Issue 23-6, 2024

Original article

https://doi.org/10.38025/2078-1962-2024-23-6-54-61

Resumption of Employment after Cervical Cancer Surgery: a 3-Year Follow-Up Study of Long-term Outcomes

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1,2,3* ORCIDDmitry V. Blinov, 4 ORCIDAntonina G. Solopova,2 ORCID Elena V. Gameeva, 2 ORCIDNazim G. Badalov,2 ORCID Mikhail A. Eremushkin, 2 ORCIDAlexandra M.Stepanova,5 ORCIDVsevolod N. Galkin,5 ORCIDAlexander E. Ivanov, 5 ORCIDSaida A. Akavova

1 Institute for Social and Preventive Medicine, Moscow, Russia 
2 Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency, Moscow, Russia 
3Moscow Haass Medical-Social Institute, Moscow, Russia
4Sechenov First Moscow State Medical University, Moscow, Russia
5 S.S. Yudin City Clinical Hospital, Moscow, Russia


ABSTRACT

INTRODUCTION. Despite advancements in cervical cancer (CC) diagnosis and treatment, surgical intervention remains the corner- stone of radical treatment. However, surgical procedures can result in complications such as lymphedema, sexual dysfunction, and other physical and psychosocial disorders, significantly affecting patients' quality of life (QoL) and ability to return to work. This empha- sizes the need for effective strategies to support patients in resuming their occupational activities post-treatment.
AIM. To investigate the relationship between different rehabilitation programmes following cervical cancer surgery and return to work

MATERIALS AND METHODS. The study included patients aged 18 and older with stage 1A–1B cervical cancer. Patients were random- ized into two groups: those receiving an active comprehensive rehabilitation program (СС-1, 51 patients) and those receiving passive rehabilitation (СС-2, 52 patients). The active rehabilitation program included a personalized, year-long regimen encompassing physical therapy, psychotherapeutic support, and lifestyle modifications, among other interventions. In contrast, the passive rehabilitation group received standard post-operative care information and general recommendations based on local clinical guidelines. The primary outcome was the proportion of patients who returned to work at various time points up to 36 months post-surgery.
RESULTS. Patients in the СС-1 group demonstrated significantly higher rates of return to work compared to the CC-2 group from the third month post-surgery onwards. At 36 months, all patients in the CC-1 group had returned to work, whereas only 66.7 % of patients in the CC-2 group had resumed their professional activities. In the CC-1 group the chance of returning to work within 3 years after sur- gery was 2.14 times higher compared to those in the CC-2 group (OR = 0.467, 95 % CI 0.309–0.706, p < 0.001).
CONCLUSION. The study highlights the significant impact of personalized comprehensive active rehabilitation programs on improving the likelihood of return to work following surgical treatment for early-stage cervical cancer. These findings suggest that such rehabili- tation approaches may be crucial in enhancing the long-term recovery and social reintegration of cervical cancer patients, ultimately contributing to better overall outcomes. Further research is needed to identify the most effective components of these rehabilitation programs and optimize their implementation.


KEYWORDS: cervical cancer, rehabilitation, return to work

FUNDING: The authors declare no external funding in the conduct of the study.

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

FOR CITATION:

Blinov D.V., Solopova A.G., Gameeva E.V., Badalov N.G., Eremushkin M.A., Stepanova A.M., Galkin V.N., Ivanov A.E., Akavova S.A. Resumption of Employment after Cervical Cancer Surgery: a 3-Year Follow-Up Study of Long-term Outcomes. Bulletin of Rehabilitation Medicine. 2024; 23(6):54-61. https://doi.org/10.38025/2078-1962-2024-23-6-54-61 (In Russ.).

FOR CORRESPONDENCE:

Dmitry V. Blinov, E-mail: blinov2010@googlemail.com


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.