Return to work after breast cancer: experience of an oncological referral centre in Medellín, Colombia
PDF (Español (España))

Keywords

return to work, breast cancer, sick leave, employment, complications

How to Cite

1.
Vasquez Trespalacios EM, Atehortua-Salazar S, Arango-Isaza D, Gallego Vélez CP, Gallón Villegas LJ. Return to work after breast cancer: experience of an oncological referral centre in Medellín, Colombia. Arch Prev Riesgos Labor [Internet]. 2020 Jul. 15 [cited 2024 Sep. 28];23(3):315-29. Available from: https://archivosdeprevencion.eu/index.php/aprl/article/view/8

Abstract

Introduction: Advances in the diagnosis and treatment of breast cancer have improved the prognosis for these patients. Consequently, a greater number of survivors are facing the process of returning to work. The objective of the present study was to analyze the frequency, median time and factors related to the return to work of patients with breast cancer, after diagnosis and completion of treatment at a cancer referral center in the city of Medellín, Colombia

Methods: a retrospective cohort study was carried out with registries of patients with breast cancer (n = 141) from a reference cancer center. Sociodemographic, occupational, treatment variables and prevalence of return to work were measured.

Results: The average age at diagnosis was 45.8 ± 9 years, Most of the women were premenopausal, and 45% performed manual labour. Advanced disease stage, manual labour, the presence of lymphedema and a greater number of episodes and days of disability were negatively related to return to work. A total of 93% of patients returned to work.

Conclusions: This study shows that return to work differs according to disease stage, treatment-related factors and type of work.

https://doi.org/10.12961/aprl.2020.23.03.02
PDF (Español (España))

References

American Cancer Society. Cancer facts and statistics 2018 [cited 2018 05/07/2018]. Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2018/cancer-facts-and-figures-special-section-ovarian-cancer-2018.pdf.

International Agency for Research on Cancer. Estimated age-standardized incidence rates (World) in 2018, Colombia, females, all ages Lyon2019 [cited 2019 30/10/2019]. Available from: https://gco.iarc.fr/today/online-analysis-multi-bars?v=2018.

Sociedad Española de Oncología Médica. Las cifras del cáncer en España 2020 España: Sociedad Española de Oncología Médica; 2019 [citado 2020 13/04]. Disponible en: https://seom.org/seomcms/images/stories/recursos/Cifras_del_cancer_2020.pdf.

de Boer AG, Taskila T, Ojajarvi A, van Dijk FJ, Verbeek JH. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009;301(7):753-62.

Gilbert SM, Miller DC, Hollenbeck BK, Montie JE, Wei JT. Cancer survivorship: challenges and changing paradigms. J Urol. 2008;179(2):431-8.

Atella V, Piano Mortari A, Kopinska J, Belotti F, Lapi F, Cricelli C, et al. Trends in age-related disease burden and healthcare utilization. Aging Cell. 2019;18(1):e12861-e.

Fontana L, Kennedy BK, Longo VD, Seals D, Melov S. Medical research: treat ageing. Nature. 2014;511(7510):405-7.

Heuser C, Halbach S, Kowalski C, Enders A, Pfaff H, Ernstmann N. Sociodemographic and disease-related determinants of return to work among women with breast cancer: A German longitudinal cohort study. BMC Health Services Research. 2018;18:1000-10.

Peugniez C, Fantoni S, Leroyer A, Skrzypczak J, Duprey M, Bonneterre J. Return to work after treatment for breast cancer: single center experience in a cohort of 273 patients. Bulletin du Cancer. 2011;98(7):E69-E79.

Azarkish F, Mirzaii Najmabadi K, Latifnejad Roudsari R, Homaei Shandiz F. Factors Related to Return to Work in Women After Breast Cancer in Iran. Iran Red Crescent Med J. 2015;17(9):e19978.

Bouknight RR, Bradley CJ, Luo Z. Correlates of Return to Work for Breast Cancer Survivors. Int J Clin Oncol. 2006;24(3):345-53.

Cheung K, Ching SYS, Chan A, Cheung D, Cheung SYP. The impact of personal-, disease- and work-related factors on work ability of women with breast cancer living in the community: a cross-sectional survey study. Support Care Cancer. 2017;25(11):3495-504.

Drolet M, Maunsell E, Mondor M, Brisson C, Brisson J, Mâsse B, et al. Work absence after breast cancer diagnosis: a population-based study. Can Med Assoc J. 2005;173(7):765-71.

Instituto Nacional de Gestión Sanitaria. Manual básico de Obstetricia y Ginecología. Subdirección General de Gestión Económica y Recursos Humanos, editor. Madrid: Instituto Nacional de Gestión Sanitaria; 2017. 388 p.

Grupo de trabajo de la Sociedad Española de Epidemiología y de la Sociedad Española de Medicina de Familia y Comunitaria. Una propuesta de medida de la clase social. Atención Primaria. 2000;25(5):350-63.

Burstein HJ HJ, Morrow M,. Malignant Tumors on the breast. Cancer: Principles & Practice of Oncology. 8. Philadelphia: de Vita, Hellman, Rosemberg; 2008. p. 1606-54.

Perou CM, Sørlie T, Eisen MB, van de Rijn M, Jeffrey SS, Rees CA, et al. Molecular portraits of human breast tumours. Nature. 2000;406(6797):747-52.

National Cancer Institute. Diagnóstico y estadificacicón Bethesda2013 [citado 2020 02/03]. Disponible en: https://www.cancer.gov/espanol/cancer/diagnostico-estadificacion/estadificacion.

