Abstract
Introduction Earlier diagnosis and better treatment have increased the survival rates of breast cancer patients. This warrants research on return to work of cancer survivors, especially about subjective factors because they affect the mental desire to return to work. Moreover, knowledge in this issue is very limited in France. Objectives This study aims to explore the objective and subjective factors that affect whether and when women with breast cancer return to work. Methods 379 women with breast cancer aged 18–60 years who were working at the time of diagnosis responded to a 45 item questionnaire. The questionnaire had personal characteristics, disease-related characteristics and work-related ones. Multivariate logistic regressions were run to determine the association of these factors and return to work and time until return to work. Results During a median follow-up of 36 months, 82.1% of the 379 women who had worked before their diagnosis returned to work after a median sick leave of 10.8 months. Older age, lower educational level, chemotherapy, radiotherapy, lymphoedema, psychological or organizational self-perceived constraints related to their former job, and the lack of moral support from work colleagues both limited and delayed return to work. Conclusion The resumption of work by women with breast cancer depends on many factors, not all of them medical. The self-perceived factors must be considered: first to help support these women during their sick leave, while taking into account elements that may hinder early return to work; second to initiate a work resumption support process which takes into account both the person and her environment.
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Francis P, Crown J, Di Leo A, et al. Adjuvant chemotherapy with sequential or concurrent Anthracycline and Docetaxel: Breast International Group 02–98 randomized trial. J Natl Cancer Inst. 2008;100:121–33.
The Breast International Group (BIG). A comparaison of Letrozole and Tamoxifen in postmenopausal women with early breast cancer. N Engl J Med. 2005;353:2747–57.
Winer E, Gralow J, Diller L, et al. Clinical cancer advances 2008: major research advances in cancer treatment, prevention and screening—a report from the American society of clinical oncology. J Clin Oncol. 2008;27:812–26.
Hendrick RE, Smith RA. Tutledge JH et al. Benefit of sceening mammography in women aged 40–49: a new meta analysis of randomized controlled trials. J Natl Cancer Inst. 1997;22:87–92.
Bradley CJ, Bednarek HL, Neumark D. Breast cancer and women’s labor supply. Health Serv Res. 2002;37:1309–28.
Bloom JR, Stewart SL, Chang S, Banks PJ. Then and now: quality of life of young breast cancer survivors. Psychooncology. 2004;13:147–60.
Maunsell E, Drolet M, Brisson J, et al. Work situation after breast cancer: results from a population-based study. J Natl Cancer Inst. 2004;96:1813–22.
Lauzier S, Maunsell E, Drolet M, et al. Wage losses in the year after breast cancer: extent and determinants among Canadian women. J Natl Cancer Inst. 2008;100:321–32.
Balak F, Roelen CA, Koopmans PC, et al. Return to work after early-stage Breast cancer: a cohort study into the effects of treatment and cancer-related symptoms. J Occup Rehabil. 2008;18:267–72.
Roelen CA, Koopmans PC, De Graaf JH, et al. Sickness absence and return to work rates in women with breast cancer. Int Arch Occup Environ Health. 2009;82:543–6.
Amir Z, Brocky J. Cancer survivorship and employment:epidemiology. Occup Med. 2009;59:373–7.
Short PF, Vasey JJ, Tunceli K. Employment pathways in a large cohort of adult cancer survivor. Cancer. 2005;103:1292–301.
Taskila T, Lindohm ML. Factors affecting cancer survivors’ employment and work ability. Acta Oncol. 2007;46(4):446–51.
Bradley C, Oberst K, Schenk M. Absenteeism from work: the experience of employed breast and prostate cancer patients in the months following diagnosis. Psychooncology. 2006;15:739–47.
Taskila-Abrandt T, Martikainen R, Virtanen SV, Pukkala E, Hietanen P, Lindbohm ML. The impact of education and occupation on the employment status of cancer survivors. Eur J Cancer. 2004;40:2488–93.
De Boer A, Ojajärvi A, et al. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009;301(7):753–62.
Satariano WA, DeLorenze G. The likelihood of returning to work after breast cancer. Public Health Rep. 1996;111:236–43.
Spelten ER, Verbeek JH, Vitterhoeve AL. Cancer, fatigue and the return of patients to work-a prospective cohort study. Eur J Cancer. 2003;39:1562–7.
Pryce J, Munir F, Haslam C. Cancer survivorship and work: symptoms, supervisor response, co-worker disclosure and work-adjustment. J Occup Rehabil. 2007;17:83–92.
Bouknight R, Bradley C, Luo Z. Correlates of return to work for breast cancer survivors. J Clin Oncol. 2006;24:345–53.
Drolet M, Maunsell E, Brisson J, et al. Not working 3 years after breast cancer: predictors in a population-based study. J Clin Oncol. 2005;23:8305–12.
Steiner JF, Cavender TA, Main DS, Bradley CJ. Assessing the impact of cancer on work outcomes: what are the research needs? Cancer. 2004;101:1703–10.
Johnsson A, Fornander T, Olsson M, Nystedt M, Johansson H, Rutqvist LE. Factors associated with return to work after breast cancer treatment. Acta Oncol. 2007;46(1):90–6.
Johnsson A, Fornander T, Rutqvist LE, et al. Predictors of return to work ten months after primary breast cancer surgery. Acta Oncol. 2009;48:93–8.
Kennedy F, Haslam C, Munir F, Pryce J. Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer. Eur J Cancer Care. 2006;16:17–25.
Sawyer M, Spencer D. On the definition of involuntary unemployment. J Socio-Econom. 2008;37:718–35.
McWayne J, Heiney SP. Psychologic and social sequelae of secondary lymphedema. Cancer. 2005;104:457–66.
Engel J, Kerr J, Schlesinger-Raab A, Sauer H. Axilla surgery severely affects quality of life: results of 5-year prospective study in breast cancer patients. Breast Cancer Res Treat. 2003;79:47–57.
Steiner JF, Cavender TA, Nowels CT, et al. The impact of physical and psychosocial factors on work characteristics after cancer. Psycho-Oncology. 2008;17(2):138–47.
Berkman LF, Macintyre S. The measurement of social class in health studies: old measures and new formulations. In: Kogevinas M, Pearce N, Susser M, Bofetta P, editors. Social inequalities and cancer. Lyon: IARC Scientific Publications; 1997. p. 51.
Parizot I, Chauvin P, Paugam S. The moral career of poor peoples in free clinics. Soc Sci Med. 2005;61:1369–80.
Spelten ER, Sprangers MAG, Verbeek JHAM. Factors reported to influence the return to work of cancer survivors: a literature review. Psycho-Oncology. 2002;11:124–31.
Acknowledgments
This study was conducted with logistic support from the University of Lille 2, through the H. WAREMBOURG Faculty of Medicine, the Occupational Medicine Laboratory, the Center for Advisory Resources in Occupational Health, the Unit of Occupational and Environmental Disease of the CHRU-ISTNF (Occupational Health Institute of Northern France), and financial support from the Nord-Pas-de-Calais region.
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Fantoni, S.Q., Peugniez, C., Duhamel, A. et al. Factors Related to Return to Work by Women with Breast Cancer in Northern France. J Occup Rehabil 20, 49–58 (2010). https://doi.org/10.1007/s10926-009-9215-y
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DOI: https://doi.org/10.1007/s10926-009-9215-y