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Research article
Motoki Endo
Corresponding Author
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Background The number of breast cancer patients of working age is increasing in Japan . Consequently, there is a need for support for working individuals concomitantly undergoing breast cancer treatment. The present study aimed to clarify the risk factors for resignation and taking sick leave among breast cancer survivors in continued employment at the time of diagnosis.
Methods As part of a Japanese national research project (Endo-Han), the investigators conducted a web-based survey of cancer survivors (CSs) in 2018. The investigators analyzed the risk factors for post-breast cancer diagnosis resignation and sick leave using a logistic regression model, including age at diagnosis, educational level, cancer stage, surgery, pharmacotherapy, radiotherapy, employment status, and occupational type.
Results 40 of 269 breast cancer survivors (14.9%) quit their job after cancer diagnosis. Predictors of resignation included lower education level (odds ratio [OR]: 3.802; 95%CI: 1.233-11.729), taking sick leave (OR: 2.514; 95%CI: 1.202-5.261), and younger age at diagnosis (OR: 0.470; 95%CI: 0.221-0.998). Of 229 patients who continued working, sick leave was taken by 72 (31.4%); having surgery was a predictor for taking sick leave (OR: 8.311; 95%CI: 1.007-68.621).
Conclusions 14.9% of Japanese employees quit their jobs after being diagnosed with breast cancer. Being younger at breast cancer diagnosis, having lower educational attainment level, and utilizing sick leave were identified as predictors of post-cancer diagnosis resignation. Surgery was associated with the highest risk of taking sick leave. Breast cancer survivors exhibit higher risks for resignation, and may require more carefully follow-up after diagnosis by healthcare providers and employers to protect work sustainability.
Keywords
Breast cancer survivors, Resignation, Sick leave, Return to work
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CURRENT STATUS: Published
View the published article at BMC Public Health.
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On 23 Dec, 2020
Editorial decision: Minor revision
On 21 Dec, 2020
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Editorial decision: Minor revision
On 01 Dec, 2020
Editor assigned
On 28 Nov, 2020
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On 28 Nov, 2020
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On 28 Nov, 2020
No comments provided
Editorial decision: Minor revision
On 22 Nov, 2020
Review #1 received
Received 07 Oct, 2020
Review #2 received
Received 06 Oct, 2020
Reviewer #3 agreed
On 24 Sep, 2020
Reviewer #2 agreed
On 23 Sep, 2020
Reviewers invited
Invitations sent on 19 Sep, 2020
Reviewer #1 agreed
On 19 Sep, 2020
Editor assigned
On 16 Sep, 2020
Submission checks complete
On 15 Sep, 2020
Editor invited
On 15 Sep, 2020
No comments provided
Editorial decision: Major revision
On 26 Jul, 2020
Review #2 received
Received 23 Jul, 2020
Review #1 received
Received 19 Jul, 2020
Reviewer #3 agreed
On 03 Jul, 2020
Review #3 received
Received 03 Jul, 2020
Reviewer #2 agreed
On 02 Jul, 2020
Reviewers invited
Invitations sent on 01 Jul, 2020
Reviewer #1 agreed
On 01 Jul, 2020
Editor assigned
On 29 Jun, 2020
Submission checks complete
On 28 Jun, 2020
Editor invited
On 28 Jun, 2020
Version 1
Posted 01 Apr, 2020
No comments provided
Review #3 received
Received 03 Jun, 2020
Editorial decision: Major revision
On 03 Jun, 2020
Review #2 received
Received 31 May, 2020
Reviewer #3 agreed
On 17 May, 2020
Reviewer #2 agreed
On 13 May, 2020
Review #1 received
Received 29 Apr, 2020
Reviewer #1 agreed
On 05 Apr, 2020
Reviewers invited
Invitations sent on 05 Apr, 2020
Editor assigned
On 20 Mar, 2020
First submitted
On 19 Mar, 2020
Submission checks complete
On 19 Mar, 2020
Editor invited
On 19 Mar, 2020
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A new preprint design is coming!
