Self-reported work ability in long-term breast cancer survivors. A population-based questionnaire study in Denmark

Carlsen, Kathrine; Jensen, Anette Jung; Rugulies, Reiner; Christensen, Jane; Bidstrup, Pernille Envold; Johansen, Christoffer; Madsen, Ida E. H.; Dalton, Susanne Oksbjerg

doi:10.3109/0284186x.2012.744877

Cited by 80 publications

(108 citation statements)

References 26 publications

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“…It is obvious that this kind of support at the end is advantageous for both the employer and the employee. The importance of workplace support has been demonstrated in several studies [14,[15][16][17][18][19][20]33], but the current study might clarify the background to these findings.…”

Section: Discussioncontrasting

confidence: 48%

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Workplace support after breast cancer treatment: recognition of vulnerability

Tiedtke

Casterlé

Donceel

et al. 2014

Disability and Rehabilitation

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Section: Discussioncontrasting

confidence: 48%

“…For women who had survived breast cancer, poorer work ability than cancer-free controls was found. This poorer ability was strongly associated with little support at work [33].…”

Section: Discussionmentioning

confidence: 99%

Workplace support after breast cancer treatment: recognition of vulnerability

Tiedtke

Casterlé

Donceel

et al. 2014

Disability and Rehabilitation

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“…A lower educational level is suggested to be a risk factor for decreased RTW in workers with prostate cancer . In some studies, poor economic status and low household income are considered barriers for RTW among breast cancer survivors . Ahn et al demonstrated that marriage was a negative predictor of employment and that married breast cancer survivors were less likely to RTW .…”

Section: Discussionmentioning

confidence: 99%

“…37 In some studies, poor economic status and low household income are considered barriers for RTW among breast cancer survivors. 38 Ahn et al demonstrated that marriage was a negative predictor of employment and that married breast cancer survivors were less likely to RTW. 39 In a previous study of patients with HNC, anxiety was indicated as a barrier to RTW after treatment for HNC survivors.…”

Section: Discussionmentioning

confidence: 99%

Trajectories of returning to work and its impact on survival in survivors with oral cancer: A 5‐year follow‐up study

Chen

Wang

et al. 2019

Cancer

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Background A return to work (RTW) is a challenge for survivors of oral cancer. Further light could be shed on the RTW of patients with oral cancer, which remains largely uninvestigated. The objective of this study was to investigate the trajectories of RTW and their impact on survival in workers with oral cancer. Methods In total, 12,222 workers who were newly diagnosed with oral cancer were identified during the period from 2004 to 2015 and were included in this cohort study. The associations between independent variables and RTW were analyzed using Cox proportional hazard models. Results Overall, 8793 workers returned to work in the first years after a diagnosis of oral cancer. Chemotherapy (hazard ratio [HR], 0.88; 95% CI, 0.78‐0.99) and radiation therapy (HR, 0.83; 95% CI, 0.75‐0.92) were inversely associated with RTW. Patients who had received surgical treatment (HR, 1.24; 95% CI, 1.01‐1.53) were more likely to RTW. Employees with stage I (HR, 1.66; 95% CI, 1.47‐1.87), stage II (HR, 1.52; 95% CI, 1.35‐1.72), and stage III (HR, 1.32; 95% CI, 1.16‐1.51) disease were associated with an increased likelihood of RTW in the fifth year after diagnosis. Kaplan‐Meier survival analysis demonstrated better survival for the RTW group versus the non‐RTW group in patients with stage III and IV oral cancer (P < .001). The fully adjusted HR indicated that the RTW group had significantly better outcomes than the non‐RTW group in all‐cause mortality (P < .001; HR, 0.36; 95% CI, 0.33‐0.39). Conclusions Sociodemographic and medical factors affect the RTW of cancer survivors. RTW may have a beneficial effect on survival of patients with oral cancer.

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“…Bradley et al (2005)[8] reported that African American women were 12 percentage points less likely to be employed than white women six months after diagnosis, but by 12 months following diagnosis, racial differences were no longer statistically significant [8]. Demographic characteristics such as age [9, 10] and low education [11-13], chemotherapy [10, 14-15] and radiation [14], physically demanding jobs and availability of sick leave [11, 16] work place discrimination, and accommodation influence return to work [17-19]. If African American women are diagnosed at later stages, they may require lengthy and toxic chemotherapy regimens, which would prevent them from returning to work relative to women diagnosed with earlier stage disease.…”

Section: Introductionmentioning

confidence: 99%

Racial differences in quality of life and employment outcomes in insured women with breast cancer

Bradley

Wilk

2013

J Cancer Surviv

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Purpose Prior studies indicate that racial disparities are not only present in cancer survival, but also in the quality of cancer survivorship. We estimated the effect of cancer and its treatment on two measures of survivorship quality: health-related quality of life and employment worked for initially employed and insured women newly diagnosed with breast cancer. Methods We collected employment data from 548 women from 2007 to 2011; 22% were African American. The outcomes were responses to the SF-36, CES-D, employment, and change in weekly hours worked from pre-diagnosis to two- and nine-months following treatment initiation. Results African American women reported a 2.77 (0.94) and 1.96 (0.92) higher score on the Mental Component Score at the two- and nine-month interviews, respectively. They also report fewer depression symptoms at the two-month interview, but were over half as likely to be employed as non-Hispanic white women (OR=0.43; 95% CI=0.26 to 0.71). At the nine-month interview, African American women had 2.33 (1.06) lower scores on the Physical Component Score. Conclusions Differences in health-related quality of life were small and although statistically significant, were most likely clinically insignificant between African American and non-Hispanic white women. Differences in employment were substantial, suggesting the need for future research to identify reasons for disparities and interventions to reduce the employment effects of breast cancer and its treatment on African American women. Implications for Cancer Survivors African American breast cancer survivors are more likely to stop working during the early phases of their treatment. These women and their treating physicians need to be aware of options to reduce work loss and take steps to minimize long-term employment consequences.

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Self-reported work ability in long-term breast cancer survivors. A population-based questionnaire study in Denmark

Cited by 80 publications

References 26 publications

Workplace support after breast cancer treatment: recognition of vulnerability

Workplace support after breast cancer treatment: recognition of vulnerability

Trajectories of returning to work and its impact on survival in survivors with oral cancer: A 5‐year follow‐up study

Racial differences in quality of life and employment outcomes in insured women with breast cancer

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