Predictors of post-cancer diagnosis resignation among Japanese cancer survivors

Endo, Motoki; Muto, Go; Imai, Yuya; Mitsui, Kiyomi; Nishimura, Kazuhiko; Hayashi, Kazuhiko

doi:10.1007/s11764-019-00827-0

Cited by 16 publications

(29 citation statements)

References 34 publications

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“…These previous studies argued that young BCSs had a higher risk of losing paid employment because breast cancer treatment is often more aggressive in younger patients and young BCSs may therefore also experience more severe long-term adverse effects, including work-related effects. However, Fantoni et al reported that older age was associated with di culty continuing work and a higher risk of unemployment [20]. Our data may suggest that older people may be more reticent to resign their jobs, given typical age-associated di culties in nding new employment.…”

Section: Discussionmentioning

confidence: 56%

“…This study revealed that 14.9% of Japanese female breast cancer survivors quit their jobs after being diagnosed with cancer, while the post-cancer diagnosis resignation rate differed signi cantly according to educational level, cancer stage, and occupational type. As Boer's systematic review reported that CSs were more likely to be unemployed compared to healthy controls (33.8% vs. 15.2%; pooled relative risk: 1.37) [19], it is important that developed countries support CSs to avoid potentially high numbers of resignations [20]. The resignation rate (14.9%) of BCSs in this study was lower than the resignation rate.…”

Section: Discussionmentioning

confidence: 69%

“…The resignation rate (14.9%) of BCSs in this study was lower than the resignation rate. Endo et al reported that resignation rates (12.4%) among total CSs in Japanese were low because it is extremely di cult and uncommon for employers to re employees in Japan [20,21]. The Labor Contract Act states, "A dismissal shall, if it lacks objectively reasonable grounds and is not considered to be appropriate in general societal terms, be treated as an abuse of right and be invalid" [20].…”

Section: Discussionmentioning

confidence: 99%

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Predictors of resignation and sick leave after cancer diagnosis among Japanese breast cancer survivors

Mitsui

Endo²,

Imai

et al. 2020

Preprint

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Abstract Background The number of breast cancer patients of working age is increasing in Japan . Consequently, there is a need for support for working individuals concomitantly undergoing breast cancer treatment. The present study aimed to clarify the risk factors for resignation and taking sick leave among breast cancer survivors in continued employment at the time of diagnosis. Methods As part of a Japanese national research project (Endo-Han), the investigators conducted a web-based survey of cancer survivors (CSs) in 2018. The investigators analyzed the risk factors for post-breast cancer diagnosis resignation and sick leave using a logistic regression model, including age at diagnosis, educational level, cancer stage, surgery, pharmacotherapy, radiotherapy, employment status, and occupational type. Results 40 of 269 breast cancer survivors (14.9%) quit their job after cancer diagnosis. Predictors of resignation included lower education level (odds ratio [OR]: 3.802; 95%CI: 1.233-11.729), taking sick leave (OR: 2.514; 95%CI: 1.202-5.261), and younger age at diagnosis (OR: 0.470; 95%CI: 0.221-0.998). Of 229 patients who continued working, sick leave was taken by 72 (31.4%); having surgery was a predictor for taking sick leave (OR: 8.311; 95%CI: 1.007-68.621). Conclusions 14.9% of Japanese employees quit their jobs after being diagnosed with breast cancer. Being younger at breast cancer diagnosis, having lower educational attainment level, and utilizing sick leave were identified as predictors of post-cancer diagnosis resignation. Surgery was associated with the highest risk of taking sick leave. Breast cancer survivors exhibit higher risks for resignation, and may require more carefully follow-up after diagnosis by healthcare providers and employers to protect work sustainability.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Predictors of resignation and sick leave after cancer diagnosis among Japanese breast cancer survivors

