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To the Editor: In their meta-analysis, Dr de Boer and colleagues¹ found that cancer survivorship was associated with unemployment. The purpose of this study was to examine the association of prognostic factors with unemployment and to identify groups of cancer survivors at highest risk for unemployment. However, the authors did not include cancer treatment as a possible prognostic factor.

Being treated with chemotherapy was a significant predictor of work changes after cancer diagnosis in our study of 403 Dutch long-term cancer survivors with a job before diagnosis.² A Finnish study of 591 employed patients with cancer also concluded that both men and women who were treated with chemotherapy had more than twice the risk of impaired physical work ability than those who had received other treatments.³ A prospective Dutch study by de Boer et al⁴ of return to work in cancer patients reported that patients who received chemotherapy showed low . . . [Full Text of this Article]

Floortje Mols, PhD
f.mols@uvt.nl
Center of Research on Psychology in Somatic Diseases (CoRPS)
Tilburg University
Tilburg, the Netherlands

Lonneke V. van de Poll-Franse, PhD
Comprehensive Cancer Centre South
Eindhoven, the Netherlands

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