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Motoki Endo
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Submission checks complete
On 23 Dec, 2020
Editorial decision: Minor revision
On 21 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 01 Dec, 2020
Editor assigned
On 28 Nov, 2020
Submission checks complete
On 28 Nov, 2020
Editor invited
On 28 Nov, 2020
No comments provided
Editorial decision: Minor revision
On 22 Nov, 2020
Review #1 received
Received 07 Oct, 2020
Review #2 received
Received 06 Oct, 2020
Reviewer #3 agreed
On 24 Sep, 2020
Reviewer #2 agreed
On 23 Sep, 2020
Reviewers invited
Invitations sent on 19 Sep, 2020
Reviewer #1 agreed
On 19 Sep, 2020
Editor assigned
On 16 Sep, 2020
Submission checks complete
On 15 Sep, 2020
Editor invited
On 15 Sep, 2020
No comments provided
Editorial decision: Major revision
On 26 Jul, 2020
Review #2 received
Received 23 Jul, 2020
Review #1 received
Received 19 Jul, 2020
Reviewer #3 agreed
On 03 Jul, 2020
Review #3 received
Received 03 Jul, 2020
Reviewer #2 agreed
On 02 Jul, 2020
Reviewers invited
Invitations sent on 01 Jul, 2020
Reviewer #1 agreed
On 01 Jul, 2020
Editor assigned
On 29 Jun, 2020
Submission checks complete
On 28 Jun, 2020
Editor invited
On 28 Jun, 2020
Version 1
Posted 01 Apr, 2020
No comments provided
Review #3 received
Received 03 Jun, 2020
Editorial decision: Major revision
On 03 Jun, 2020
Review #2 received
Received 31 May, 2020
Reviewer #3 agreed
On 17 May, 2020
Reviewer #2 agreed
On 13 May, 2020
Review #1 received
Received 29 Apr, 2020
Reviewer #1 agreed
On 05 Apr, 2020
Reviewers invited
Invitations sent on 05 Apr, 2020
Editor assigned
On 20 Mar, 2020
First submitted
On 19 Mar, 2020
Submission checks complete
On 19 Mar, 2020
Editor invited
On 19 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background The number of breast cancer patients of working age is increasing in Japan . Consequently, there is a need for support for working individuals concomitantly undergoing breast cancer treatment. The present study aimed to clarify the risk factors for resignation and taking sick leave among breast cancer survivors in continued employment at the time of diagnosis.
Methods As part of a Japanese national research project (Endo-Han), the investigators conducted a web-based survey of cancer survivors (CSs) in 2018. The investigators analyzed the risk factors for post-breast cancer diagnosis resignation and sick leave using a logistic regression model, including age at diagnosis, educational level, cancer stage, surgery, pharmacotherapy, radiotherapy, employment status, and occupational type.
Results 40 of 269 breast cancer survivors (14.9%) quit their job after cancer diagnosis. Predictors of resignation included lower education level (odds ratio [OR]: 3.802; 95%CI: 1.233-11.729), taking sick leave (OR: 2.514; 95%CI: 1.202-5.261), and younger age at diagnosis (OR: 0.470; 95%CI: 0.221-0.998). Of 229 patients who continued working, sick leave was taken by 72 (31.4%); having surgery was a predictor for taking sick leave (OR: 8.311; 95%CI: 1.007-68.621).
Conclusions 14.9% of Japanese employees quit their jobs after being diagnosed with breast cancer. Being younger at breast cancer diagnosis, having lower educational attainment level, and utilizing sick leave were identified as predictors of post-cancer diagnosis resignation. Surgery was associated with the highest risk of taking sick leave. Breast cancer survivors exhibit higher risks for resignation, and may require more carefully follow-up after diagnosis by healthcare providers and employers to protect work sustainability.
Figure 1
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