Mitsui

Endo²,

Imai

et al. 2020

Preprint

Self Cite

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“…In a large population-based study among Japanese cancer survivors [12], it was found that 88% of cancer survivors returned to work. However, females and those with haematological cancers had a fourfold greater chance of not returning to work while temporary workers were 2.5 times more likely to not return to work.…”

Section: Return To Work In Less Studied Cancer Diagnosis Groupsmentioning

confidence: 99%

“…However, females and those with haematological cancers had a fourfold greater chance of not returning to work while temporary workers were 2.5 times more likely to not return to work. The authors conclude that those at higher risk for not returning should engage in efforts that balance cancer treatment and work, and followed more carefully post-cancer diagnosis [12]. Australian authors summarise the existing qualitative reviews and recent studies, and examine cancer survivors' motivations for and experiences of RTW [13].…”

Section: Return To Work In Less Studied Cancer Diagnosis Groupsmentioning

confidence: 99%

Introduction to special section on: current topics in cancer survivorship and work

et al. 2020

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Work is a key contributor to quality of life and an important aspect of cancer survivorship. We call attention to current topics in cancer survivorship and work with 12 articles on cancer survivorship and work in this special section. The focus is on less studied diagnostic groups such as gastrointestinal cancer and prostate cancer, and on long-term effects of cancer diagnosis and treatment on work. Furthermore, studies are included on topics not generally studied including cognitive limitations and pain, the role of the employer on work outcomes among different types of cancer survivors and some countries not typically covered in the existing literature on work and cancer survivorship. We conclude that to improve sustainable work participation in cancer survivors, personalised, tailored interventions should be provided. A prerequisite for this is the identification of groups and individuals at high risk for adverse work outcomes. In order to develop such interventions, research involving new approaches such as matching data registries, participatory approaches and the involvement of many stakeholders and survivors with these different types of cancer diagnoses is necessary. Implications for Cancer Survivors The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included Implications for Cancer Survivors. The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included.

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The quantity and quality of scientific evidence about the health of working women in occupational health of Japan: A scoping review

Nomura,

Kitagawa,

Tsuji

et al. 2023

Journal of Occupational Health

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ObjectiveWe aim to investigate the quantity and quality of scientific evidence dealing with comprehensive health issues of working women in occupational health.MethodsThis scoping review of original articles that investigated comprehensive health issues of working women aged 19–64 years in Japan was published in PubMed (1967–2022) and Igaku Chuo Zasshi (or Ichu‐shi, 1982–2022). Using identical broad search terms, we first identified 17 122 English and 6154 Japanese articles. We excluded those with clinically relevant topics, or ethnicity other than Japanese and included 853 English and 855 Japanese articles for review and classified them into nine research areas considered to be critical factors for women in the workforce and five study design groups to investigate the quality of the evidence accumulated.ResultsAmong 853 English‐language articles in PubMed, “Mental health” was the most frequent area studied, followed by “Work‐related disease” and “Lifestyle‐related disease.” Among 855 Japanese‐language articles from Ichu‐shi, “Mental health” was the most frequently studied area followed by “Work and balance,” and “Work‐related disease.” “Infertility, pregnancy, and childbirth” and “Menstruation, menopause, and genital disease” were well studied in Ichu‐shi but scarcely published in PubMed. “Harassment and discrimination” were sparsely reported in both databases. As for research designs, many articles in both PubMed and Ichu‐shi employed descriptive or cross‐sectional study designs. However, a few studies employed cohort/longitudinal or interventional studies.ConclusionThe results underscored the need for higher‐quality study designs with more scientific evidence on working women's health in the field of occupational health.

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Predictors of post-cancer diagnosis resignation among Japanese cancer survivors

Cited by 16 publications

References 34 publications

Predictors of resignation and sick leave after cancer diagnosis among Japanese breast cancer survivors

Predictors of resignation and sick leave after cancer diagnosis among Japanese breast cancer survivors

Introduction to special section on: current topics in cancer survivorship and work

The quantity and quality of scientific evidence about the health of working women in occupational health of Japan: A scoping review

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