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@ARTICLE{Schmidt:143720,
      author       = {M. Schmidt$^*$ and S. Scherer$^*$ and J. Wiskemann and K.
                      Steindorf$^*$},
      title        = {{R}eturn to work after breast cancer: {T}he role of
                      treatment-related side effects and potential impact on
                      quality of life.},
      journal      = {European journal of cancer care},
      volume       = {28},
      number       = {4},
      issn         = {1365-2354},
      address      = {Oxford [u.a.]},
      publisher    = {Wiley-Blackwell},
      reportid     = {DKFZ-2019-01290},
      pages        = {e13051},
      year         = {2019},
      abstract     = {For breast cancer survivors return to work (RTW) is
                      important from an economic, societal and personal
                      perspective. Thus, we investigated the impact of side
                      effects and other factors on RTW. Five years post-diagnosis
                      135 disease-free breast cancer survivors below retirement
                      age who were employed pre-diagnosis recorded their current
                      and previous working status and reasons for impaired RTW.
                      Patient-reported outcomes were prospectively reported over
                      the cancer continuum. One year post-surgery $57\%$ of
                      survivors worked the same and $22\%$ with reduced working
                      time compared to pre-diagnosis. Logistic regression revealed
                      significant associations of depressive symptoms, arm
                      morbidity, lower education and younger age with impaired RTW
                      after 1 year, and persisting physical fatigue and living
                      with partner with impaired RTW after 5 years. Major
                      self-reported reasons included fatigue and cognitive
                      problems. Temporal patterns of general quality of life
                      (QoL), physical, cognitive and role function, and financial
                      problems were significantly worse among women with no RTW
                      compared to those working again. In conclusion, cessation of
                      work after breast cancer seems associated with worse QoL.
                      Fatigue, psychological and cognitive problems as well as arm
                      morbidity seemed to hinder RTW. Thus, a better management of
                      these problems might help women to stay in working life.},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:31033073},
      doi          = {10.1111/ecc.13051},
      url          = {https://inrepo02.dkfz.de/record/143720},
}