Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/s00520-019-05164-7 http://hdl.handle.net/11449/199939 |
Resumo: | Purpose: To evaluate the impact of return to work on the quality of life of breast cancer patients and to identify factors related to nonreturn to work. Methods: An observational, cross-sectional study was performed in breast cancer survivors who had worked before their breast cancer diagnosis. We evaluated factors related to return to work (patient perspective, disease, and work), EORTC quality of life questionnaires (general: EORTC QLQ-C30; and breast cancer-specific: EORTC QLQ-BR23), the Shoulder Pain and Disability Index (SPADI), and the Anxiety and Depression Scale (HADS). Half of the patients underwent a physical therapy examination (shoulder goniometry, hand dynamometry, and limb volume). Univariate and multivariate analysis were performed. Results: We included 304 patients, 163 of whom underwent physiotherapy evaluation. Approximately 54.0% (164) of the patients returned to work after treatment. The women who returned to work presented lower age, higher education levels, higher incomes, and smaller initial tumor size. The women who returned to work had higher scores related to body image and sexual function, lower scores in relation to disability and pain, and lower scores related to anxiety and depression. In the multivariate model to evaluate nonreturn to work, pretreatment variables were age, education level, and clinical staging. Sequelae related to loss of strength increased the risk of nonreturn to work. Conclusion: Return to work was influenced by age, education level, previous activity types, axillary treatment, and physical sequelae related to loss of hand strength. Breast cancer treatment decreased the women’s work capacity. Return to work improved the patients’ quality of life. |
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Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in BrazilBreast neoplasmsQoLReturn to workWomen, workingWork capacity evaluationPurpose: To evaluate the impact of return to work on the quality of life of breast cancer patients and to identify factors related to nonreturn to work. Methods: An observational, cross-sectional study was performed in breast cancer survivors who had worked before their breast cancer diagnosis. We evaluated factors related to return to work (patient perspective, disease, and work), EORTC quality of life questionnaires (general: EORTC QLQ-C30; and breast cancer-specific: EORTC QLQ-BR23), the Shoulder Pain and Disability Index (SPADI), and the Anxiety and Depression Scale (HADS). Half of the patients underwent a physical therapy examination (shoulder goniometry, hand dynamometry, and limb volume). Univariate and multivariate analysis were performed. Results: We included 304 patients, 163 of whom underwent physiotherapy evaluation. Approximately 54.0% (164) of the patients returned to work after treatment. The women who returned to work presented lower age, higher education levels, higher incomes, and smaller initial tumor size. The women who returned to work had higher scores related to body image and sexual function, lower scores in relation to disability and pain, and lower scores related to anxiety and depression. In the multivariate model to evaluate nonreturn to work, pretreatment variables were age, education level, and clinical staging. Sequelae related to loss of strength increased the risk of nonreturn to work. Conclusion: Return to work was influenced by age, education level, previous activity types, axillary treatment, and physical sequelae related to loss of hand strength. Breast cancer treatment decreased the women’s work capacity. Return to work improved the patients’ quality of life.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Postgraduate Oncology Program Barretos Cancer Hospital, Rua Antenor Duarte Villela, 1331, Bairro Dr Paulo PrataDepartment of Physiotherapy Barretos Cancer HospitalNucleus of Statistics Barretos Cancer HospitalDepartment of Mastology and Breast Reconstruction Barretos Cancer HospitalPalliative Care QoL Group CNPQPostgraduate Program in Gynecology Obstetrics and Mastology Botucatu School of Medicine UNESPQoL Group/EORTCPostgraduate Program in Gynecology Obstetrics and Mastology Botucatu School of Medicine UNESPBarretos Cancer HospitalCNPQUniversidade Estadual Paulista (Unesp)QoL Group/EORTCColombino, Isabela Caroline FreitasSarri, Almir JoséCastro, Isabela QueirosPaiva, Carlos Eduardoda Costa Vieira, René Aloisio [UNESP]2020-12-12T01:53:23Z2020-12-12T01:53:23Z2020-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4445-4458http://dx.doi.org/10.1007/s00520-019-05164-7Supportive Care in Cancer, v. 28, n. 9, p. 4445-4458, 2020.1433-73390941-4355http://hdl.handle.net/11449/19993910.1007/s00520-019-05164-72-s2.0-85077694656Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengSupportive Care in Cancerinfo:eu-repo/semantics/openAccess2024-08-16T14:12:51Zoai:repositorio.unesp.br:11449/199939Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:12:51Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
