Breast cancer and work outcomes in health care workers

Goss, Claudia; Leverment, I. M. G.; Bono, Anne M. de

doi:10.1093/occmed/kqu122

Cited by 12 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A large portion of previous studies on women's work situations after BC diagnosis have focused on return to work, rather than on SA/DP . However, the term “return to work” encompasses several different conditions; therefore, women may not return to work after BC diagnosis for various reasons.…”

Section: Discussionmentioning

confidence: 99%

“…Higher risks of not returning to work, sickness absence (SA), work absence, disability pension (DP), and unemployment have been found among women with BC diagnosis compared with the general population, from immediately after BC diagnosis to a maximum of 10 years after treatment. Most of the earlier studies in this area have focused on return to work (ie, they have been restricted to women who are in paid working positions) or SA.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trajectories of sickness absence and disability pension in the 2 years before and 3 years after breast cancer diagnosis: A Swedish longitudinal population‐based cohort study

Chen

Alexanderson

2020

Cancer

View full text Add to dashboard Cite

BACKGROUND: After breast cancer (BC) diagnosis, work incapacity often occurs among working-age women. We investigated the trajectories of previous and subsequent sickness absence and/or disability pension (SA/DP) days, and risk factors for consistently high levels of future SA/DP among these women. METHODS: This longitudinal cohort study included all 3536 women in Sweden aged 19-64 years who received a first BC diagnosis in 2010. Their annual SA/DP net days from 2 years before to 3 years after diagnosis were calculated. SA/DP patterns were depicted by a group-based trajectory model. Logistic regressions were used to calculate odds ratios (ORs) with 95% CIs of >90 or >180 SA/DP days/year. RESULTS: Three trajectories of SA/DP days/year were identified: increasing only in year +1 (61% of all), increasing then decreasing in year +3 (30%), and constantly very high (9%). The risk factors associated with annual SA/DP days >90 (long) and >180 days (extreme long) were similar. Factors associated with having >90 SA/DP days for years 1-3 were: stage II (OR, 4.59; 95% CI, 2.98-7.07), stage III+IV (OR, 26.57; 95% CI,, prediagnosis SA 1-30 days (OR, 2.73; 95% CI, 1.30-5.70), prediagnosis SA >90 days (OR, 24.52; 95% CI, 12.25-49.08), and prediagnosis DP (OR, 659.97; 95% CI, 292.52->999.99). Conversely, adjusting for prediagnosis SA/DP and stage, sociodemographic factors were not associated with high levels of SA/DP. CONCLUSION: After BC diagnosis, SA/DP increased significantly but then decreased. The absolute majority had no SA/DP during year 3. Advanced cancer stage and previous high SA/DP rendered the greatest risk for future high SA/DP. More knowledge is needed for applying the information in rehabilitation and return-to-work planning. Cancer 2020;126:2883-2891.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trajectories of sickness absence and disability pension in the 2 years before and 3 years after breast cancer diagnosis: A Swedish longitudinal population‐based cohort study

Chen

Alexanderson

2020

Cancer

View full text Add to dashboard Cite

show abstract

“…Consistent with Boyages et al (2016), breast cancer survivors found that lymphoedema greatly affected the ability to remain employed and comparable to Bulley et al (2013); we found that people reported stopping or reducing the number of hours worked due to lymphoedema. In a study by Goss et al (2014), lymphoedema due to manual handling was one of the main reasons why health care professionals had to adjust their routine work after breast cancer diagnosis and treatment. However, within our study, we found one of the main reasons for changes to employment was the necessity for wearing the compression garments, which provoked infection control concerns.…”

Section: Impact Of Living With Lymphoedemamentioning

confidence: 99%

Exploring the impact of lymphoedema on individuals and if lymphatic venous anastomosis surgery effects perceptions on quality of life: A qualitative study

