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Sustainable return to work among breast cancer survivors
PURPOSE: This study assessed sustainable return to work (SRTW) of breast cancer survivors (BCS). METHODS: We used data from the prospective French cohort, CANTO. We included 1811 stage I–III BCS who were <57 years old and employed at the moment of diagnosis and working 2 years after diagnosis. Us...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557874/ https://www.ncbi.nlm.nih.gov/pubmed/37602836 http://dx.doi.org/10.1002/cam4.6467 |
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author | Ruiz de Azua, Garazi Kousignian, Isabelle Vaz‐Luis, Ines Di Meglio, Antonio Caumette, Elsa Havas, Julie Martin, Elise Martin, Anne‐Laure Querel, Ophelie Vanlemmens, Laurence Pistilli, Barbara Coutant, Charles Cottu, Paul Henri Merimeche, Asma Dhaini Lerebours, Florence Tredan, Olivier Jouannaud, Christelle Levy, Christelle Dumas, Agnes Menvielle, Gwenn |
author_facet | Ruiz de Azua, Garazi Kousignian, Isabelle Vaz‐Luis, Ines Di Meglio, Antonio Caumette, Elsa Havas, Julie Martin, Elise Martin, Anne‐Laure Querel, Ophelie Vanlemmens, Laurence Pistilli, Barbara Coutant, Charles Cottu, Paul Henri Merimeche, Asma Dhaini Lerebours, Florence Tredan, Olivier Jouannaud, Christelle Levy, Christelle Dumas, Agnes Menvielle, Gwenn |
author_sort | Ruiz de Azua, Garazi |
collection | PubMed |
description | PURPOSE: This study assessed sustainable return to work (SRTW) of breast cancer survivors (BCS). METHODS: We used data from the prospective French cohort, CANTO. We included 1811 stage I–III BCS who were <57 years old and employed at the moment of diagnosis and working 2 years after diagnosis. Using logistic regression, we investigated the role of clinical, health and socio‐economic factors, and the work environment on SRTW 3 years after diagnosis. We compared having any sick leave with having worked continuously and being unemployed to having worked continuously between 2 and 3 years after diagnosis. RESULTS: Overall, 77% (n = 1395) worked continuously after return to work (RTW). Out of the other 416 BCS, 66% had any sick leave period, 33% had been unemployed, 4% had an early retirement, 2% a disability and 1% another status (multiple situations possible). Being on sick leave was associated with age > 50 (OR = 0.59; 95%CI = 0.43–0.82), stage III (2.56; 1.70–3.85), tumour subtype HR+/HER2+ (0.61; 0.39–0.95), severe fatigue (1.45; 1.06–1.98), workplace accommodations (1.63; 1.14–2.33) and life priorities (0.71; 0.53–0.95). Unemployment was associated with age > 50 (0.45; 0.29–0.72), working in the public sector (0.31; 0.19–0.51), for a small company (3.00; 1.74–5.20) and having a fixed‐term contract (7.50; 4.74–11.86). CONCLUSIONS: A high number of BCS have periods of sick leave or unemployment after RTW. The determinants differ between sick leave and unemployment. IMPLICATIONS FOR CANCER SURVIVORS: BCS need to be supported even after RTW, which should be regarded as a process. |
format | Online Article Text |
id | pubmed-10557874 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105578742023-10-07 Sustainable return to work among breast cancer survivors Ruiz de Azua, Garazi Kousignian, Isabelle Vaz‐Luis, Ines Di Meglio, Antonio Caumette, Elsa Havas, Julie Martin, Elise Martin, Anne‐Laure Querel, Ophelie Vanlemmens, Laurence Pistilli, Barbara Coutant, Charles Cottu, Paul Henri Merimeche, Asma Dhaini Lerebours, Florence Tredan, Olivier Jouannaud, Christelle Levy, Christelle Dumas, Agnes Menvielle, Gwenn Cancer Med RESEARCH ARTICLES PURPOSE: This study assessed sustainable return to work (SRTW) of breast cancer survivors (BCS). METHODS: We used data from the prospective French cohort, CANTO. We included 1811 stage I–III BCS who were <57 years old and employed at the moment of diagnosis and working 2 years after diagnosis. Using logistic regression, we investigated the role of clinical, health and socio‐economic factors, and the work environment on SRTW 3 years after diagnosis. We compared having any sick leave with having worked continuously and being unemployed to having worked continuously between 2 and 3 years after diagnosis. RESULTS: Overall, 77% (n = 1395) worked continuously after return to work (RTW). Out of the other 416 BCS, 66% had any sick leave period, 33% had been unemployed, 4% had an early retirement, 2% a disability and 1% another status (multiple situations possible). Being on sick leave was associated with age > 50 (OR = 0.59; 95%CI = 0.43–0.82), stage III (2.56; 1.70–3.85), tumour subtype HR+/HER2+ (0.61; 0.39–0.95), severe fatigue (1.45; 1.06–1.98), workplace accommodations (1.63; 1.14–2.33) and life priorities (0.71; 0.53–0.95). Unemployment was associated with age > 50 (0.45; 0.29–0.72), working in the public sector (0.31; 0.19–0.51), for a small company (3.00; 1.74–5.20) and having a fixed‐term contract (7.50; 4.74–11.86). CONCLUSIONS: A high number of BCS have periods of sick leave or unemployment after RTW. The determinants differ between sick leave and unemployment. IMPLICATIONS FOR CANCER SURVIVORS: BCS need to be supported even after RTW, which should be regarded as a process. John Wiley and Sons Inc. 2023-08-21 /pmc/articles/PMC10557874/ /pubmed/37602836 http://dx.doi.org/10.1002/cam4.6467 Text en © 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | RESEARCH ARTICLES Ruiz de Azua, Garazi Kousignian, Isabelle Vaz‐Luis, Ines Di Meglio, Antonio Caumette, Elsa Havas, Julie Martin, Elise Martin, Anne‐Laure Querel, Ophelie Vanlemmens, Laurence Pistilli, Barbara Coutant, Charles Cottu, Paul Henri Merimeche, Asma Dhaini Lerebours, Florence Tredan, Olivier Jouannaud, Christelle Levy, Christelle Dumas, Agnes Menvielle, Gwenn Sustainable return to work among breast cancer survivors |
title | Sustainable return to work among breast cancer survivors |
title_full | Sustainable return to work among breast cancer survivors |
title_fullStr | Sustainable return to work among breast cancer survivors |
title_full_unstemmed | Sustainable return to work among breast cancer survivors |
title_short | Sustainable return to work among breast cancer survivors |
title_sort | sustainable return to work among breast cancer survivors |
topic | RESEARCH ARTICLES |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557874/ https://www.ncbi.nlm.nih.gov/pubmed/37602836 http://dx.doi.org/10.1002/cam4.6467 |
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