Correlates of return to work for breast cancer survivors

Department of Medicine, Michigan State University, East Lansing, MI 48824, USA.
Journal of Clinical Oncology (Impact Factor: 18.43). 02/2006; 24(3):345-53. DOI: 10.1200/JCO.2004.00.4929
Source: PubMed


To identify correlates of return to work for employed breast cancer survivors.
Patients included 416 employed women with newly diagnosed breast cancer identified from the Metropolitan Detroit Cancer Surveillance System. Patients were interviewed by telephone 12 and 18 months after diagnosis. Correlates of return to work at 12 and 18 months were identified using multivariate logistic regression.
More than 80% of patients returned to work during the study period, and 87% reported that their employer was accommodating to their cancer illness and treatment. After adjusting for demographic characteristics, health status, cancer stage, treatment, and job type, heavy lifting on the job (odds ratio = 0.42; 95% CI, 0.18 to 0.99), perceived employer accommodation for cancer illness and treatment (odds ratio = 2.2; 95% CI, 1.03 to 4.8), and perceived employer discrimination because of a cancer diagnosis (odds ratio = 0.27; 95% CI, 0.10 to 0.71) were independently associated with return to work at 12 months after breast cancer diagnosis, and perceived employer accommodation (odds ratio = 2.3; 95% CI, 1.06 to 5.1) was independently associated with return to work at 18 months after breast cancer diagnosis.
A high percentage of employed breast cancer patients returned to work after treatment, and workplace accommodations played an important role in their return. In addition, perceived employer discrimination because of cancer was negatively associated with return to work for breast cancer survivors. Employers seem to have a pivotal role in breast cancer patients' successful return to work.

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Available from: Reynard Ronald Bouknight, Sep 29, 2015
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    • "To predict those who may lose jobs and plan intervention for those groups accordingly, several studies have attempted to identify the correlates of unemployment. As a result, disease-related factors such as cancer site [6], stage [7], type of treatment [5] , as well as socio-demographic factors such as age [5], marital status [8], and income [9] were reported to be associated with unemployment as much as work-related factors such as workplace atmosphere [6] or type of work [6,7]. "
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    ABSTRACT: Little is known regarding cervical cancer survivors' employment status, which represents social integration of cancer survivors as a pivotal domain of long-term quality of life. The goal of this study was to assess the correlates of unemployment and evaluate the impact on the comprehensive quality of life in cervical cancer survivors. We enrolled 858 cervical cancer survivors from the gynecologic oncology departments of multi-centers in Korea. Factors associated with unemployment were identified using multivariate logistic regression analyses. We assessed different health-related quality of life domains with multivariate-adjusted least-square means between cervical cancer survivors who currently work and do not. After diagnosis and treatment, the percentage of unemployed survivors increased from 50.6% to 72.8%. Lower income (adjusted odds ratio [aOR], 1.97; 95% confidence interval [CI], 1.38 to 2.81), medical aid (aOR, 1.58; 95% CI, 1.05 to 2.38), two or more comorbidities (aOR, 1.80; 95% CI, 1.12 to 2.90), current alcohol drinkers (aOR, 2.33; 95% CI, 1.54 to 3.52), and employed at the time of diagnosis (aOR, 10.72; 95% CI, 7.10 to 16.16) were significantly associated with unemployment. Non-working groups showed significant differences with respect to physical functioning, role functioning, depression, and existential well-being. The proportion of unemployed cervical cancer survivors seems to increase, with low-income status and the presence of medical aid negatively being associated with employment, in addition to other comorbidities and previous working status. Effort should be made to secure the financial status of cervical cancer survivors.
    Journal of Gynecologic Oncology 10/2013; 24(4):367-75. DOI:10.3802/jgo.2013.24.4.367 · 2.49 Impact Factor
    • "The perceived motivation of employers in accommodating breast cancer survivors' illness and treatment is an important element affecting RTW (Bouknight et al., 2006). Breast cancer survivors have reported a high proportion of employers are accommodating, which suggests that the majority of employers are receptive to the needs of employees who have been diagnosed with breast cancer (Bouknight et al., 2006). Employers need to understand that it is important for survivors to maintain a connection with their work, especially while on sick leave (Fantoni et al., 2010). "
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    ABSTRACT: Breast cancer and return to work (RTW) is a global issue affected by many factors. The World Health Organization's International Classification of Functioning, Disability and Health (ICF) can be used to address disease/treatment, person and work related factors that can impact the RTW process for breast cancer survivors. The work environment, treatment and sociodemographic factors can affect the timeliness of RTW. While conventional treatment methods are critical for survival, there are other strategies that may provide comfort and relief that can improve functioning in the workplace. Although the number of studies addressing this is increasing, certain issues such as differences in RTW rates, RTW needs and accountability need further investigation. A thorough understanding of the independent and combined effects of disease/treatment, work and person related factors can assist in the appropriate implementation of RTW strategies for breast cancer survivors. For many breast cancer survivors, returning to work is used as a gauge of healing and control over breast cancer, providing encouragement for the future.
    01/2013; 8. DOI:10.1017/idm.2012.7
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    • "In the few studies conducted on this (Satariano and DeLorenze, 1996; Balak et al., 2008; Quinlan et al., 2011), AM has been shown to affect SL and RTW early, that is, two to four months, after surgery (Satariano and DeLorenze, 1996) as well as six months to three years later (Balak et al., 2008; Quinlan et al., 2011). AM may cause difficulties in performing work involving physical strenuous work postures, and this may be one reason to why the odds have been shown to be lower for RTW (Bouknight et al., 2006) and higher for being on SL shortly after BC diagnosis (Satariano and DeLorenze, 1996; Petersson et al., 2011) in occupations involving physical strenuous activities. Chemotherapy is another treatment-related factor that has been shown to negatively influence the duration of BC-related absence from work (Drolet et al., 2005; Lauzier et al., 2008) and RTW (Johnsson et al., 2007, 2009; Balak et al., 2008) in the long-run. "
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    ABSTRACT: BACKGROUND: There is limited knowledge about the impact of arm morbidity on sick leave in the immediate period after breast cancer surgery. PURPOSE: To determine if arm morbidity was associated with sick leave shortly after breast cancer surgery and to investigate the association between arm morbidity and sick leave, adjusted for treatment, work characteristics, co-morbidity, time since surgery, and sociodemographic factors. SAMPLE AND METHODS: Included were 511 women who within 12 weeks had had breast cancer surgery, were aged 20-63 years, had no distant metastasis, pre-surgical chemotherapy, or previous breast cancer, and worked ≥75% before breast cancer diagnosis. Percentages and odds ratios (OR) for being on sick leave were calculated, using multivariable analyses. RESULTS: Of the women, 10% reported arm morbidity, 43% had had a total axillary clearance, and 60% were on sick leave. In multivariable analysis, those with planned chemotherapy had the highest OR (4.69; 95% CI 2.97-7.41) for being on sick leave. Nevertheless, those reporting arm morbidity had the second highest OR (2.71; 1.23-5.97) which was higher than if having strenuous work postures (2.49; 1.50-4.15) or having had an axillary clearance (1.64; 1.04-2.60). CONCLUSION: Arm morbidity is an important factor for whether being on sick leave or not shortly after breast cancer surgery, even more important than type of axillary surgery or work situation. However, planned chemotherapy had the greatest impact for being on sick leave already shortly after breast cancer surgery.
    European journal of oncology nursing: the official journal of European Oncology Nursing Society 06/2012; 17(1). DOI:10.1016/j.ejon.2012.05.004 · 1.43 Impact Factor
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