Evidence map›Paper›PMID 33159501›Full record

ArticleCancer medicine2020

Work changes and individual, cancer-related, and work-related predictors of decreased work participation among African American cancer survivors.

Theresa A Hastert, Anne C Kirchhoff, Matthew P Banegas, Joanna F Morales, Mrudula Nair, Jennifer L Beebe-Dimmer, Stephanie S Pandolfi, Tara E Baird, Ann G Schwartz

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Prognostic factors for return to work in breast cancer survivors.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Factors associated with employment outcomes in cancer survivors: a systematic scoping review spanning a decade of international research.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Review
  4. Returning to Work after Breast Cancer: A One-Year Mixed-Methods Study.International journal of environmental research and public health · 2024
    Article
  5. Article
  6. Review
  7. Comprehensive and Equitable Care for Vulnerable Veterans With Integrated Palliative, Psychology, and Oncology Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2021
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Theresa A HastertWayne State University School of Medicine, Detroit, MI, USA.ORCID 0000-0001-6251-6422
Anne C KirchhoffHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-0747-9179
Matthew P BanegasKaiser Permanente Center for Health Research, Portland, OR, USA.ORCID 0000-0002-6158-7162
Joanna F MoralesTriage Cancer, Chicago, IL, USA.
Mrudula NairWayne State University School of Medicine, Detroit, MI, USA.ORCID 0000-0002-3453-9560
Jennifer L Beebe-DimmerWayne State University School of Medicine, Detroit, MI, USA.ORCID 0000-0002-4320-739X
Stephanie S PandolfiWayne State University School of Medicine, Detroit, MI, USA.
Tara E BairdWayne State University School of Medicine, Detroit, MI, USA.
Ann G SchwartzWayne State University School of Medicine, Detroit, MI, USA.
Wayne State University · USKaiser Permanente Center for Health Research · USUniversity of Utah · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer · 1985 to 2026
$68.4M
The impact of the COVID-19 pandemic on African American cancer survivors and their caregiversU01CA199240 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer, Ann G. Schwartz · 2017 to 2026
$15.2M
NCI NIH HHS HHSN261261201300011INCI NIH HHS P30 CA022453NCI NIH HHS U01 CA199240
6 · The paper itself

Abstract

African American cancer survivors disproportionately experience financial difficulties after cancer. Decreased work participation (going from being employed full time to part time or from employed to not employed) can contribute to financial hardship after cancer but employment outcomes among African American cancer survivors have not been well described. This study estimates the prevalence of work changes and identifies factors associated with decreased work participation among African American cancer survivors. We analyzed data from 916 African American breast, colorectal, lung, and prostate cancer survivors who participated in the Detroit Research on Cancer Survivors (ROCS) cohort and were employed before their cancer diagnosis. Modified Poisson models estimated prevalence ratios of decreased work participation and work changes, including changes to hours, duties, or schedules, between diagnosis and ROCS enrollment controlling for sociodemographic and cancer-related factors. Nearly half of employed survivors made changes to their schedules, duties, or hours worked due to cancer and 34.6% took at least one month off of work, including 18% who took at least one month of unpaid time off. More survivors employed full time (vs. part time) at diagnosis were on disability at ROCS enrollment (18.7% vs. 12.6%, P < 0.001), while fewer were unemployed (5.9% vs. 15.7%, P < 0.001). Nearly half (47.5%) of employed survivors decreased work participation. Taking paid time off was not associated with decreased work participation; however, taking unpaid time off and making work changes were associated with prevalence ratios of decreased work participation of 1.29 (95% CI: 1.03, 1.62) and 1.37 (95% CI: 1.07, 1.75), respectively. Employment disruptions are common after a cancer diagnosis. Survivors who take unpaid time off and make other work changes may be particularly vulnerable to experiencing decreased work participation.

Indexed as

Black or African AmericanCancer SurvivorsEmploymentAbsenteeismAgedFemaleFinancial StressHumansMaleMichiganMiddle AgedNeoplasmsPersonnel Staffing and SchedulingRace FactorsRisk FactorsSick LeaveAfrican Americancancer survivorsemployment

Identifiers

PMID33159501
PMCPMC7724298
OpenAlexW3095274638

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.