Affiliation:
1. Institut de Recherche en Santé, Environnement et Travail
2. University of Nantes
3. École des Hautes Études en Santé Publique
Abstract
Abstract
Purpose
We aimed to describe the psychosocial adjustments according to return-to-work (RTW) trajectories in breast cancer survivors (BCS) using a sequential and temporal approach.
Methods
We used BCS data included from February 2015 to April 2016 in the Longitudinal Study on Behavioural, Economic and Sociological Changes after Cancer (ELCCA) cohort. RTW trajectories were identified using the sequence analysis method followed by a clustering. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale and the EORTC quality of life questionnaire was used at inclusion and all follow-up visits to assess Health-Related Quality of Life (HRQoL).
Results
Fifty-two BCS were included in the study among whom four clusters of RTW trajectories were identified and labelled: slow RTW (N = 10), quick RTW (N = 27), partial RTW (N = 8) and part-time work (N = 7). Quick and slow RTW clusters showed slightly lower baseline mean levels of anxiety and higher levels of HRQoL. In the 4 years following diagnosis, BCS in the quick RTW cluster tended to report higher HRQoL in terms of functioning and less symptoms of pain and fatigue while those in the partial RTW cluster showed a lower HRQoL on almost all dimensions. All clusters showed an increase in pain and fatigue symptoms until 6 months followed by a tendency to recover baseline levels.
Conclusions
The results of this study suggest that BCS who return to full-time work (slow and quick RTW patterns) recover better than patients who return to part-time work (partial and part-time RTW patterns).
Publisher
Research Square Platform LLC
Reference43 articles.
1. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries;Sung H;CA Cancer J Clin,2021
2. Cancer statistics, 2022,;Siegel RL;CA Cancer J Clin,2022
3. Investigating how cancer-related symptoms influence work outcomes among cancer survivors: a systematic review;Tan CJ;Journal of Cancer Survivorship,2022
4. M. Arnold et al., “Current and future burden of breast cancer: Global statistics for 2020 and 2040,” Breast, vol. 66, 2022, doi: 10.1016/j.breast.2022.08.010.
5. Factors associated with return to work of breast cancer survivors: A systematic review;Islam T;BMC Public Health,2014