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A retrospective, cross-sectional, analytical cohort study followed 52 consecutive patients at a single tertiary center. Participants completed demographic, tumor, lifestyle, and quality-of-life questionnaires. The study assessed reemployment rates and associations between return-to-work and clinical or sociodemographic parameters, identifying key determinants and impediments reported after treatment.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/return-to-work-of-head-and-neck-cancer-patients-after-curative-radiotherapy/373297/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/return-to-work-of-head-and-neck-cancer-patients-after-curative-radiotherapy/373297.png","ImageObject",300,407,{"name":92,"@type":93},"WPS_1786070896","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main objective of the study?","Question",{"text":112,"@type":113},"To evaluate the rate of reemployment after curative radiotherapy for head and neck cancer and to identify barriers to successful return to work in this population.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How many patients were included, and how was the study designed?",{"text":117,"@type":113},"The study included 52 consecutive patients and used a retrospective, cross-sectional, analytical cohort design with survey data collected at follow-up.",{"name":119,"@type":110,"acceptedAnswer":120},"Which factors predicted successful return to work?",{"text":121,"@type":113},"Educational level, work type, and tumor stage were associated with successful return to work.",{"name":123,"@type":110,"acceptedAnswer":124},"What were the main barriers to reemployment?",{"text":125,"@type":113},"Physical symptoms such as fatigue, speech disorders, and eating problems were identified as the main barriers.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},373297,1791314711,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":143,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":144,"faqs":145,"seo_title":146,"seo_description":67,"update_tm":147,"read_time":148},549768072016,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","1) Department of Oncology and Radiotherapy, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania  \n2) Amethyst Radiotherapy Center Cluj, Florești, Romania  \n3) Department of Otolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania  \n4) Department 2 Functional Sciences, Discipline of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania  \nReturn to work of head and neck cancer patients after curative radiotherapy  \nRenata Zahu 1,2, Daniela Urian2, Monica Chirila2, Cristina Tiple3, Magdalena Chirila3, Stefan Cristian Vesa4, Gabriel Kacso 1,2  \nAbstract  \nBackground. Our objective was to evaluate the rate of reemployment after having curative radiotherapy for head and neck cancer and to identify the barriers of successful return to work in this patient population.  \nMethods. The study was retrospective, cross-sectional, analytical and cohort type, it included 52 consecutive patients attending follow-up visits after curative radiotherapy for head and neck cancer at a single tertiary center. Participants completed a survey to assess demographics, tumor characteristics, lifestyle choicesand quality of life questionnaires. We analyzed the rate of reemployment and the association with different parameters.  \nResults. At the time of the survey, the successful return to work rate among head and neck cancer survivors was 55. 8% . Most of the returners, 93%, started to work within 14 months from the time of the diagnosis. Educational level, work type and tumor stage were predictive for successful return to work. The main barriers for reemployment were physical symptoms such as fatigue, speech disorders and eating problems.  \nConclusions. Head and neck cancer survivors who manage to return to work have a better quality of life and global health status than those who could not return. The most vulnerable patients are those with lower education, doing manual work and with advanced stage cancer. Optimized radiotherapy planning to reduce radiation induced late effects in conjunction with coordinated rehabilitation programs are needed to facilitate head and neck cancer survivors’reemployment.  \nKeywords: head and neck neoplasms, return to work, radiotherapy, cancer survivors, quality of life  \nDOI: 10.15386/mpr-2874  \nManuscript received: 04.02.2025  \nReceived in revised form: 10.03.2025  \nAccepted: 01.04.2025  \nAddress for correspondence:  \nRenata Zahu [renata.zahu@amethyst-radiotherapy.com](renata.zahu@amethyst-radiotherapy.com)  \nThis work is licensed under a Creative Commons Attribution-NonCommercialNoDerivatives 4.0 International License [https://creativecommons.org/licenses/](https://creativecommons.org/licenses/)[ ](https://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/)  \nIntroduction  \nAccording to the latest International Association of Cancer Registries (IACR) report, the incidence of cancer is rising worldwide with a predicted incidence of over 35 million new cases by 2050, a 77% increase from the 20 million cases estimated in 2022.  \nFor those aged 30-69 years, cancer is one of the most important cause of premature death in 177 out of 185 countries [1] . This age group is important from an economic point of view since it constitutes the working majority of any country. On a macroeconomic level, cancer causes reduced productivity, unemployment, loss of labor force and decreased capital  \ninvestments. This economic burden can be reduced by prevention and screening strategies and by increasing the survival rates with successful return to work of the cancer survivors [2] .  \nReturn to work rates were reported in several studies at an average of 65% . These rates vary according to cancer type, gender, socioeconomic environment [3] . Survivors not reentering the workforce cause financial losses not just on the individual and family level but also on the social level. The loss of p","cbCaicE9MbuO6GIU","https://ap.wps.com/l/cbCaicE9MbuO6GIU","pdf",282127,"English","# Abstract\n# Background and Aim\n# Methods\n## Participants and Eligibility","[{\"question\":\"What was the main objective of the study?\",\"answer\":\"To evaluate the rate of reemployment after curative radiotherapy for head and neck cancer and to identify barriers to successful return to work in this population.\"},{\"question\":\"How many patients were included, and how was the study designed?\",\"answer\":\"The study included 52 consecutive patients and used a retrospective, cross-sectional, analytical cohort design with survey data collected at follow-up.\"},{\"question\":\"Which factors predicted successful return to work?\",\"answer\":\"Educational level, work type, and tumor stage were associated with successful return to work.\"},{\"question\":\"What were the main barriers to reemployment?\",\"answer\":\"Physical symptoms such as fatigue, speech disorders, and eating problems were identified as the main barriers.\"}]","Return to work of head and neck cancer patients after curative radiotherapy | PDF",1790198723,18]