Worse and worse off: the impact of lymphedema on work and career after breast cancer
Identifieur interne : 000915 ( Main/Exploration ); précédent : 000914; suivant : 000916Worse and worse off: the impact of lymphedema on work and career after breast cancer
Auteurs : John Boyages ; Senia Kalfa ; Ying Xu ; Louise Koelmeyer ; Helen Mackie ; Hector Viveros ; Lucy Taksa ; Paul GollanSource :
- SpringerPlus [ 2193-1801 ] ; 2016.
Abstract
Our study examines the impact of breast cancer-related lymphedema on women’s work and career. Our research addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.
An online national survey was conducted with 361 women who either had breast cancer without lymphedema (Group 1, n = 209) or breast cancer with lymphedema (Group 2, n = 152). Participant recruitment was supported by the Breast Cancer Network Australia and the Australasian Lymphology Association.
Both breast cancer and lymphedema had a significant negative influence on women’s work and career. Respondents reported changes in employment resulting from stress and/or physical impairment, which affected attendance and work performance. The perceived negative impact of breast cancer on respondents’ work and career was noticeably greater in Group 2 (63 %) than Group 1 (51 %) (p = 0.03). Of the participants who were in paid employment at some time (either at diagnosis of lymphedema or at the time of the survey (n = 103), 43 (42 %) indicated that lymphedema impacted their work performance. The impact of lymphedema on work was incremental with increased severity of lymphedema (range 22–75 %). The annual number of days off work for subclinical/mild lymphedema participants was 1.4 versus 8.1 days for moderate or severe participants (p = 0.003).
This study identifies an additional detrimental effect of lymphedema on women’s work and career over and above the initial impact of breast cancer and provides empirical evidence for future prospective studies and policy improvement.
Url:
DOI: 10.1186/s40064-016-2300-8
PubMed: 27330922
PubMed Central: 4870504
Affiliations:
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type="wicri:Area/Main/Exploration">000915</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Worse and worse off: the impact of lymphedema on work and career after breast cancer</title><author><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><affiliation><nlm:aff id="Aff1">Department of Clinical Medicine, Faculty of Medicine and Health Sciences, 2 Technology Place, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Kalfa, Senia" sort="Kalfa, Senia" uniqKey="Kalfa S" first="Senia" last="Kalfa">Senia Kalfa</name><affiliation><nlm:aff id="Aff2">Department of Marketing and Management, Faculty of Business and Economics, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Xu, Ying" sort="Xu, Ying" uniqKey="Xu Y" first="Ying" last="Xu">Ying Xu</name><affiliation><nlm:aff id="Aff2">Department of Marketing and Management, Faculty of Business and Economics, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Koelmeyer, Louise" sort="Koelmeyer, Louise" uniqKey="Koelmeyer L" first="Louise" last="Koelmeyer">Louise Koelmeyer</name><affiliation><nlm:aff id="Aff1">Department of Clinical Medicine, Faculty of Medicine and Health Sciences, 2 Technology Place, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name><affiliation><nlm:aff id="Aff3">Macquarie University Hospital, Macquarie University, Sydney, NSW Australia</nlm:aff><wicri:noCountry code="subfield">NSW Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Mount Wilga Private Hospital, 66 Rosamond Street, Hornsby, NSW 2077 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2077 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Viveros, Hector" sort="Viveros, Hector" uniqKey="Viveros H" first="Hector" last="Viveros">Hector Viveros</name><affiliation><nlm:aff id="Aff2">Department of Marketing and Management, Faculty of Business and Economics, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Taksa, Lucy" sort="Taksa, Lucy" uniqKey="Taksa L" first="Lucy" last="Taksa">Lucy Taksa</name><affiliation><nlm:aff id="Aff2">Department of Marketing and Management, Faculty of Business and Economics, Macquarie University, Sydney, NSW 2109 Australia</nlm:aff><wicri:noCountry code="subfield">NSW 2109 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Gollan, Paul" sort="Gollan, Paul" uniqKey="Gollan P" first="Paul" last="Gollan">Paul Gollan</name><affiliation><nlm:aff id="Aff5">Australian Institute for Business and Economics, Faculty of Business, Economics and Law, University of Queensland, Brisbane, QLD Australia</nlm:aff><wicri:noCountry code="subfield">QLD Australia</wicri:noCountry></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Our study examines the impact of breast cancer-related lymphedema on women’s work and career. Our research addresses a significant knowledge gap regarding the additional impact of lymphedema on breast cancer survivors.