Thomas

Coveney

Pike

et al. 2020

European Journal of Oncology Nursing

View full text Add to dashboard Cite

A B S T R A C TPurpose: Lymphoedema is a chronic condition, a cancer consequence and causes physical, psychological, and social implications. A new super-micro surgical treatment Lymphatic Venous Anastomosis (LVA) may improve the symptoms of lymphoedema. This study aims to explore the impact of lymphoedema on individuals and if LVA Surgery changes perceptions on quality of life. Method: Semi-structured interviews were conducted with sixteen individual's pre-LVA surgery and repeated six months later post-LVA with ten of the participants. Transcripts were analysed using thematic analysis. Results: Themes identified pre-LVA included: Impact of Living with Lymphoedema, Being Different, and Future Hopes and Emotions. Participants reported making significant changes to 'normal' life due to living with lymphoedema. Changes included alteration in shopping, cleaning, hobbies, familial roles, employment and sexual intimacy. The wearing of compression garments engendered feelings of being unattractive. Themes found post-LVA were: I am one of the Lucky Ones and Returning to Former Self. Post-LVA, participants described how life had become more normalised with fear and apprehension of developing cellulitis reduced. Positive changes had enabled usual activities of daily living to recommence. Some participants had decreased pain, aching, heaviness, stiffness and were wearing their compression garments less. Conclusion: The findings suggest that the real impact of living with lymphoedema is much more challenging than previously identified. The findings suggest that LVA can give a future of greater choice for some of its recipients, but further research should explore longer-term benefits. LVA could offer hope to some people with lymphoedema, but a realistic expectation is essential.

show abstract

“…In the Netherlands, the proportion of employed women who fully resumed working after breast cancer within 1 year of diagnosis has decreased, particularly in women over 50 years (from 59% in 2002 to 46% in 2008) ( 5 ). In the UK, a higher RTW rate (84%) was observed in the first year following treatment for breast cancer of health-care workers ( 6 ). A meta-analysis of 26 international studies from the US, Europe, and other countries showed that the unemployment rate is higher after breast cancer than after other cancers (35.6 vs 31.7%) ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Developing a Return to Work Intervention for Breast Cancer Survivors with the Intervention Mapping Protocol: Challenges and Opportunities of the Needs Assessment

Fassier

Lamort-Bouché

Broc

et al. 2018

Front. Public Health

View full text Add to dashboard Cite

Return to work (RTW) is an important step for breast cancer survivors (BCSs). However, they face many barriers that affect particularly women with low socioeconomic status (SES). Health care, workplace, and insurance actors lack knowledge and collaborate poorly. No intervention to date has proven effective to reduce social disparities in employment after breast cancer. The intervention mapping (IM) protocol is being used in France to develop, implement, and evaluate an intervention to facilitate and sustain RTW after breast cancer [FAciliter et Soutenir le retour au TRAvail après un Cancer du Sein (FASTRACS) project]. The research question of this study was to elicit the needs for RTW after breast cancer from various stakeholders’ point of view. The aim of this study was to describe the process and the preliminary results of the needs assessment of the FASTRACS project. Different methods were followed to (a) establish and work with a planning group and (b) conduct a needs assessment to create a logic model of the problem. A planning group was organized to gather the stakeholders with the research team. A review of the literature and indicators was conducted to identify the magnitude of the problem and the factors influencing RTW. A qualitative inquiry was conducted with 12 focus groups and 48 individual semi-structured interviews to explore the needs and experience of the stakeholders. The results of these tasks were the proposition of a charter of partnership to structure the participative process, a review of the scientific evidence and indicators, and the description by the stakeholders of their needs and experience. Many stakeholders disagreed with the concept of “early intervention.” They advocated for a better support of BCSs during their RTW, emphasized as a process. Anticipation, intersectoral collaboration, and workplace accommodation were mentioned to fit the needs of the BCS and their environment. A logic model of the problem was elaborated from these data. The ability of the model to consider specific characteristics of women with low SES is discussed, with a view to developing the FASTRACS intervention through the next steps of the IM protocol.

show abstract

Breast cancer and work outcomes in health care workers

Abstract: This study showed a higher return to work rate in the first year, following treatment for breast cancer, than described previously. Workplace adjustments, recommended by an occupational physician, were provided for the majority.

Cited by 12 publications

References 4 publications

Trajectories of sickness absence and disability pension in the 2 years before and 3 years after breast cancer diagnosis: A Swedish longitudinal population‐based cohort study

Trajectories of sickness absence and disability pension in the 2 years before and 3 years after breast cancer diagnosis: A Swedish longitudinal population‐based cohort study

Exploring the impact of lymphoedema on individuals and if lymphatic venous anastomosis surgery effects perceptions on quality of life: A qualitative study

Developing a Return to Work Intervention for Breast Cancer Survivors with the Intervention Mapping Protocol: Challenges and Opportunities of the Needs Assessment

Contact Info

Product

Resources

About