Isabela Caroline Freitas Colombino1,2, Almir José Sarri2, Isabela Queiros Castro3, Carlos Eduardo Paiva1,4, René Aloisio da Costa Vieira5,6,7,8. 1. Postgraduate Oncology Program, Barretos Cancer Hospital, Rua Antenor Duarte Villela, 1331, Bairro Dr Paulo Prata, Barretos, SP, 14784-400, Brazil. 2. Department of Physiotherapy, Barretos Cancer Hospital, Barretos, Brazil. 3. Nucleus of Statistics, Barretos Cancer Hospital, Barretos, Brazil. 4. Palliative Care, QoL Group, CNPQ, Brasilia, Brazil. 5. Postgraduate Oncology Program, Barretos Cancer Hospital, Rua Antenor Duarte Villela, 1331, Bairro Dr Paulo Prata, Barretos, SP, 14784-400, Brazil. reneacv@gmail.com. 6. Department of Mastology and Breast Reconstruction, Barretos Cancer Hospital, Barretos, Brazil. reneacv@gmail.com. 7. Postgraduate Program in Gynecology, Obstetrics and Mastology, Botucatu School of Medicine, UNESP, Botucatu, Brazil. reneacv@gmail.com. 8. QoL Group/EORTC, Brusells, Belgium. reneacv@gmail.com.
Abstract
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.
PURPOSE: To evaluate the impact of return to work on the quality of life of breast cancerpatients 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.
Entities:
Keywords:
Breast neoplasms; QoL; Return to work; Women, working; Work capacity evaluation
Authors: Elena Torralba-Martínez; María Jesús Quintana; Magda Ciendones Carbonell; Elena de Las Sias; Cristian Pablo Segura Carrillo; Núria Codern-Bové Journal: Support Care Cancer Date: 2021-07-11 Impact factor: 3.603
Authors: Pei-Ling Tsai; Ting-Ting Kuo; Chih-Hung Ku; Guo-Shiou Liao; Chi-Kang Lin; Hsueh-Hsing Pan Journal: Int J Environ Res Public Health Date: 2021-11-29 Impact factor: 3.390