Factors associated with an adverse work outcome in breast cancer survivors 5-10 years after diagnosis: a cross-sectional study.
Purpose: To identify which factors are associated with adverse work outcome 5-10 years after diagnosis.Methods: In this cross-sectional study, breast cancer survivors, treated between 2003 and 2008, completed a questionnaire 5-10 years after diagnosis. Adverse work outcome was defined as not having...
| Publicado en: | Journal of Cancer Survivorship Vol. 13; no. 1; pp. 108 - 117 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134869944&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134869944 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19322259 46CU jtl: Journal of Cancer Survivorship issn: 19322259 maglogo: N pubinfo: dt: Feb2019 vid: 13 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 134869944 134869944 NLM30637577 134869944 10.1007/s11764-018-0731-7 NLM30637577 134869944 ppf: 108 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Factors associated with an adverse work outcome in breast cancer survivors 5-10 years after diagnosis: a cross-sectional study. aug: au: Tamminga, Sietske J. Coenen, Pieter Paalman, Carmen de Boer, Angela G. E. M. Aaronson, Neil K. Oldenburg, Hester S. A. van Leeuwen, Flora E. van der Beek, Allard J. Duijts, Saskia F. A. Schaapveld, Michael affil: Amsterdam UMC, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands sug: subj: Employment Psychosocial Factors Unemployment Breast Neoplasms Epidemiology Unemployment Psychosocial Factors Breast Neoplasms Rehabilitation Employment Female Adult Risk Factors Breast Neoplasms Therapy Human Middle Age Cross Sectional Studies Aged, 80 and Over Time Factors Aged Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales Adult: 19-44 years Middle Aged: 45-64 years Aged, 80 & over Aged: 65+ years Female ab: Purpose: To identify which factors are associated with adverse work outcome 5-10 years after diagnosis.Methods: In this cross-sectional study, breast cancer survivors, treated between 2003 and 2008, completed a questionnaire 5-10 years after diagnosis. Adverse work outcome was defined as not having paid employment or working > 20% less compared to prediagnosis. Logistic regression analyses were conducted.Results: Of 906 participants, 326 (36%) had an adverse work outcome. In multivariable analyses, the probability of an adverse work outcome increased with age (OR, 1.03; 95% CI, 1.00-1.07), time since diagnosis (OR, 1.19; 95% CI, 1.03-1.37), and was higher among women who stated that work had become less important (OR, 2.99; 95% CI, 1.94-4.62). Factors associated with a lower probability of an adverse work outcome were having sufficient financial resources (OR, 0.23; 95% CI, 0.08-0.66), higher total work ability (OR, 0.61; 95% CI, 0.54-0.69), feeling supported at work (OR, 0.52; 95% CI, 0.33-0.80), and, prior to diagnosis, having more children to take care of (OR, 0.65; 95% CI, 0.54-0.79), being able to adjust working hours (OR, 0.55; 95% CI, 0.36-0.83) and not desiring to work less hours if that were to be financially feasible (OR, 1.8; 95% CI, 1.0-3.2).Conclusions: Predominantly, work-related factors are associated with adverse work outcomes 5-10 years after diagnosis, whereas clinical factors are not. Our results need validation in prospective cohort studies, after which supportive interventions could be developed.Implications For Cancer Survivors: Work-related factors should be considered in future interventions to prevent adverse work outcome 5-10 years after diagnosis. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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