title |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
spellingShingle |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil Colombino, Isabela Caroline Freitas Breast neoplasms QoL Return to work Women, working Work capacity evaluation |
title_short |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
title_full |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
title_fullStr |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
title_full_unstemmed |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
title_sort |
Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil |
author |
Colombino, Isabela Caroline Freitas |
author_facet |
Colombino, Isabela Caroline Freitas Sarri, Almir José Castro, Isabela Queiros Paiva, Carlos Eduardo da Costa Vieira, René Aloisio [UNESP] |
author_role |
author |
author2 |
Sarri, Almir José Castro, Isabela Queiros Paiva, Carlos Eduardo da Costa Vieira, René Aloisio [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Barretos Cancer Hospital CNPQ Universidade Estadual Paulista (Unesp) QoL Group/EORTC |
dc.contributor.author.fl_str_mv |
Colombino, Isabela Caroline Freitas Sarri, Almir José Castro, Isabela Queiros Paiva, Carlos Eduardo da Costa Vieira, René Aloisio [UNESP] |
dc.subject.por.fl_str_mv |
Breast neoplasms QoL Return to work Women, working Work capacity evaluation |
topic |
Breast neoplasms QoL Return to work Women, working Work capacity evaluation |
description |
Purpose: To evaluate the impact of return to work on the quality of life of breast cancer patients and to identify factors related to nonreturn to work. Methods: An observational, cross-sectional study was performed in breast cancer survivors who had worked before their breast cancer diagnosis. We evaluated factors related to return to work (patient perspective, disease, and work), EORTC quality of life questionnaires (general: EORTC QLQ-C30; and breast cancer-specific: EORTC QLQ-BR23), the Shoulder Pain and Disability Index (SPADI), and the Anxiety and Depression Scale (HADS). Half of the patients underwent a physical therapy examination (shoulder goniometry, hand dynamometry, and limb volume). Univariate and multivariate analysis were performed. Results: We included 304 patients, 163 of whom underwent physiotherapy evaluation. Approximately 54.0% (164) of the patients returned to work after treatment. The women who returned to work presented lower age, higher education levels, higher incomes, and smaller initial tumor size. The women who returned to work had higher scores related to body image and sexual function, lower scores in relation to disability and pain, and lower scores related to anxiety and depression. In the multivariate model to evaluate nonreturn to work, pretreatment variables were age, education level, and clinical staging. Sequelae related to loss of strength increased the risk of nonreturn to work. Conclusion: Return to work was influenced by age, education level, previous activity types, axillary treatment, and physical sequelae related to loss of hand strength. Breast cancer treatment decreased the women’s work capacity. Return to work improved the patients’ quality of life. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:53:23Z 2020-12-12T01:53:23Z 2020-09-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/s00520-019-05164-7 Supportive Care in Cancer, v. 28, n. 9, p. 4445-4458, 2020. 1433-7339 0941-4355 http://hdl.handle.net/11449/199939 10.1007/s00520-019-05164-7 2-s2.0-85077694656 |
url |
http://dx.doi.org/10.1007/s00520-019-05164-7 http://hdl.handle.net/11449/199939 |
identifier_str_mv |
Supportive Care in Cancer, v. 28, n. 9, p. 4445-4458, 2020. 1433-7339 0941-4355 10.1007/s00520-019-05164-7 2-s2.0-85077694656 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Supportive Care in Cancer |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4445-4458 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128199930937344 |