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Article

The Challenge of Return to Work after Breast Cancer: The Role of Family Situation, CANTO Cohort

1
IPLESP, Équipe de Recherche en Épidémiologie Sociale, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Sorbonne Université, 75012 Paris, France
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Department of maieutics, University of Montpellier, 34000 Montpellier, France
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Breast Cancer Unit, Department of Medical Oncology, Gustave Roussy, 94800 Villejuif, France
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INSERM Unit U 981, Gustave Roussy, 94800 Villejuif, France
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Clinical Research Department, Gustave Roussy, 94800 Villejuif, France
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UNICANCER, 75013 Paris, France
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Institute Curie, 75005 Paris, France
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Center Oscar Lambret, 59000 Lille, France
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Institute Jean Godinot, 51100 Reims, France
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Institute Curie, 92210 Saint Cloud, France
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ECEVE UMR 1123, INSERM (National Institute for Health and Medical Research), Université de Paris, 75010 Paris, France
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(5), 3866-3875; https://doi.org/10.3390/curroncol28050330
Received: 14 September 2021 / Revised: 27 September 2021 / Accepted: 29 September 2021 / Published: 1 October 2021
(This article belongs to the Section Gynecologic Oncology)
Return to work (RTW) after breast cancer is associated with improved quality of life. The link between household characteristics and RTW remains largely unknown. The aim of this study was to examine the effect of the family situation on women’s RTW two years after breast cancer. We used data of a French prospective cohort of women diagnosed with stage I-III, primary breast cancer (CANTO, NCT01993498). Among women employed at diagnosis and under 57 years old, we assessed the association between household characteristics (living with a partner, marital status, number and age of economically dependent children, support by the partner) and RTW. Logistic regression models were adjusted for age, household income, stage, comorbidities, treatments and their side effects. Analyzes stratified by age and household income were performed to assess the association between household characteristics and RTW in specific subgroups. Among the 3004 patients included, women living with a partner returned less to work (OR = 0.63 [0.47–0.86]) and decreased their working time after RTW. Among the 2305 women living with a partner, being married was associated with decreased RTW among women aged over 50 (OR = 0.57 [0.34–0.95]). Having three or more children (vs. none) was associated with lower RTW among women with low household income (OR = 0.28 [0.10–0.80]). Household characteristics should be considered in addition to clinical information to identify vulnerable women, reduce the social consequence of cancer and improve their quality of life. View Full-Text
Keywords: return to work; breast cancer; family situation; cohort return to work; breast cancer; family situation; cohort
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MDPI and ACS Style

Caumette, E.; Vaz-Luis, I.; Pinto, S.; Havas, J.; Bovagnet, T.; Ruiz de Azua, G.; Di Meglio, A.; Martin, A.-L.; Everhard, S.; Cottu, P.; Vanlemmens, L.; Jouannaud, C.; Lerebours, F.; Dumas, A.; Menvielle, G. The Challenge of Return to Work after Breast Cancer: The Role of Family Situation, CANTO Cohort. Curr. Oncol. 2021, 28, 3866-3875. https://doi.org/10.3390/curroncol28050330

AMA Style

Caumette E, Vaz-Luis I, Pinto S, Havas J, Bovagnet T, Ruiz de Azua G, Di Meglio A, Martin A-L, Everhard S, Cottu P, Vanlemmens L, Jouannaud C, Lerebours F, Dumas A, Menvielle G. The Challenge of Return to Work after Breast Cancer: The Role of Family Situation, CANTO Cohort. Current Oncology. 2021; 28(5):3866-3875. https://doi.org/10.3390/curroncol28050330

Chicago/Turabian Style

Caumette, Elsa, Inès Vaz-Luis, Sandrine Pinto, Julie Havas, Thomas Bovagnet, Garazi Ruiz de Azua, Antonio Di Meglio, Anne-Laure Martin, Sibille Everhard, Paul Cottu, Laurence Vanlemmens, Christelle Jouannaud, Florence Lerebours, Agnès Dumas, and Gwenn Menvielle. 2021. "The Challenge of Return to Work after Breast Cancer: The Role of Family Situation, CANTO Cohort" Current Oncology 28, no. 5: 3866-3875. https://doi.org/10.3390/curroncol28050330

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