Dataset Information

Sociodemographic and disease-related determinants of return to work among women with breast cancer: a German longitudinal cohort study.

ABSTRACT:

Background

Return to work (RTW) is a key parameter of outcome quality that ensures social participation. Therefore, this study analyses the sociodemographic and disease-related determinants of RTW among newly diagnosed breast cancer patients.

Methods

In a prospective, multicentre cohort study, breast cancer patients were surveyed three times: directly after surgery, after 10?weeks, and after 40?weeks. Logistic regression analysis was applied to estimate the association of RTW at 40?weeks following discharge with sociodemographic and disease-related characteristics (n =?577).

Results

The sociodemographic variables "entrance certificate at a university of applied science" compared to "university entrance certificate" (OR?=?3.1, 95%-CI?=?1.2-8.1), age group "55-59?years" compared to "18-44?years" (OR?=?3.2, 95%-CI?=?1.2-8.4) and "having children" (OR?=?2.8, 95%-CI?=?1.2-6.2) as well as the disease-related variables "rehabilitation" (OR?=?0.5, 95%-CI?=?0.3-0.9), self-rated health "good" and "excellent" compared to "bad" (OR?=?2.7, 95%-CI?=?1.4-5.5; OR?=?11.6, 95%-CI?=?4.2-31.8) and the UICC-classification "stage II" and "stage III/IV" in comparison to "stage 0/I" (OR?=?0.5, 95%-CI?=?0.3-0.8; OR?=?0.2, 95%-CI?=?0.1-0.5) significantly affect RTW among breast cancer patients (Nagelkerke's Pseudo-R² =?0.275).

Conclusions

The findings show that significant differences in RTW exist between patient groups and suggest that RTW issues must be addressed more effectively before, during and after treatment. For future research on RTW in Germany, longitudinal studies with a follow-up of several years are necessary. Information and support deficits should be tackled by social services or breast care nurses.

Trial registration

Database Health Services Research, VfD_PIAT_12_001630 , registered 01.03.2012.

SUBMITTER: Heuser C

PROVIDER: S-EPMC6311058 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Sociodemographic and disease-related determinants of return to work among women with breast cancer: a German longitudinal cohort study.

Heuser Christian C Halbach Sarah S Kowalski Christoph C Enders Anna A Pfaff Holger H Ernstmann Nicole N

BMC health services research 20181229 1

<h4>Background</h4>Return to work (RTW) is a key parameter of outcome quality that ensures social participation. Therefore, this study analyses the sociodemographic and disease-related determinants of RTW among newly diagnosed breast cancer patients.<h4>Methods</h4>In a prospective, multicentre cohort study, breast cancer patients were surveyed three times: directly after surgery, after 10 weeks, and after 40 weeks. Logistic regression analysis was applied to estimate the association of RTW at 4 ...[more]

PMID: 30594181

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Project description:BackgroundResearch recommends the development and evaluation of interventions to support women with breast cancer in returning to, or managing, work. Despite this, there has historically been a paucity of rehabilitation interventions to support women with breast cancer to maintain or return to their work role. The aim of this systematic review was to examine key characteristics of rehabilitation interventions, and their effectiveness on work outcomes for women with breast cancer, compared to usual care.MethodsA systematic review was conducted of controlled studies of rehabilitation interventions with work outcomes for women with breast cancer. Six databases were systematically searched: EMBASE, Web of Science, MEDLINE (OVID), CINAHL, PsycINFO, and the Cochrane Central Register of Controlled Trials (CENTRAL). Results are presented either as pooled odds ratio (OR) or pooled effect size (hedges g) between groups, with 95% confidence intervals (CI). Narrative synthesis was conducted on intervention outcomes not suitable for meta-analysis.ResultsFive thousand, five hundred and thirty-five studies were identified. Nine out of 28 abstracts met inclusion criteria. Heterogeneity of interventions and outcomes precluded meta-analysis for most outcomes. Of the interventions included in meta-analysis, no significant differences compared to usual care were found for sick leave (2 studies (12 months); OR 1.11 (95% CI: 0.66 to 1.87), number of sick days taken (2 studies (six months); difference in effect: - 0.08, (95% CI: - 0.48 to 0.38) or working hours (2 studies (12 months); 0.19, (95% CI: - 0.20 to 0.64). Only one study, with a multidisciplinary intervention, showed a significant difference for work outcomes when compared to usual care. Work-specific content featured in three interventions only, none of which provided conclusive evidence for improvement in work outcomes. Enhanced physical and psychological sequalae, and quality of life was observed in some studies.ConclusionThere remains a lack of effective and methodologically rigorous rehabilitation intervention studies for breast cancer survivors. The development and evaluation of effective rehabilitation interventions to support return to work is warranted.

Dataset Information

Sociodemographic and disease-related determinants of return to work among women with breast cancer: a German longitudinal cohort study.

Background

Methods

Results

Conclusions

Trial registration

Publications

Sociodemographic and disease-related determinants of return to work among women with breast cancer: a German longitudinal cohort study.

Similar Datasets

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