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

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

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article number9
JournalBMC Urology
Volume20
Issue number1
DOIs
Publication statusPublished - Jan 31 2020

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Keywords

  • Depression
  • EPIC-26
  • Prostatic neoplasm
  • Robot-assisted laparoscopic prostatectomy
  • Work ability

ASJC Scopus subject areas

  • Reproductive Medicine
  • Urology

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