Ahn E, Cho J, Shin D, Park B, Ahn S-H, Noh D-Y, et al. Impact of breast cancer diagnosis and treatment on work-related life and factors affecting them. Breast Cancer Res Treat. 2009;116:609-16.

Noeres D, Park-Simon T-W, Grabow J, Sperlich S, Koch-Gießelmann H, Jaunzeme J, et al. Return to work after treatment for primary breast cancer over a 6-year period: results from a prospective study comparing patients with the general population. Support Care Cancer. 2013;21(7):1901-9.

Goss C, Leverment IM, de Bono AM. Breast cancer and work outcomes in health care workers. Occupational medicine (Oxford, England). 2014;64(8):635-7.

Departamento Administrativo Nacional de Estadística. Medición de empleo informal y seguridad social Santafe de Bogotá2019 [citado 2020 13/04]. 1-14]. Disponible en: https://www.dane.gov.co/files/investigaciones/boletines/ech/ech_informalidad/bol_ech_informalidad_jul19_sep19.pdf.

Jagsi R, Abrahamse PH, Lee KL, Wallner LP, Janz NK, Hamilton AS, et al. Treatment decisions and employment of breast cancer patients: Results of a population-based survey. Cancer. 2017;123(24):4791-9.

Hedayati E, Johnsson A, Alinaghizadeh H, Schedin A, Nyman H, Albertsson M. Cognitive, psychosocial, somatic and treatment factors predicting return to work after breast cancer treatment. Scand J Caring Sci. 2013;27(2):380-7.

Ross L, Petersen MA, Johnsen AT, Lundstroem LH, Carlsen K, Groenvold M. Factors associated with Danish cancer patients’ return to work. A report from the population-based study ‘The Cancer Patient’s World’. Cancer Epidemiology. 2012;36(2):222-9.

Tison A, Sagaon-Teyssier L, Sansonetti C, Blatier J-F, Paraponaris A, Aparicio T, et al. Transitions in the labor market after cancer: a comparison of self-employed workers and salaried staff. Supportive Care in Cancer. 2016;24(12):4879-86.

Wang L, Hong BY, Kennedy SA, Chang Y, Hong CJ, Craigie S, et al. Predictors of Unemployment After Breast Cancer Surgery: A Systematic Review and Meta-Analysis of Observational Studies. J Clin Oncol. 2018;36(18):1868-79.

Lindbohm ML, Kuosma E, Taskila T, Hietanen P, Carlsen K, Gudbergsson S, et al. Early retirement and non-employment after breast cancer. Psycho-Oncology. 2014;23(6):634-41.

Petersson L-M, Wennman-Larsen A, Nilsson M, Olsson M, Alexanderson K. Work situation and sickness absence in the initial period after breast cancer surgery. Acta Oncologica. 2011;50(2):282-8.

Fantoni SQ, Peugniez C, Duhamel A, Skrzypczak J, Frimat P, Leroyer A. Factors related to return to work by women with breast cancer in northern France. J Occup Rehabil. 2010;20(1):49-58.

Islam T, Dahlui M, Majid HA, Nahar AM, Mohd Taib NA, Su TT. Factors associated with return to work of breast cancer survivors: a systematic review. BMC Public Health. 2014;14 Suppl 3:S8-S.

Lee MK, Kang HS, Lee KS, Lee ES. Three-Year Prospective Cohort Study of Factors Associated with Return to Work After Breast Cancer Diagnosis. Journal of occupational rehabilitation. 2017;27(4):547-58.

Mujahid MS, Janz NK, Hawley ST, Griggs JJ, Hamilton AS, Katz SJ. The impact of sociodemographic, treatment, and work support on missed work after breast cancer diagnosis. Breast Cancer Research and Treatment. 2010;119(1):213-20.

Boyages J, Kalfa S, Xu CY, Koelmeyer L, Mackie H, Viveros H, et al. Worse and worse off: the impact of lymphedema on work and career after breast cancer. SpringerPlus. 2016;5:657-65.

Assis MR, Marx AG, Magna LA, Ferrigno ISV. Late morbidity in upper limb function and quality of life in women after breast cancer surgery. Braz J Phys Ther. 2013;17:236-43.

Congreso de la República de Colombia. Ley 776 Organización, administración y prestaciones del Sistema General de Riesgos Profesionales. Santafé de Bogotá2002 [citado 2020 13/04]. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=16752.

Boletín Oficial del Estado. Ley 31/1995 de 8 de Noviembre, de Prevención de Riesgos Laborales. España1995 [citado 2020 13/04]. Disponible en: https://www.boe.es/buscar/act.php?id=BOE-A-1995-24292.

Greene FL PD, Fleming ID, et al. Breast. In: Springer, editor. AJCC Cancer Staging Manual. 6 ed. New York: Springer; 2002. p. 223-40.

The authors whose submissions are published in this Journal accept the following terms:

The copyright is held by the author(s), which will simultaneously be subject to a licence Creative Commons 4.0 BY-NC-ND.

The author(s) may enter into any other licence agreements for non-exclusive distribution of versions of the published work (e.g. deposit in an institutional repository or publication in a collective work) provided that the initial publication in this Journal is stated.

The author/s is/are permitted and recommended to post their work online (e.g. in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges and increase the number of citations of the published work. (See The effect of open access).

Downloads

Download data is not yet available.