Impact of breast cancer care pathways and related symptoms on the return-to-work process: results from a population-based French cohort study (CONSTANCES)

Rolland, Anne-Lise; Porro, Bertrand; Kab, Sofiane; Ribet, Céline; Bertin, Mélanie

doi:10.1186/s13058-023-01623-6

Cited by 7 publications

(3 citation statements)

References 36 publications

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“…Depressive symptoms were associated with impaired RTW after one year in a German study [ 14 ], and also in a study conducted by a Chinese researcher [ 86 ]. In another French study, BCSs treated with antidepressant/anxiolytic drugs returned to work after a longer period than other patients [ 87 ]. Depression is also associated with higher productivity loss after RTW: an Australian study showed that productivity loss was approximately fourfold higher in the depressed group than in the non-depressed group [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

Supporting Return to Work after Breast Cancer: A Mixed Method Study

Magnavita,

Di Prinzio,

Meraglia

et al. 2023

Healthcare

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Breast cancer (BC) is the most common invasive cancer in the world. Most BC survivors (BCSs) continue working while dealing with cancer-related disabilities. BCSs’ return-to-work (RTW) after cancer treatment is an important stage of their recovery and is associated with a higher survival rate. In this study, we addressed the RTW of BCSs with the intention of facilitating this process through direct action in the workplace. Thirty-two women who requested assistance from January to December 2022 were enrolled in the study. Semi-structured interviews and medical examinations were conducted by a team of three physicians. Interviews were analyzed using Thematic Analysis. Moreover, a quantitative cross-sectional study was conducted to compare the health status of BCSs with that of a control group of 160 working women, using standardized questionnaires on work ability, fatigue, sleep problems, anxiety, depression, and happiness. BCSs were also asked to rate the level of organizational justice they perceived at work prior to their illness. From the qualitative analysis emerged three facilitating/hindering themes: (1) person-related factors, (2) company-related factors, and (3) society-related factors. In the quantitative analysis, BCSs had significantly higher scores for anxiety, depression, sleep problems and fatigue, and lower levels of happiness than controls. The RTW of BCSs entails adapting working conditions and providing adequate support. The work-related analysis of each case made it possible to highlight the measures that need to be taken in the workplace to promote RTW. The treatment of cancer should be paired with advice on the best way to regain the ability to work.

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Section: Discussionmentioning

confidence: 99%

Supporting Return to Work after Breast Cancer: A Mixed Method Study

Magnavita,

Di Prinzio,

Meraglia

et al. 2023

Healthcare

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“…Determinants to predict RTW after BC have been extensively studied in international literature and are currently well known [9], driving recommendations for clinical practice [10]. However, to date, it is mainly disease-related, work-related or sociodemographic variables [6], [7], [11]- [13] that have been studied in relation to the RTW, rather than psychological variables such as Health-Related Quality of Life (HRQoL; [14], depression or anxiety [15]) and RTW after BC. Results from the French CANTO cohort suggest that the probability of unemployment is higher in patients who report severe physical and psychological symptoms [6].…”

Section: Introductionmentioning

confidence: 99%

Return to work and psychosocial trajectories after breast cancer: a longitudinal and sequential approach

Rubion,

Bourdon,

Sébille

et al. 2024

Preprint

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Purpose We aimed to describe the psychosocial adjustments according to return-to-work (RTW) trajectories in breast cancer survivors (BCS) using a sequential and temporal approach. Methods We used BCS data included from February 2015 to April 2016 in the Longitudinal Study on Behavioural, Economic and Sociological Changes after Cancer (ELCCA) cohort. RTW trajectories were identified using the sequence analysis method followed by a clustering. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale and the EORTC quality of life questionnaire was used at inclusion and all follow-up visits to assess Health-Related Quality of Life (HRQoL). Results Fifty-two BCS were included in the study among whom four clusters of RTW trajectories were identified and labelled: slow RTW (N = 10), quick RTW (N = 27), partial RTW (N = 8) and part-time work (N = 7). Quick and slow RTW clusters showed slightly lower baseline mean levels of anxiety and higher levels of HRQoL. In the 4 years following diagnosis, BCS in the quick RTW cluster tended to report higher HRQoL in terms of functioning and less symptoms of pain and fatigue while those in the partial RTW cluster showed a lower HRQoL on almost all dimensions. All clusters showed an increase in pain and fatigue symptoms until 6 months followed by a tendency to recover baseline levels. Conclusions The results of this study suggest that BCS who return to full-time work (slow and quick RTW patterns) recover better than patients who return to part-time work (partial and part-time RTW patterns).

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Section: Introductionmentioning

confidence: 99%

Return to work and psychosocial trajectories after breast cancer: a longitudinal and sequential approach

Rubion,

Bourdon,

Sébille

et al. 2024

Support Care Cancer

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We aimed to describe the psychosocial adjustments according to return-to-work (RTW) trajectories in breast cancer survivors (BCS) using a sequential and temporal approach. MethodsWe used BCS data included from February 2015 to April 2016 in the Longitudinal Study on Behavioural, Economic and Sociological Changes after Cancer (ELCCA) cohort. RTW trajectories were identi ed using the sequence analysis method followed by a clustering.Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale and the EORTC quality of life questionnaire was used at inclusion and all follow-up visits to assess Health-Related Quality of Life (HRQoL). ResultsFifty-two BCS were included in the study among whom four clusters of RTW trajectories were identi ed and labelled: slow RTW (N = 10), quick RTW (N = 27), partial RTW (N = 8) and part-time work (N = 7). Quick and slow RTW clusters showed slightly lower baseline mean levels of anxiety and higher levels of HRQoL. In the 4 years following diagnosis, BCS in the quick RTW cluster tended to report higher HRQoL in terms of functioning and less symptoms of pain and fatigue while those in the partial RTW cluster showed a lower HRQoL on almost all dimensions. All clusters showed an increase in pain and fatigue symptoms until 6 months followed by a tendency to recover baseline levels. ConclusionsThe results of this study suggest that BCS who return to full-time work (slow and quick RTW patterns) recover better than patients who return to part-time work (partial and part-time RTW patterns).

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Impact of breast cancer care pathways and related symptoms on the return-to-work process: results from a population-based French cohort study (CONSTANCES)

Cited by 7 publications

References 36 publications

Supporting Return to Work after Breast Cancer: A Mixed Method Study

Supporting Return to Work after Breast Cancer: A Mixed Method Study

Return to work and psychosocial trajectories after breast cancer: a longitudinal and sequential approach

Return to work and psychosocial trajectories after breast cancer: a longitudinal and sequential approach

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