ArticleCancer2018
Early-stage breast cancer and employment participation after 2 years of follow-up: A comparison with age-matched controls.
Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.
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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
33 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Prevalence, severity, and risk factors of cancer-related fatigue among working cancer survivors: a systematic review and meta-analysis.Journal of cancer survivorship : research and practice · 2025Pooled it
- Prognostic factors for return to work in breast cancer survivors.The Cochrane database of systematic reviews · 2025Pooled it
- Effects of mindfulness-based stress reduction on cancer-related fatigue in patients with breast cancer: a meta-analysis of randomized controlled trials.Frontiers in oncology · 2024Pooled it
- "Chemobrain" in childhood cancer survivors-the impact on social, academic, and daily living skills: a qualitative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Pooled it
- Investigating how cancer-related symptoms influence work outcomes among cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2022Pooled it
- Long-term work retention after treatment for cancer: a systematic review and meta-analysis.Journal of cancer survivorship : research and practice · 2020Pooled it
- Fatigue following radiotherapy of low-risk early breast cancer - a randomized controlled trial of intraoperative electron radiotherapy versus standard hypofractionated whole-breast radiotherapy: the COSMOPOLITAN trial (NCT03838419).Radiation oncology (London, England) · 2020Trial
- Work accommodations described by a racially and socioeconomically diverse sample of women undergoing treatment for breast cancer.Work (Reading, Mass.) · 2026Article
- The Impact of Sociodemographic Disparities on Health-Related Quality of Life for Adults with Gliomas.Cancers · 2026Review
- Breast cancer and long-term employment: A retrospective cohort study from Norway.Journal of public health research · 2026Article
- Job loss, return to work, and multidimensional well-being after breast cancer treatment in working-age Black and White women.Journal of cancer survivorship : research and practice · 2023Article
- Article
- Identification of age differences in cancer-related symptoms in women undergoing chemotherapy for breast cancer in China.BMC women's health · 2023Article
- Characterizing Cancer and Work Disparities Using Electronic Health Records.International journal of environmental research and public health · 2022Article
- Comparative responsiveness and minimally important difference of Fatigue Symptom Inventory (FSI) scales and the FSI-3 in trials with cancer survivors.Journal of patient-reported outcomes · 2022Article
- Cancer-Related Care Costs and Employment Disruption: Recommendations to Reduce Patient Economic Burden as Part of Cancer Care Delivery.Journal of the National Cancer Institute. Monographs · 2022Article
- The relationship between work-related outcomes and symptoms in early breast cancer survivors receiving adjuvant endocrine therapy.Asia-Pacific journal of oncology nursing · 2022Article
- Late effects in a high-risk population of breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Disability and remote work during the pandemic with implications for cancer survivors.Journal of cancer survivorship : research and practice · 2022Article
- Employment disruption among women with gynecologic cancers.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022Article
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4 authors.
Funding
Abstract
backgroundAlthough cancer survivors are more likely to be unemployed than individuals without a cancer history, employment participation after treatment of early-stage breast cancer has not been widely studied to date. The objectives of the current study were to evaluate employment trajectories in a cohort of patients with early-stage breast cancer and age-matched controls from the time of diagnosis to the 2-year follow-up, and identify factors associated with diminished and emerging employment participation.
methodsAs part of a larger cohort study of 1096 patients with early-stage breast cancer and same-aged women without breast cancer, data from 723 working-age (aged 40-64 years) women (347 patients and 376 controls) were analyzed to evaluate 4 employment trajectories (sustained unemployment, diminished employment, emerging employment, and sustained employment). Multivariable logistic regression models were used to identify factors associated with diminished employment versus sustained employment, and emerging employment versus sustained unemployment.
resultsLower percentages of patients (71%) compared with controls (79%) reported full-time or part-time employment at enrollment (P<.01). Fatigue was a significant predictor of diminished employment for both patients (odds ratio [OR], 5.71; 95% confidence interval [95% CI], 2.48-13.15) and controls (OR, 2.38; 95% CI, 1.21-4.68). Among patients, African American race (OR, 4.02; 95% CI, 1.57-10.28) and public/uninsured insurance status (OR, 4.76; 95% CI, 1.34-12.38) were found to be associated with diminished employment. Among controls, high social support was associated with emerging employment (OR, 3.12; 95% CI, 1.25-7.79).
conclusionsFatigued patients, African American patients, and publicly insured/uninsured patients with cancer were more likely to experience diminished employment after 2 years of follow-up. Further investigation with longer follow-up is warranted to identify factors associated with these disparities in employment participation after treatment of early-stage breast cancer. Cancer 2018;124:2026-35. © 2018 American Cancer Society.
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