Vocational rehabilitation integrated into cancer care so survivors can return to work
Many survivors of working age lose their jobs or income after treatment, though they could work with the right support. Job-focused rehabilitation should be part of cancer care, as it is for stroke.
Cancer survivors are at substantially higher risk of unemployment than the general population, with large economic and psychological costs. Multidisciplinary vocational rehabilitation (fatigue management, cognitive strategies, employer liaison, phased return) has moderate evidence from trials, mostly in Europe, but is rarely funded within oncology. Integrating a return-to-work pathway from diagnosis, with a named coordinator, would address one of survivors' most reported unmet needs.
- Survivorship and late effects are neglected · Tens of millions of people live after cancer with heart damage, infertility, second cancers and fear, and few services.
- Toxicity and quality of life are undervalued · Trials measure how long people live, not how they live. Side-effects are under-reported and under-treated.
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