Predictors of Unemployment After Breast Cancer Surgery: A Systematic Review and Meta-Analysis of Observational Studies.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Li WangJason W Busse

Abstract

Purpose Breast cancer surgery is associated with unemployment. Identifying high-risk patients could help inform strategies to promote return to work. We systematically reviewed observational studies to explore factors associated with unemployment after breast cancer surgery. Methods We searched MEDLINE, EMBASE, CINAHL, and PsycINFO to identify studies that explored risk factors for unemployment after breast cancer surgery. When possible, we pooled estimates of association for all independent variables reported by more than one study. Results Twenty-six studies (46,927 patients) reported the association of 127 variables with unemployment after breast cancer surgery. Access to universal health care was associated with higher rates of unemployment (26.6% v 15.4%; test of interaction P = .05). High-quality evidence showed that unemployment after breast cancer surgery was associated with high psychological job demands (odds ratio [OR], 4.26; 95% CI, 2.27 to 7.97), childlessness (OR, 1.30; 95% CI, 1.11 to 1.53), lower education level (OR, 1.15; 95% CI, 1.05 to 1.25), lower income level (OR, 1.46; 95% CI, 1.24 to 1.73), cancer stage II, III or IV (OR, 1.43; 95% CI, 1.13 to 1.82), and mastectomy versus breast-conserving surgery (OR, 1....Continue Reading

References

Jan 1, 1991·Social Science & Medicine·N Waxler-MorrisonL Kan
Nov 30, 1995·The New England Journal of Medicine·UNKNOWN Early Breast Cancer Trialists' Collaborative Group
Feb 1, 1995·Journal of General Internal Medicine·P W BushunowS Rosenthal
Jun 8, 2001·Journal of the National Cancer Institute·W H ReddK N DuHamel
Mar 29, 2002·Psycho-oncology·Evelien R SpeltenJos H A M Verbeek
Dec 24, 2003·Acta Oncologica·Jutta EngelDieter Hölzel
Apr 7, 2005·JAMA : the Journal of the American Medical Association·Ian HarrisJane Young
Sep 28, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Mélanie DroletLuc Deschênes
Jan 20, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Reynard R BouknightZhehui Luo
Oct 13, 2006·Annals of Oncology : Official Journal of the European Society for Medical Oncology·S H AhnY H Yun
Jan 12, 2007·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Mathias LidgrenBengt Jönsson
Apr 19, 2007·Acta Oncologica·Aina JohnssonLars Erik Rutqvist
Aug 2, 2007·AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses·Nancy M NachreinerSusan Goodwin Gerberich
May 28, 2008·Journal of Cancer Research and Clinical Oncology·Volker ArndtHermann Brenner
Aug 2, 2008·Journal of Occupational Rehabilitation·Fulya BalakJohan W Groothoff
Oct 16, 2008·Breast Cancer Research and Treatment·Eunmi AhnYoung Ho Yun
Oct 22, 2008·Acta Oncologica·Aina JohnssonMariann Olsson
Nov 13, 2008·Journal of Cancer Survivorship : Research and Practice·Jill E LavigneDebra J Lerner
Nov 28, 2008·BMC Medical Research Methodology·Gerta RückerMartin Schumacher
Nov 28, 2008·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·V PeuckmannM Groenvold
Feb 20, 2009·JAMA : the Journal of the American Medical Association·Angela G E M de BoerJos H A M Verbeek
Jun 9, 2009·The American Journal of Medicine·David U HimmelsteinSteffie Woolhandler
Aug 28, 2009·European Journal of Cancer Care·A JohnssonM Olsson
Nov 11, 2009·Journal of Occupational Rehabilitation·Sophie Quinton FantoniAriane Leroyer
Feb 2, 2010·Critical Reviews in Oncology/hematology·Anja Mehnert
Feb 18, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Scarlett Lin GomezChristina A Clarke
Aug 28, 2010·Occupational and Environmental Medicine·S J TammingaM H W Frings-Dresen
Oct 12, 2010·Journal of Cancer Survivorship : Research and Practice·Mahasin S MujahidSteven J Katz
Oct 15, 2010·Journal of Cancer Survivorship : Research and Practice·Michael FeuersteinXinhua Yu
Jan 15, 2011·Acta Oncologica·Lena-Marie PeterssonKristina Alexanderson
Sep 22, 2011·European Journal of Cancer Care·M Banning
Mar 7, 2012·American Journal of Public Health·Sergio RuedaJohn Lavis
Mar 30, 2012·Journal of Cancer Survivorship : Research and Practice·Beate HauglannAlv A Dahl
Apr 10, 2012·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Carlos A Garcia-EtienneUNKNOWN eusomaDB Working Group
Aug 23, 2012·Psycho-oncology·Allegra W TimperiLawrence H Kushi
Jan 3, 2013·European Journal of Cancer Care·P van MuijenA J van der Beek
Feb 19, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Dorothee NoeresSiegfried Geyer
Jul 26, 2013·Breast Cancer Research and Treatment·Victoria BlinderRose C Maly

❮ Previous
Next ❯

Citations

Apr 6, 2019·Breast Cancer Research and Treatment·Lucile MontagneJean-Michel Hannoun-Levi
Dec 14, 2019·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Agnes DumasGwenn Menvielle
Mar 10, 2020·Journal of Occupational and Environmental Medicine·Yasir RehmanUNKNOWN TRUST Investigators
May 31, 2019·Breast Cancer Research and Treatment·Shoshana M RosenbergAnn H Partridge
Sep 27, 2018·Journal of the National Cancer Institute·Janet S de MoorCathy J Bradley
Apr 25, 2019·International Journal of Environmental Research and Public Health·Kristopher LamoreJérôme Foucaud
Apr 15, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Stéphane VignesFabrice Locher
Sep 19, 2020·The Journal of the American Osteopathic Association·Yasir RehmanRobert Johnston
Apr 20, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Flora VayrFabrice Herin
Jan 22, 2019·Scandinavian Journal of Caring Sciences·Bertrand PorroFlorence Cousson-Gélie
Nov 12, 2020·ESMO Open·Antonio Di MeglioInes Vaz Luis
Nov 14, 2020·Gynecologic Oncology·Roni NiteckiJ Alejandro Rauh-Hain
Feb 20, 2021·Cancer·Samilia Obeng-GyasiDavid A Haggstrom
May 6, 2021·Journal of Cancer Survivorship : Research and Practice·Bertrand PorroYves Roquelaure
Jun 10, 2021·JNCI Cancer Spectrum·Clare MeernikHazel B Nichols
Jun 17, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Min LiLinying Wang
Sep 14, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Yoshiteru AkezakiShinsuke Sugihara
Sep 14, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Andrea GragnanoGabriella Pravettoni
Nov 18, 2021·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Roni NiteckiJose Alejandro Rauh-Hain

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.