638288.2012.688921.CrossRefPubMed

Tuomi K, Ilmarinen J, Jakhola A, Katajarine I, Tulkki a. work ability index. 2nd edition. Helsinki: Finnish Institute of Occupational Health; 2006.

Ilmarinen J. Work ability – a comprehensive concept for occupational health research and prevention. J Work Environ Health. 2009;35(1):1–5.CrossRef

Ahlstrom L, Grimsby-Ekman A, Hagberg M, Delive L. The work ability index and single-item question: associations with sick leave, symptoms, and health – a prospective study of women on long-term sick leave. Scand J Work Environ Health. 2010;36(5):404–12.CrossRefPubMed

Taskila T, Martikainen R, Hietanen P, Lindbohm ML. Comparative study of work ability between cancer survivors and their referents. Eur J Cancer. 2007;43(5):914–20.CrossRefPubMed

Lindbohm ML, Taskila T, Kuosma E, Hietanen P, Carlsen K, Gudbergsson S, et al. Work ability of survivors of breast, prostate, and testicular cancer in Nordic countries: a NONOCWO study. J Cancer Surviv. 2012;6(1):72–81. https://doi.org/10.1007/s11764-011-0200-z.CrossRefPubMed

Dahl S, Cvancarova M, Dahl AA, Fosså SD. Work ability in prostate cancer sursurvivors after radical prostatectomy. Scand J Urol. 2016;50(2):116–22. https://doi.org/10.3109/21681805.2015.1100674.CrossRefPubMed

Brennhovd B, Axcrona K, Fosså SD, Giercksky K-E, Vlatkovic L, Dahl AA. Robot- assisted radical prostatectomy of clinical high-risk patients with prostate cancer: a controlled study of operative and short-term postoperative events. Scand J Urol. 2013;47(6):449–55. https://doi.org/10.3109/21681805.2013.780257.CrossRefPubMed

10.

Axcrona K, Vlatkovic L, Hovland J, Brennhovd B, Kongsgaard U, Giercksky KE. Robot-assisted laparoscopic prostatectomy in a 68-year-old patient with previous heart transplantation and pelvic irradiation. J Robot Surg. 2012;6(1):81–3. https://doi.org/10.1007/s11701-011-0270-y.CrossRefPubMed

11.

Bjelland I, Dahl AA, Tangen T, Neckelmann D. The validity of the hospital anxiety and depression scale. J Psychosom Res. 2002;52(2):69–77.CrossRefPubMed

12.

Mykletun A, Stordal E, Dahl AA. Hospital anxiety and depression (HAD) scale: factor structure, item analyses and internal consistency in a large population. Br J Psychiatry. 2001;179(2):540–4.CrossRefPubMed

13.

Grov EK, Fosså SD, Bremnes RM, Dahl O, Klepp O, Wist E, et al. The personality trait of neuroticism is strongly associated with long-term morbidity in testicular cancer survivors. Acta Oncol. 2009;48(6):842–9. https://doi.org/10.1080/02841860902795232.CrossRefPubMed

14.

Grav S, Stordal E, Romild UK, Hellzen O. The relationship between neuroticism, extraversion, and depression in the HUNT study: in relation to age and gender. Issues Ment Health Nurs. 2012;33(11):777–85. https://doi.org/10.3109/01612840.2012.713082.CrossRefPubMed

15.

Szymanski KM, Wei JT, Dunn RL, Sanda MG. Development and validation of an abbreviated version of the expanded prostate Cancer index composite instrument for measuring health-related quality of life among prostate cancer survivors. Urology. 2010;76(5):1245–50. https://doi.org/10.1016/j.urology.100.01.027.CrossRefPubMed

16.

Axcrona K, Nilsson R, Brennhovd B, Sørebo Ø, Fosså SD, Dahl AA. Psychometric properties of the expanded prostate Cancer index composite - 26 instrument in a cohort of radical prostatectomy patients: theoretical and practical examinations. BMC Urol. 2017;17(1):111. https://doi.org/10.1186/s12894-017-0302-7.CrossRefPubMedPubMedCentral

17.

D’Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998;280(11):969–74.CrossRefPubMed

18.

Charlson ME, Pompei P, Ales K, MacKensie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40(5):373–83.CrossRefPubMed

19.

Gould R, Ilmarinen J, Järvisalo J, Koskinen S, editors. Dimensions of work ability. Helsinki: Finnish Center for Pensions; 2008. https://www.etk.fi/en/julkaisu/dimensions-of-work-ability-2/. Accessed 04 Sept 2019

Title: A cross-sectional study of current work ability after radical prostatectomy
Authors: Alv A. Dahl
Bjørn Brennhovd
Sophie D. Fosså
Karol Axcrona
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Prostate Cancer
Affective Disorder
Prostate Cancer
Affective Disorder
Prostatectomy
Prostatectomy
Published in: BMC Urology / Issue 1/2020
Electronic ISSN: 1471-2490
DOI: https://doi.org/10.1186/s12894-020-0579-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

A cross-sectional study of current work ability after radical prostatectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2020

Complete remission of Cdx-2 positive primary testicular carcinoid tumor: 10-years follow-up and literature review

Case series of glans injuries during voluntary medical male circumcision for HIV prevention — eastern and southern Africa, 2015–2018

Peri-operative, functional and early oncologic outcomes of salvage robotic-assisted radical prostatectomy after high-intensity focused ultrasound partial ablation

The role of specific biomarkers, as predictors of post-operative complications following flexible ureterorenoscopy (FURS), for the treatment of kidney stones: a single-centre observational clinical pilot-study in 37 patients

Survival rate of patients with bladder cancer and its related factors in Kurdistan Province (2013–2018): a population-based study

Multiple inferior vena cava aneurysms mimic a retroperitoneal tumor: a case report