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Predictors of return to work ten months after primary breast cancer surgery

Predictors of return to work ten months after primary breast cancer surgery Background. The most common female cancer in Western countries is breast cancer and women diagnosed with this disease are often under 65 years old. With increasing prevalence of survivors it is important to shed light on problems facing these women after diagnosis and treatment. The aim of this study was to assess factors predicting return to work (RTW) in women with early-stage breast cancer. Material and methods. A cohort of 102 women aged 18–64 with early-stage breast cancer who had undergone curative primary surgery with or without systemic adjuvant therapy were followed for 10 months using data from questionnaires and medical files. Results. Ten months after primary surgery, 59% of the women had returned to work while 41% were sick-listed part-time or full-time. After adjusting for age, health status, life satisfaction, vocational situation, and irradiation to the breast/chest wall and regional nodes, a multivariate logistic regression revealed the following factors as being negatively associated with RTW: a high-demand job (OR=0.1, 95% CI 0.0–0.8), axillary node dissection (OR=0.1, 95% CI 0.0–0.6), and treatment with chemotherapy (OR=0.1, 95% CI 0.0–0.7). Discussion. Treatment factors and high demands at work play an important role in RTW for women with early-stage breast cancer. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Oncologica Taylor & Francis

Predictors of return to work ten months after primary breast cancer surgery

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References (26)

Publisher
Taylor & Francis
Copyright
© 2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted
ISSN
1651-226X
eISSN
0284-186X
DOI
10.1080/02841860802477899
pmid
18937082
Publisher site
See Article on Publisher Site

Abstract

Background. The most common female cancer in Western countries is breast cancer and women diagnosed with this disease are often under 65 years old. With increasing prevalence of survivors it is important to shed light on problems facing these women after diagnosis and treatment. The aim of this study was to assess factors predicting return to work (RTW) in women with early-stage breast cancer. Material and methods. A cohort of 102 women aged 18–64 with early-stage breast cancer who had undergone curative primary surgery with or without systemic adjuvant therapy were followed for 10 months using data from questionnaires and medical files. Results. Ten months after primary surgery, 59% of the women had returned to work while 41% were sick-listed part-time or full-time. After adjusting for age, health status, life satisfaction, vocational situation, and irradiation to the breast/chest wall and regional nodes, a multivariate logistic regression revealed the following factors as being negatively associated with RTW: a high-demand job (OR=0.1, 95% CI 0.0–0.8), axillary node dissection (OR=0.1, 95% CI 0.0–0.6), and treatment with chemotherapy (OR=0.1, 95% CI 0.0–0.7). Discussion. Treatment factors and high demands at work play an important role in RTW for women with early-stage breast cancer.

Journal

Acta OncologicaTaylor & Francis

Published: Jan 1, 2009

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