TY - JOUR
T1 - The challenge of return to work after breast cancer
T2 - The role of family situation, CANTO cohort
AU - Caumette, Elsa
AU - Vaz-Luis, Inès
AU - Pinto, Sandrine
AU - Havas, Julie
AU - Bovagnet, Thomas
AU - Ruiz de Azua, Garazi
AU - Di Meglio, Antonio
AU - Martin, Anne Laure
AU - Everhard, Sibille
AU - Cottu, Paul
AU - Vanlemmens, Laurence
AU - Jouannaud, Christelle
AU - Lerebours, Florence
AU - Dumas, Agnès
AU - Menvielle, Gwenn
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Return to work (RTW) after breast cancer is associated with improved quality of life. The link between household characteristics and RTW remains largely unknown. The aim of this study was to examine the effect of the family situation on women’s RTW two years after breast cancer. We used data of a French prospective cohort of women diagnosed with stage I-III, primary breast cancer (CANTO, NCT01993498). Among women employed at diagnosis and under 57 years old, we assessed the association between household characteristics (living with a partner, marital status, number and age of economically dependent children, support by the partner) and RTW. Logistic regression models were adjusted for age, household income, stage, comorbidities, treatments and their side effects. Analyzes stratified by age and household income were performed to assess the association between household characteristics and RTW in specific subgroups. Among the 3004 patients included, women living with a partner returned less to work (OR = 0.63 [0.47–0.86]) and decreased their working time after RTW. Among the 2305 women living with a partner, being married was associated with decreased RTW among women aged over 50 (OR = 0.57 [0.34–0.95]). Having three or more children (vs. none) was associated with lower RTW among women with low household income (OR = 0.28 [0.10–0.80]). Household characteristics should be considered in addition to clinical information to identify vulnerable women, reduce the social consequence of cancer and improve their quality of life.
AB - Return to work (RTW) after breast cancer is associated with improved quality of life. The link between household characteristics and RTW remains largely unknown. The aim of this study was to examine the effect of the family situation on women’s RTW two years after breast cancer. We used data of a French prospective cohort of women diagnosed with stage I-III, primary breast cancer (CANTO, NCT01993498). Among women employed at diagnosis and under 57 years old, we assessed the association between household characteristics (living with a partner, marital status, number and age of economically dependent children, support by the partner) and RTW. Logistic regression models were adjusted for age, household income, stage, comorbidities, treatments and their side effects. Analyzes stratified by age and household income were performed to assess the association between household characteristics and RTW in specific subgroups. Among the 3004 patients included, women living with a partner returned less to work (OR = 0.63 [0.47–0.86]) and decreased their working time after RTW. Among the 2305 women living with a partner, being married was associated with decreased RTW among women aged over 50 (OR = 0.57 [0.34–0.95]). Having three or more children (vs. none) was associated with lower RTW among women with low household income (OR = 0.28 [0.10–0.80]). Household characteristics should be considered in addition to clinical information to identify vulnerable women, reduce the social consequence of cancer and improve their quality of life.
KW - Breast cancer
KW - Cohort
KW - Family situation
KW - Return to work
UR - http://www.scopus.com/inward/record.url?scp=85116999601&partnerID=8YFLogxK
U2 - 10.3390/curroncol28050330
DO - 10.3390/curroncol28050330
M3 - Article
C2 - 34677248
AN - SCOPUS:85116999601
SN - 1718-7729
VL - 28
SP - 3866
EP - 3875
JO - Current Oncology
JF - Current Oncology
IS - 5
ER -