Impact of breast cancer care pathways and related symptoms on the return-to-work process
Résumé
Background Breast cancer (BC) treatments and related symptoms may affect return to work (RTW). The objective of this study was investigate the impact BC care pathways (timing sequence treatments) on RTW. Methods population included working-age women with who were enrolled in French CONSTANCES cohort from 2012 2018. treatments, antidepressants/anxiolytic antalgic drug deliveries (used as proxies depression pain, respectively) statutory sick pay estimate RTW time RTW) assessed monthly using data national healthcare system database. identified analysis method. Cox models time-dependent covariates used RTW, after adjusting for age socioeconomic characteristics. Results 73.2% (231/303) returned within 2 years diagnosis. Five pathway patterns identified: (i) surgery only, (ii) radiotherapy, (iii) chemotherapy, (iv) chemotherapy (v) long-term alternative chemotherapy/radiotherapy. hazards ratios non-RTW significantly higher received chemotherapy/radiotherapy andamp
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