Predictors of Work-Related Disability During Early Phases of Breast Cancer Treatment

Am J Phys Med Rehabil. 2019 Jul;98(7):627-630. doi: 10.1097/PHM.0000000000001138.

Abstract

Objective: This study examined the magnitude of work-related disability in postmenopausal women with breast cancer compared with healthy controls. It also examined demographic and clinical correlates of work-related disability in postmenopausal women with breast cancer.

Study design: This was an exploratory secondary analysis of longitudinal study.

Outcome measure: The Work Limitations Questionnaire measured the percentage of at-work productivity loss.

Results: The analysis revealed a significant group-by-time interaction effect (F1,40 = 4.705, P = 0.036, partial η = .105) on work-related disability. Participants with breast cancer (mean = 2.364, SE = 0.374) had significantly higher percentage of at-work productivity loss compared with the healthy control group (mean = 1.263, SE = 0.392). At baseline, cognitive-emotional symptoms were moderately to strongly associated with work-related disability. At 6 months, physical symptoms were moderately associated with work-related disability.

Conclusions: Women with newly diagnosed breast cancer are likely to experience higher rates of work-related disability compared with health counterparts. Health care providers should provide intervention to parallel the shift in symptoms that lead to higher work-related disability and job cessation.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / physiopathology
  • Breast Neoplasms / therapy*
  • Cancer Survivors / statistics & numerical data*
  • Disabled Persons / statistics & numerical data*
  • Employment / statistics & numerical data
  • Female
  • Humans
  • Longitudinal Studies
  • Middle Aged
  • Postmenopause*
  • Sick Leave / statistics & numerical data*
  • United States