The impact of breast cancer among Canadian women: Disability and productivity

Quinlan, Elizabeth; Thomas-MacLean, Roanne; Hack, Thomas F.; Kwan, Winkle; Miedema, Baukje; Tatemichi, Sue; Towers, Anna; Tilley, Andrea

doi:10.3233/wor-2009-0926

Cited by 43 publications

(29 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The literature search initially identified 8979 articles, with the majority retrieved by Medline. After removing duplicates, and exclusion on title and abstract, a total of 64 were retrieved for full text screening, of which 30 met the inclusion criteria . Table provides an overview of the main characteristics of these 30 articles, which described 25 studies, and involved a total of 32 027 participants.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 20 studies reported quantitative results, of which three described mainly physical problems , such as poor health status, functional limitations, chronic conditions, and arm pain/motion limitations, to influence work; six mainly described psychosocial problems , such as depressive symptoms, fatigue, exhaustion, and cognitive limitations, to affect work ability; and eleven described both physical and psychosocial problems , such as the aforementioned problems, but also lack of energy, nausea, hot flashes, coping issues, and the inability to perform physical/cognitive tasks, to influence functioning at work. In Table , a detailed and comprehensive overview of all results from these quantitative studies is given.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Duijts

Egmond

Spelten³

et al. 2013

Psycho-Oncology

292

263

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Duijts

Egmond

Spelten³

et al. 2013

Psycho-Oncology

292

263

View full text Add to dashboard Cite

show abstract

“…Overall, diseasefree breast cancer survivors may need more support to fully return to working life. (Fantoni et al, 2010), and findings of a Canadian study in more than 600 breast cancer survivors that observed a significant loss in productivity capacity in survivors with range of motion limitations and arm pain (Quinlan et al, 2009). Thus, improving prevention, detection and early treatment of these problems, for example by lymphatic drainage or strength exercise, may reduce delayed RTW after end of therapy.…”

Section: Discussionmentioning

confidence: 99%

Return to work after breast cancer: The role of treatment‐related side effects and potential impact on quality of life

et al. 2019

View full text Add to dashboard Cite

For breast cancer survivors return to work (RTW) is important from an economic, societal and personal perspective. Thus, we investigated the impact of side effects and other factors on RTW. Five years post‐diagnosis 135 disease‐free breast cancer survivors below retirement age who were employed pre‐diagnosis recorded their current and previous working status and reasons for impaired RTW. Patient‐reported outcomes were prospectively reported over the cancer continuum. One year post‐surgery 57% of survivors worked the same and 22% with reduced working time compared to pre‐diagnosis. Logistic regression revealed significant associations of depressive symptoms, arm morbidity, lower education and younger age with impaired RTW after 1 year, and persisting physical fatigue and living with partner with impaired RTW after 5 years. Major self‐reported reasons included fatigue and cognitive problems. Temporal patterns of general quality of life (QoL), physical, cognitive and role function, and financial problems were significantly worse among women with no RTW compared to those working again. In conclusion, cessation of work after breast cancer seems associated with worse QoL. Fatigue, psychological and cognitive problems as well as arm morbidity seemed to hinder RTW. Thus, a better management of these problems might help women to stay in working life.

show abstract

“…[12][13][14] Long-term morbidity related to either treatment or disease recurrence may reduce survivors' ability to work. [15][16][17][18][19] Moreover, treatments may have led to periods of missed work that may have lasting consequences on survivors' subsequent ability to maintain long-term employment.…”

Section: Introductionmentioning

confidence: 99%

Impact of adjuvant chemotherapy on long‐term employment of survivors of early‐stage breast cancer

Jagsi

Hawley

Abrahamse

et al. 2014

Cancer

View full text Add to dashboard Cite

Background Many women with early-stage breast cancer are working at the time of diagnosis and survive without recurrence. The short-term impact of chemotherapy receipt on employment has been demonstrated, but the long-term impact merits further research. Methods We conducted a longitudinal multicenter cohort study of women diagnosed with non-metastatic breast cancer in 2005–2007, as reported to the population-based Los Angeles and Detroit SEER registries. Of 3133 individuals sent surveys, 2290 (73%) completed a baseline survey soon after diagnosis and 1536 (68%) completed a four-year follow-up questionnaire. Results Of the 1026 patients aged <65 at diagnosis whose breast cancer did not recur and who responded to both surveys, 746 (76%) worked for pay before diagnosis. Of these, 236 (30%) were no longer working at follow-up. Women who received chemotherapy as part of initial treatment were less likely to work at follow-up (38% vs. 27%, p=0.003). Chemotherapy receipt at the time of diagnosis (OR 1.4, p=0.04) was independently associated with unemployment during survivorship in a multivariable model. Many women who were not employed in the survivorship period wanted to work: 50% reported that it was important for them to work and 31% were actively seeking work. Conclusions Unemployment among breast cancer survivors four years after diagnosis is often undesired and appears related to the receipt of chemotherapy during initial treatment. These findings should be considered when patients decide whether to receive adjuvant chemotherapy, particularly when expected benefit is low.

show abstract

The impact of breast cancer among Canadian women: Disability and productivity

Cited by 43 publications

References 12 publications

Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review

Return to work after breast cancer: The role of treatment‐related side effects and potential impact on quality of life

Impact of adjuvant chemotherapy on long‐term employment of survivors of early‐stage breast cancer

Contact Info

Product

Resources

About