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Research article
Motoki Endo
Juntendo University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1025-4202
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: In Japan, 55.5% of breast cancer survivors (BCSs) are of working age, so various perspectives regarding return to work (RTW) after cancer diagnosis need to be considered. Therefore, this study aimed to clarify the risk factors for resignation and taking sick leave (SL) among BCSs in continued employment at the time of diagnosis.
Methods: A web-based retrospective cross-sectional survey was conducted on BCSs using data from a 2018 Japanese national research project (Endo-Han) commissioned by the Ministry of Health, Labour and Welfare of Japan. The subjects were women aged 18–69 years who had been diagnosed with breast cancer for the first time at least 1 year previously. The risk factors for resignation and taking SL after breast cancer diagnosis, including age at diagnosis, education level, cancer stage, surgery, chemotherapy, radiotherapy, employment status, and occupational type, were then analyzed using a logistic regression model.
Results: In total, 40 (14.9%) of 269 BCSs quit their jobs at least 1 year after being diagnosed with breast cancer. The results of the multivariable analysis indicated that lower education level (odds ratio [OR]: 3.802; 95% confidence interval [CI]: 1.233–11.729), taking SL (OR: 2.514; 95%CI: 1.202–5.261), and younger age at diagnosis (OR: 0.470; 95%CI: 0.221–0.998) were predictors of resignation. Of 229 patients who continued working, SL was taken by 72 (31.4%). In addition, undergoing surgery was found to be a predictor of taking SL (OR: 8.311; 95%CI: 1.007–68.621).
Conclusions: In total, 40 (14.9%) of 269 BCSs quit their jobs at least 1 year after being diagnosed with breast cancer. The results of this study indicated that younger age, lower education level, and taking SL were predictors of resignation after breast cancer diagnosis.
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
Editor invited
On 28 Nov, 2020
Version 3
Posted 18 Sep, 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
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
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On 19 Mar, 2020
Editor invited
On 19 Mar, 2020
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
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
Juntendo University Faculty of Medicine
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1025-4202
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
Version 3
Posted 18 Sep, 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
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: In Japan, 55.5% of breast cancer survivors (BCSs) are of working age, so various perspectives regarding return to work (RTW) after cancer diagnosis need to be considered. Therefore, this study aimed to clarify the risk factors for resignation and taking sick leave (SL) among BCSs in continued employment at the time of diagnosis.
Methods: A web-based retrospective cross-sectional survey was conducted on BCSs using data from a 2018 Japanese national research project (Endo-Han) commissioned by the Ministry of Health, Labour and Welfare of Japan. The subjects were women aged 18–69 years who had been diagnosed with breast cancer for the first time at least 1 year previously. The risk factors for resignation and taking SL after breast cancer diagnosis, including age at diagnosis, education level, cancer stage, surgery, chemotherapy, radiotherapy, employment status, and occupational type, were then analyzed using a logistic regression model.
Results: In total, 40 (14.9%) of 269 BCSs quit their jobs at least 1 year after being diagnosed with breast cancer. The results of the multivariable analysis indicated that lower education level (odds ratio [OR]: 3.802; 95% confidence interval [CI]: 1.233–11.729), taking SL (OR: 2.514; 95%CI: 1.202–5.261), and younger age at diagnosis (OR: 0.470; 95%CI: 0.221–0.998) were predictors of resignation. Of 229 patients who continued working, SL was taken by 72 (31.4%). In addition, undergoing surgery was found to be a predictor of taking SL (OR: 8.311; 95%CI: 1.007–68.621).
Conclusions: In total, 40 (14.9%) of 269 BCSs quit their jobs at least 1 year after being diagnosed with breast cancer. The results of this study indicated that younger age, lower education level, and taking SL were predictors of resignation after breast cancer diagnosis.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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