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Arm morbidity and sick leave among working women shortly after breast cancer surgery
Div. of Insurance Medicine, Dpt of Clinical Neuroscience, Karolinska Institutet.
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2013 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 17, no 1, 101-6 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: There is limited knowledge about the impact of arm morbidity on sick leave in the immediate period after breast cancer surgery.

PURPOSE: To determine if arm morbidity was associated with sick leave shortly after breast cancer surgery and to investigate the association between arm morbidity and sick leave, adjusted for treatment, work characteristics, co-morbidity, time since surgery, and sociodemographic factors.

SAMPLE AND METHODS: Included were 511 women who within 12 weeks had had breast cancer surgery, were aged 20-63 years, had no distant metastasis, pre-surgical chemotherapy, or previous breast cancer, and worked ‚Č•75% before breast cancer diagnosis. Percentages and odds ratios (OR) for being on sick leave were calculated, using multivariable analyses.

RESULTS: Of the women, 10% reported arm morbidity, 43% had had a total axillary clearance, and 60% were on sick leave. In multivariable analysis, those with planned chemotherapy had the highest OR (4.69; 95% CI 2.97-7.41) for being on sick leave. Nevertheless, those reporting arm morbidity had the second highest OR (2.71; 1.23-5.97) which was higher than if having strenuous work postures (2.49; 1.50-4.15) or having had an axillary clearance (1.64; 1.04-2.60).

CONCLUSION: Arm morbidity is an important factor for whether being on sick leave or not shortly after breast cancer surgery, even more important than type of axillary surgery or work situation. However, planned chemotherapy had the greatest impact for being on sick leave already shortly after breast cancer surgery.

Place, publisher, year, edition, pages
2013. Vol. 17, no 1, 101-6 p.
Keyword [en]
Breast cancer, Sick leave, Work, Arm morbidity, Symptoms, Axilla surgery, Breast cancer surgery, Work posture, Chemotherapy
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:shh:diva-1277DOI: 10.1016/j.ejon.2012.05.004PubMedID: 22705269OAI: oai:DiVA.org:shh-1277DiVA: diva2:607605
Available from: 2013-02-25 Created: 2013-02-25 Last updated: 2014-09-12Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
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