Work ability 8 years after breast cancer: exploring the role of social support in a nation-wide survey

Autor: K. Vandraas, R. S. Falk, S. K. H. Bøhn, C. Kiserud, H. C. Lie, S. K. Smedsland, M. Ewertz, S. Dahl, M. Brekke, K. V. Reinertsen
Rok vydání: 2022
Předmět:
Zdroj: Vandraas, K, Falk, R S, Bøhn, S K H, Kiserud, C, Lie, H C, Smedsland, S K, Ewertz, M, Dahl, S, Brekke, M & Reinertsen, K V 2022, ' Work ability 8 years after breast cancer : exploring the role of social support in a nation-wide survey ', Breast Cancer Research and Treatment, vol. 193, no. 3, pp. 685-694 . https://doi.org/10.1007/s10549-022-06599-z
ISSN: 1573-7217
0167-6806
DOI: 10.1007/s10549-022-06599-z
Popis: Introduction As the 5-year survival rate after breast cancer in Norway is 92%, the population of breast cancer survivors (BCSs) is increasing. Knowledge of work ability in this population is scarce. In a population-based cohort of BCSs, we explored work ability 8 years after diagnosis and the association between work ability and social support, and cancer-related variables including late effects and lifestyle factors. Methods In 2019, all Norwegian women Results Of the 1951 eligible BCSs, 1007 (52.8%) responded. After excluding survivors with relapse (n = 1), missing information on work ability score (n = 49), or work status (n = 31), the final sample comprised 926 BCSs within working age at survey ( Mean age at survey was 56 years and 8 years (SD 0.7) had passed since diagnosis. Work ability had been reduced from 8.9 (SD 2.3) at diagnosis to 6.3 (SD 3.1). One in three BCSs reported poor work ability (WAS ≤ 5), and seven out of ten reported that their physical work ability had been reduced due to cancer. Social support from colleagues during cancer therapy was associated with excellent work ability, which was not observed for social support provided by supervisors or the general practitioner. Cognitive impairment and fatigue were inversely associated with work ability. None of the cancer-related variables, including treatment, were associated with work ability 8 years after diagnosis. Conclusion In this population-based sample, one in three BCSs reported poor work ability 8 years after diagnosis. Collegial social support during cancer therapy appears to be a protective factor for sustained work ability, whilst survivors struggling with fatigue and cognitive impairments may represent a particularly vulnerable group for reduced work ability.
Databáze: OpenAIRE
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