Physical symptoms and working performance in female breast cancer survivors: a systematic review

Zomkowski, Kamilla; Souza, Bruna Cruz de; Silva, Fabiana Pinheiro da; Moreira, Géssica Maria; Cunha, Natália de Souza; Sperandio, Fabiana Flores

doi:10.1080/09638288.2017.1300950

Cited by 69 publications

(58 citation statements)

References 28 publications

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“…In the present study, there were significantly more survivors with the SC who worked part-time or who were on sick leave or disabled than those without the SC. Cancer-related symptoms such as pain, fatigue, and psychological distress have been associated with unemployment in several studies, but all these studies have investigated one symptom at a time [23][24][25]. To our current knowledge, the present study is the first to show that the SC of pain, fatigue, and psychological distress after breast cancer treatment is associated with reduced ability to work for many years after the diagnosis.…”

Section: Sociodemographic Characteristicsmentioning

confidence: 59%

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Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Bjerkeset

Röhrl

Schou-Bredal

2020

Breast Cancer Res Treat

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Purpose Breast cancer survivors may experience pain, fatigue, or psychological distress as a result of the treatment. These symptoms may co-occur and form a cluster. However little is known about symptom clusters (SCs) in long-term breast cancer survivors. This study aimed to identify subgroups of breast cancer survivors with the SC of pain, fatigue, and psychological distress, and to examine sociodemographic and clinical characteristics associated with this SC. Methods Data were obtained from a nationwide survey of breast cancer survivors (N = 834). Exhaustive enumeration of possible combination of the three binary variables (pain, fatigue, psychological distress) was conducted. They were identified using the recommended threshold for the Hospital Anxiety and Depression Scale, the Fatigue Questionnaire, and a score of one or more on a numeric rating scale for pain. The SC was defined to include all the three variables, all other combinations were defined as no SC. Logistic regression analyses were conducted to examine the association between sociodemographic and clinical variables and the SC. Results Of the 834 survivors, 13% had the SC. Younger age (OR 2.3, 95% CI 1.3-4.1, p = 0.003), lymphedema (OR 1.9, 95% CI 1.1-3.2, p = 0.02), working part-time (OR 2.9, 95% CI 1.6-5.3, p < 0.001), or being disabled (OR 4.1, 95% CI 2.2-7.8, p < 0.001) were all associated with the SC. Conclusion Thirteen percent of the survivors experienced the SC. It appears that premenstrual women are at greater risk, than postmenopausal women. Having this SC might have an impact on the survivors' ability to work.

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Section: Sociodemographic Characteristicsmentioning

confidence: 59%

“…Getting patients back to work is one of the first and most important goals after treatment is completed. However, several studies have shown that breast cancer survivors have an increased risk of unemployment [21,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Bjerkeset

Röhrl

Schou-Bredal

2020

Breast Cancer Res Treat

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“…A systemic review demonstrated that breast pain and weakness in the arms are the most common physical side effects of surgical treatment for breast cancer; these side effects can affect working performance in breast cancer survivors (Zomkowski et al, 2018).…”

Section: Background and Objectivesmentioning

confidence: 99%

“…Persistent or chronic pain due to surgical treatment is common among patients with breast cancer; such pain continues for 6 months in 6%–33% of patients and for 3–6 years in 16%–70% of patients (Andersen & Kehlet, ; Mak et al, ). A systemic review demonstrated that breast pain and weakness in the arms are the most common physical side effects of surgical treatment for breast cancer; these side effects can affect working performance in breast cancer survivors (Zomkowski et al, ). Fatigue—a subjective sense of tiredness, weakness, exhaustion and enervation—is another common side effect that persistently affects patients with breast cancer (Hofman, Ryan, Figueroa‐Moseley, Jean‐Pierre, & Morrow, ; Kinkead et al, ).…”

Section: Introductionmentioning

confidence: 99%

Effect of home‐based music intervention versus ambient music on breast cancer survivors in the community: A feasibility study in Taiwan

et al. 2019

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To explore the effects of home‐based music intervention (HBMI) on symptom severity, pain intensity and perceived fatigue among patients with breast cancer. In this randomised controlled trial, patients with breast cancer were randomly assigned into an HBMI or control group. The HBMI group was administered 24‐week HBMI involving five 30‐min sessions per week. The primary outcome was symptom severity; the secondary outcomes were pain and fatigue. A generalised estimating equation was employed to compare the effects after 6, 12 and 24 weeks of intervention between the two groups. A total of 60 patients were recruited. After 6, 12 and 24 weeks, HBMI significantly reduced symptom severity, pain intensity, overall fatigue, general fatigue, emotional fatigue and vigour (p < 0.05). Additionally, HBMI significantly reduced physical fatigue after 6 (p = 0.003) and 12 (p = 0.013) weeks and mental fatigue after 6 weeks (p = 0.001). After 6, 12 and 24 weeks, HBMI reduced symptom severity, pain intensity and overall fatigue. Furthermore, HBMI instantaneously reduced physical and mental fatigue. We recommend that HBMI be administered to patients with breast cancer to reduce their negative thoughts associated with cancer.

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“…Finally, tertiary prevention in those workers with clinical outcomes, also with the help of physiotherapists, psychologists and occupational therapists [18,19,38,48,49].…”

mentioning

confidence: 99%

Return to Work of Breast Cancer Survivors: Perspectives and Challenges for Occupational Physicians

Campagna

Loscerbo

Pilia

et al. 2020

Cancers

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Breast cancer is one of the most common diseases worldwide, mainly affecting the female gender. Considering the increase of breast cancer incidence and the decrease of mortality due to news diagnostic and therapeutic tools, the return to work issue after treatment is going to be very common in the next years. Occupational physicians therefore need to face the return to work and the fitness for work of workers previously diagnosed with breast cancer with a sufficient cultural and technical background. In addition to individual characteristics preceding the diagnosis, clinical outcome, lifestyles and occupational variables are the most impactful factors on return to work that need to be taken into account. The aim of this work is to analyze these factors and discuss the central role of occupational physicians in the decision-making process of returning to work in breast cancer survivors.

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Physical symptoms and working performance in female breast cancer survivors: a systematic review

Cited by 69 publications

References 28 publications

Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Symptom cluster of pain, fatigue, and psychological distress in breast cancer survivors: prevalence and characteristics

Effect of home‐based music intervention versus ambient music on breast cancer survivors in the community: A feasibility study in Taiwan

Return to Work of Breast Cancer Survivors: Perspectives and Challenges for Occupational Physicians

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