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Article: Return to work, work productivity loss and activity impairment in Chinese breast cancer survivors 12-month post-surgery: a longitudinal study

TitleReturn to work, work productivity loss and activity impairment in Chinese breast cancer survivors 12-month post-surgery: a longitudinal study
Authors
Keywordsactivity impairment
breast cancer
employment
return to work
survival analysis
work condition
work productivity
Issue Date23-Feb-2024
PublisherFrontiers Media
Citation
Frontiers in Public Health, 2024, v. 12 How to Cite?
Abstract

Introduction: Existing evidence of returning-to-work (RTW) after cancer comes predominately from Western settings, with none prospectively examined since the initial diagnostic phase. This study prospectively documents RTW-rate, time-to-RTW, work productivity loss, and activity impairment, within the first-year post-surgery among Chinese women with breast cancer (BCW) and identify potential causal co-variants.

Methods: This observational longitudinal study followed 371 Chinese BCW who were employed/self-employed at the time of diagnosis at 4-week post-surgery (baseline). RTW-status and time-to-RTW were assessed at baseline (T1), 4-month (T2), 6-month (T3), and 12-month (T4) post-baseline. WPAI work productivity loss and activity impairment were assessed at T4. Baseline covariates included demographics, medical-related factors, work satisfaction, perceived work demand, work condition, RTW self-efficacy, B-IPQ illness perception, COST financial well-being, EORTC QLQ-C30 and QLQ-BR23 physical and psychosocial functioning, and HADS psychological distress.

Results: A 68.2% RTW-rate (at 12-month post-surgery), prolonged delay in RTW (median = 183 days), and significant proportions of T4 work productivity loss (20%), and activity impairment (26%), were seen. BCW who were blue-collar workers with lower household income, poorer financial well-being, lower RTW self-efficacy, poorer job satisfaction, poorer illness perception, greater physical symptom distress, impaired physical functioning, and unfavorable work conditions were more likely to experience undesired work-related outcomes.

Discussion: Using a multifactorial approach, effective RTW interventions should focus on not only symptom management, but also to address psychosocial and work-environmental concerns. An organizational or policy level intervention involving a multidisciplinary team comprising nurses, psychologists, occupational health professionals, and relevant stakeholders in the workplace might be helpful in developing a tailored organizational policy promoting work-related outcomes in BCW.


Persistent Identifierhttp://hdl.handle.net/10722/341679
ISSN
2023 Impact Factor: 3.0
2023 SCImago Journal Rankings: 0.895
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNg, DWL-
dc.contributor.authorSo, SCY-
dc.contributor.authorFielding, R-
dc.contributor.authorMehnert-Theuerkauf, A-
dc.contributor.authorKwong, A-
dc.contributor.authorSuen, D-
dc.contributor.authorWong, L-
dc.contributor.authorFung, SWW-
dc.contributor.authorChun, OK-
dc.contributor.authorFong, DYT-
dc.contributor.authorChan, S-
dc.contributor.authorMolasiotis, A-
dc.contributor.authorSo, WKW-
dc.contributor.authorLam, WWT-
dc.date.accessioned2024-03-20T06:58:14Z-
dc.date.available2024-03-20T06:58:14Z-
dc.date.issued2024-02-23-
dc.identifier.citationFrontiers in Public Health, 2024, v. 12-
dc.identifier.issn2296-2565-
dc.identifier.urihttp://hdl.handle.net/10722/341679-
dc.description.abstract<p><strong>Introduction:</strong> Existing evidence of returning-to-work (RTW) after cancer comes predominately from Western settings, with none prospectively examined since the initial diagnostic phase. This study prospectively documents RTW-rate, time-to-RTW, work productivity loss, and activity impairment, within the first-year post-surgery among Chinese women with breast cancer (BCW) and identify potential causal co-variants.</p><p><strong>Methods:</strong> This observational longitudinal study followed 371 Chinese BCW who were employed/self-employed at the time of diagnosis at 4-week post-surgery (baseline). RTW-status and time-to-RTW were assessed at baseline (T1), 4-month (T2), 6-month (T3), and 12-month (T4) post-baseline. WPAI work productivity loss and activity impairment were assessed at T4. Baseline covariates included demographics, medical-related factors, work satisfaction, perceived work demand, work condition, RTW self-efficacy, B-IPQ illness perception, COST financial well-being, EORTC QLQ-C30 and QLQ-BR23 physical and psychosocial functioning, and HADS psychological distress.</p><p><strong>Results:</strong> A 68.2% RTW-rate (at 12-month post-surgery), prolonged delay in RTW (median = 183 days), and significant proportions of T4 work productivity loss (20%), and activity impairment (26%), were seen. BCW who were blue-collar workers with lower household income, poorer financial well-being, lower RTW self-efficacy, poorer job satisfaction, poorer illness perception, greater physical symptom distress, impaired physical functioning, and unfavorable work conditions were more likely to experience undesired work-related outcomes.</p><p><strong>Discussion:</strong> Using a multifactorial approach, effective RTW interventions should focus on not only symptom management, but also to address psychosocial and work-environmental concerns. An organizational or policy level intervention involving a multidisciplinary team comprising nurses, psychologists, occupational health professionals, and relevant stakeholders in the workplace might be helpful in developing a tailored organizational policy promoting work-related outcomes in BCW.</p>-
dc.languageeng-
dc.publisherFrontiers Media-
dc.relation.ispartofFrontiers in Public Health-
dc.subjectactivity impairment-
dc.subjectbreast cancer-
dc.subjectemployment-
dc.subjectreturn to work-
dc.subjectsurvival analysis-
dc.subjectwork condition-
dc.subjectwork productivity-
dc.titleReturn to work, work productivity loss and activity impairment in Chinese breast cancer survivors 12-month post-surgery: a longitudinal study-
dc.typeArticle-
dc.identifier.doi10.3389/fpubh.2024.1340920-
dc.identifier.scopuseid_2-s2.0-85186907484-
dc.identifier.volume12-
dc.identifier.eissn2296-2565-
dc.identifier.isiWOS:001177303300001-
dc.identifier.issnl2296-2565-

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