</p></sec><sec><title>Methods</title><p>An online national survey was conducted with 361 women who either had breast cancer without lymphedema (Group 1, n = 209) or breast cancer with lymphedema (Group 2, n = 152). Participant recruitment was supported by the Breast Cancer Network Australia and the Australasian Lymphology Association.</p></sec><sec><title>Results</title><p>Both breast cancer and lymphedema had a significant negative influence on women’s work and career. Respondents reported changes in employment resulting from stress and/or physical impairment, which affected attendance and work performance. The perceived negative impact of breast cancer on respondents’ work and career was noticeably greater in Group 2 (63 %) than Group 1 (51 %) (p = 0.03). Of the participants who were in paid employment at some time (either at diagnosis of lymphedema or at the time of the survey (n = 103), 43 (42 %) indicated that lymphedema impacted their work performance. The impact of lymphedema on work was incremental with increased severity of lymphedema (range 22–75 %). The annual number of days off work for subclinical/mild lymphedema participants was 1.4 versus 8.1 days for moderate or severe participants (p = 0.003).</p></sec><sec><title>Conclusions</title><p>This study identifies an additional detrimental effect of lymphedema on women’s work and career over and above the initial impact of breast cancer and provides empirical evidence for future prospective studies and policy improvement.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alcorso, J" uniqKey="Alcorso J">J Alcorso</name></author><author><name sortKey="Sherman, Ka" uniqKey="Sherman K">KA Sherman</name></author><author><name sortKey="Koelmeyer, L" uniqKey="Koelmeyer L">L Koelmeyer</name></author><author><name sortKey="Mackie, H" uniqKey="Mackie H">H Mackie</name></author><author><name sortKey="Boyages, J" uniqKey="Boyages J">J Boyages</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Armer, 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Armer</name></author><author><name sortKey="Lasinski, Bb" uniqKey="Lasinski B">BB Lasinski</name></author><author><name sortKey="Cormier, Jn" uniqKey="Cormier J">JN Cormier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Swaroop, Mn" uniqKey="Swaroop M">MN Swaroop</name></author><author><name sortKey="Ferguson, Cm" uniqKey="Ferguson C">CM Ferguson</name></author><author><name sortKey="Horick, Nk" uniqKey="Horick N">NK Horick</name></author><author><name sortKey="Skolny, Mn" uniqKey="Skolny M">MN Skolny</name></author><author><name sortKey="Miller, Cl" uniqKey="Miller C">CL Miller</name></author><author><name sortKey="Jammallo, Ls" uniqKey="Jammallo L">LS Jammallo</name></author><author><name sortKey="Brunelle, Cl" uniqKey="Brunelle C">CL Brunelle</name></author><author><name sortKey="O Oole, Ja" uniqKey="O Oole J">JA O’Toole</name></author><author><name sortKey="Isakoff, Sj" uniqKey="Isakoff S">SJ Isakoff</name></author><author><name sortKey="Specht, Mc" uniqKey="Specht M">MC Specht</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Boyages, John" sort="Boyages, John" uniqKey="Boyages J" first="John" last="Boyages">John Boyages</name><name sortKey="Gollan, Paul" sort="Gollan, Paul" uniqKey="Gollan P" first="Paul" last="Gollan">Paul Gollan</name><name sortKey="Kalfa, Senia" sort="Kalfa, Senia" uniqKey="Kalfa S" first="Senia" last="Kalfa">Senia Kalfa</name><name sortKey="Koelmeyer, Louise" sort="Koelmeyer, Louise" uniqKey="Koelmeyer L" first="Louise" last="Koelmeyer">Louise Koelmeyer</name><name sortKey="Mackie, Helen" sort="Mackie, Helen" uniqKey="Mackie H" first="Helen" last="Mackie">Helen Mackie</name><name sortKey="Taksa, Lucy" sort="Taksa, Lucy" uniqKey="Taksa L" first="Lucy" last="Taksa">Lucy Taksa</name><name sortKey="Viveros, Hector" sort="Viveros, Hector" uniqKey="Viveros H" first="Hector" last="Viveros">Hector Viveros</name><name sortKey="Xu, Ying" sort="Xu, Ying" uniqKey="Xu Y" first="Ying" last="Xu">Ying Xu</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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