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Changes in health-related quality of life by occupational status among women diagnosed with breast cancer-a population-based cohort study
Regional Cancer Centre, Uppsala University Hospital, Uppsala, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
Department of Oncology, Gävle Hospital, Gävle, Sweden; Centre for Research and Development, Uppsala University, County of Gävleborg, Gävle, Sweden.
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2013 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, no 10, 2321-2331 p.Article in journal (Refereed) Published
Abstract [en]

ObjectiveTo investigate whether longitudinal changes in health-related quality of life (HRQoL) among breast cancer patients vary by prediagnosis occupational status or postdiagnosis changes in working time. MethodsWe identified 1573 patients in the Breast Cancer Quality Register of Central Sweden and asked them to participate in a longitudinal questionnaire study. A total of n=841 women completed three questionnaires within a mean time of 4, 16, and 38months postdiagnosis. Generalized estimating equation models were used to examine changes in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and the Breast Cancer-Specific Quality of Life Questionnaire subscales stratified by prediagnosis occupational status and postdiagnosis changes in working time. ResultsOver time, the proportion of employed women reporting good functioning increased more, and the proportion reporting a high level of symptoms decreased more compared with women on sick leave/disability pension and retirement pensioners (p<0.001). The latter two also showed a worsening in several subscales (p<0.05). Among employed women, more consistent improvements in role and social functioning were observed among those with an increase/no change in working time than among those who had decreased it or stopped working (p<0.05). A decrease in the proportion reporting pain was observed among women with an increase/no change in working time compared with women with decreased working time, among whom the proportion reporting pain increased (p=0.008). ConclusionsBeing employed prediagnosis and resuming work to the same extent as prior to the breast cancer diagnosis are associated with consistent improvements in HRQoL. These results highlight the importance of interventions to improve HRQoL and policies to support return to work following diagnosis. Copyright (c) 2013 John Wiley & Sons, Ltd.

Place, publisher, year, edition, pages
2013. Vol. 22, no 10, 2321-2331 p.
Keyword [en]
breast cancer, oncology, quality of life, employment, return to work
National Category
Cancer and Oncology Psychology
Research subject
Oncology; Psychology
Identifiers
URN: urn:nbn:se:oru:diva-38718DOI: 10.1002/pon.3285ISI: 000325150400022PubMedID: 23585294Scopus ID: 2-s2.0-84885312842OAI: oai:DiVA.org:oru-38718DiVA: diva2:764087
Note

Funding agencies are:

Swedish Society of Oncology via Swedish Breast Cancer Association Uppsala Orebro Regional Research Council: RFR-10245 , RFR-33881 , RFR-80981 Swedish Council for Working Life and Social Research FAS; 2007-2148 Foundation of Erik, Karin och Gösta Selander Board of the Disciplinary Domain of Medicine and Pharmacy at Uppsala University :MEDFARM 2011/363

Available from: 2014-11-18 Created: 2014-11-18 Last updated: 2017-10-18Bibliographically approved

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