ArticlePloS one2011
Breast cancer, sickness absence, income and marital status. A study on life situation 1 year prior diagnosis compared to 3 and 5 years after diagnosis.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 6 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Prognostic factors for return to work in breast cancer survivors.The Cochrane database of systematic reviews · 2025Pooled it
- A Systematic Review: The Effect of Cancer on the Divorce Rate.Frontiers in psychology · 2022Pooled it
- Does marital status correlate with the female breast cancer risk? A systematic review and meta-analysis of observational studies.PloS one · 2020Pooled it
- 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 · 2018Pooled it
- The global impact of non-communicable diseases on macro-economic productivity: a systematic review.European journal of epidemiology · 2015Pooled it
- The global impact of non-communicable diseases on households and impoverishment: a systematic review.European journal of epidemiology · 2015Pooled it
- Trial
- Sick leave patterns among 5-year cancer survivors: a registry-based retrospective cohort study.Journal of cancer survivorship : research and practice · 2012Trial
- Article
- Return to Work in Breast Cancer Patients following an Interdisciplinary Rehabilitation Program in a Community-Based Cancer Rehabilitation Center: A Pilot Study.Healthcare (Basel, Switzerland) · 2024Article
- Coping After Breast Cancer: Protocol for a Randomized Controlled Trial of Stress Management eHealth Interventions.JMIR research protocols · 2023Article
- Planning for return to work during the first year after breast cancer metastasis: A Swedish cohort study.Cancer medicine · 2023Article
- A systemmatic literature review on indirect costs of women with breast cancer.Cost effectiveness and resource allocation : C/E · 2022Review
- Impact of cancer on income, wealth and economic outcomes of adult cancer survivors: a scoping review.BMJ open · 2022Article
- Employment After Breast Cancer Diagnosis and Treatment Among Women in the Sister and the Two Sister Studies.Journal of occupational rehabilitation · 2021Article
- Income loss after a cancer diagnosis in Germany: An analysis based on the socio-economic panel survey.Cancer medicine · 2021Article
- Sickness absence and disability pension among women with breast cancer: a population-based cohort study from Sweden.BMC public health · 2021Article
- Sickness absence and disability pension among swedish women prior to breast cancer relapse with a special focus on the roles of treatment and comorbidity.European journal of cancer care · 2021Article
- Impact of chemotherapy, radiotherapy, and endocrine therapy on sick leave in women with early-stage breast cancer during a 5-year period: a population-based cohort study.Breast cancer research and treatment · 2020Article
- Process evaluation of a tailored work-related support intervention for patients diagnosed with gastrointestinal cancer.Journal of cancer survivorship : research and practice · 2020Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImproved cancer survival poses important questions about future life conditions of the survivor. We examined the possible influence of a breast cancer diagnosis on subsequent working and marital status, sickness absence and income. MATERIALS: We conducted a matched cohort study including 4,761 women 40-59 years of age and registered with primary breast cancer in a Swedish population-based clinical register during 1993-2003, and 2,3805 women without breast cancer. Information on socioeconomic standing was obtained from a social database 1 year prior and 3 and 5 years following the diagnosis. In Conditional Poisson Regression models, risk ratios (RRs) and 95% confidence intervals (CIs) were estimated to assess the impact of a breast cancer diagnosis.
findingsThree years after diagnosis, women who had had breast cancer more often had received sickness benefits (RR = 1.49, 95% CI 1.40-1.58) or disability pension (RR = 1.47, 95% CI 1.37-1.58) than had women without breast cancer. We found no effect on income (RR = 0.99), welfare payments (RR = 0.98), or marital status (RR = 1.02). A higher use of sickness benefits and disability pension was evident in all stages of the disease, although the difference in use of sickness benefits decreased after 5 years, whereas the difference in disability pension increased. For woman with early stage breast cancer, the sickness absence was higher following diagnosis among those with low education, who had undergone mastectomy, and had received chemo- or hormonal therapy. Neither tumour size nor presence of lymph nodes metastasis was associated with sickness absence after adjustment for treatment.
interpretationEven in early stage breast cancer, a diagnosis negatively influences working capacity both 3 and 5 years after diagnosis, and it seems that the type of treatment received had the largest impact. A greater focus needs to be put on rehabilitation of breast cancer patients, work-place adaptations and research on long-term sequelae of treatment.
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