The return of women after breast cancer into the working proces

Czech version

Authors: E. Fockeová ¹; J. Uhlířová ²; O. Švestková ²
Authors‘ workplace: Katedra ergoterapie, Fakulta zdravotnických studií, Univerzita Jana Evangelisty Purkyně Ústí nad Labem ¹; Klinika rehabilitačního lékařství, 1. lékařská fakulta, Univerzita Karlova a Všeobecná fakultní nemocnice v Praze přednostka doc. MUDr. Olga Švestková, Ph. D. ²
Published in: Reviz. posud. Lék., 21, 2018, č. 1, s. 3-7
Category: Original Articles, Review Articles, Case Reports

Overview

Background:

52% of women, which were diagnosed with breast cancer in 2013 in the Czech republic, were aged 20–64. As a result, it is important to delve into the matter of how and when these women return to employment.

Objective:

Find out how breast cancer surgery works to return to work.

Methods:

68 participants of the survey were women of productive age (20-64), who underwent surgical treatment of breast cancer in the last five years and have already returned to employment. The data has been collected using a survey placed on the internet and further evaluated with the help of a statistician.

Results:

The results show that there is no statistical difference in return to employment, whether the woman works in manual or administrative fields. Furthermore, it has not been proven that there is a correlation in age and the lenght of treatment. Last but not least, it has been proven that the percentage of women, who return to their original employment, is greater amongst women who underwent a full breast ablation, than those who underwent a lesser surgical treatment.

Conclusion:

Eventhough the set hypothesis were not met, the research has proven insufficient rehabilitational intervention amongst post-surgery women and the need to open this subject for expert discussion. It cannot be stressed enough, that an early return to employment is a significant factor for reestablishing quality of life for these women.

Keywords:

breast cancer – occupational therapy – return to work – cancer survivors – quality of life – quantitative research

Sources

1. Ashing-giwa et al. Understanding the breast cancer experience of women: A qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psycho--Oncology [online]. 2004, 13(6), 408-428 [cit. 2017-03-15]. ISSN 1057-9249. DOI: 10.1002/pon.750.

2. Banning, M. Employment and breast cancer: a meta-ethnography. European Journal of Cancer Care [online]. 2011, 20(6), 708-719 [cit. 2017-03-15]. DOI: 10.1111/j.1365-2354.2011.01291.x. ISSN 09615423.

3. Bojinovic-Rodic, D. et al. Upper extremity function and quality of life in patients with breast cancer related lymphedema. Vojnosanitetski pregled [online]. 2016, 73(9), 825-830 [cit. 2017-03-28]. DOI: 10.2298/VSP150208075B. ISSN 0042-8450.

4. Bradley, C. J., Bednarek, H. L. Employment patterns of long-term cancer survivors. Psycho-Oncology [online]. 2002, 11, 3, 188–198 [cit. 2017-03-15]. ISSN 1057-9249. DOI: 10.1002/pon.544.

5. Brouknight, R., Bradley, C. J., Luo, Z. Correlates of return to work for breast cancer survivors. Journal of Clinical Oncology. 2006, 24 (3), 345–53. DOI: 10.1200/JCO.2004.00.4929

6. Coreil, J. et al. Ethnicity and cultural models of recovery from breast cancer. Ethn. Health. 2012, 17(3), 291–307. DOI: 10.1080/13557858.2011.616188.

7. Damkjæ, L. H. et al. Breast cancer and early retirement: Associations with disease characteristics, treatment, comorbidity, social position and participation in a six-day rehabilitation course in a register-based study in Denmark. Acta Oncologica [online]. 2011, 50(2), 274–281 [cit. 2017-02-04]. ISSN 0284-186x. DOI: 10.3109/0284186X.2010.531048.

8. Dušek, L. et al. Epidemiologie zhoubných nádorů v České republice [online]. Masarykova univerzita, Brno 2005. Dostupný z www: http://www.svod.cz. ISSN 1802-8861.

9. Fan, H., Mar, G. et al. Fatigue, Menopausal Symptoms, and Cognitive Function in Women After Adjuvant Chemotherapy for Breast Cancer: 1- and 2-Year Follow-Up of a Prospective Controlled Study. Journal of Clinical Oncology [online]. 2005, 23(31), 8025-8032 [cit. 2017-03-15]. ISSN 0732-183x. DOI: 10.1200/JCO.2005.01.6550.

10. Hauglann, B. et al. A cohort study of permanently reduced work ability in breast cancer patients. Journal of Cancer Survivorship [online]. 2012, 6(3), 345-356 [cit. 2017-02-04]. ISSN 1932-2259. DOI: 10.1007/s11764-012-0215-0.

11. Kennedy, F. et al. Returning to work following cancer: a qualitative exploratory study into the experience of returning to work following cancer. European Journal of Cancer Care[online]. 2007, 16(1), 17-25 [cit. 2017-01-25]. ISSN: 0961-5423. DOI: 10.1111/j.1365-2354.2007.00729.x.

12. Main, D. S. et al. A qualitative study of work and work return in cancer survivors. Psycho-Oncology [online]. 2005, 14(11), 992–1004 [cit. 2017-03-15]. DOI: 10.1002/pon.913. ISSN 1057-9249

14. Mathews, H. F. Negotiating cultural consensus in a breast cancer self-help group. Med. Anthropol. Q. 2000, 14(3), 394–413. Dostupné z: http://www.jstor.org/stable/649505

15. Mehnert, A., De Boer, Feuerstein Employment challenges for cancer survivors. Cancer [online]. 2013, 119, 2151-2159 [cit. 2017-05-4]. ISSN 0008543x. DOI: 10.1002/cncr.28067.

16. Nápoles-Springer et al. Developing a culturally competent peer support intervention for Spanish-speaking Latinas with breast cancer. Journal of Immigrant and Minority Healt, 2009, 11, 4, 268–280 [cit. 2017-05-4]. DOI: 10.1007/s10903-008-9128-4.

17. Nováková, L. Karcinom prsu v posudkovém lékařství. Revision & Assessment Medicine. 2012, 15(2), 72–79. ISSN 1214-3170.

18. Stavrou, D. et al. Quality of Life After Breast Cancer Surgery With or Without Reconstruction. EPlasty [online]. 2009, 9(18), [cit. 2017-01-25]. Dostupné z https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691644/

19. Tiedtke, C. Experiences and concerns about ‘returning to work’ for women breast cancer survivors: a literature review. Psycho-oncology [online]. 2010, 19(7), 677–683 [cit. 2017-01-25]. DOI: 10.1002/pon.1633. ISSN 10579249.

Labels

Medical assessment Occupational medicine

Palliative care – medical assessment activity on evaluating health state and evaluating the degree of dependence

Invalidity as a result of injury in traffic accident

The approach to treatment with a preparation which is not covered by public health insurance

Degree of dependence from different aspects – age structure, financial expenses, number of assessments

Long-term care and the long-term care needs

Article was published in

Medical Revision

2018 Issue 1