乳腺癌幸存者恢复工作的预后因素
Sietske J Tamminga1,2, Astrid de Wind1,2, Michiel A Greidanus1,2
1Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands.
The Cochrane database of systematic reviews
|May 7, 2025
概括
年龄较大或接受化疗的乳腺癌幸存者返回工作的几率较低. 需要进一步的研究来确定有风险的个体,以便及时提供支持.
科学领域:
- 在瘤学瘤学.
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
背景情况:
- 乳腺癌是全球女性的主要癌症,影响着劳动力.
- 许多幸存者在诊断后回到有薪工作方面面临挑战.
- 在幸存者中影响重返工作 (RTW) 的因素尚未完全理解.
研究的目的:
- 系统地审查和综合有关乳腺癌幸存者的RTW相关因素的文献.
- 检查社会人口统计学,与癌症相关的,健康,个人和工作相关的因素.
- 专注于在诊断时就业的幸存者,在诊断后24个月内.
主要方法:
- 在多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,Web of Science,Cochrane Library) 中进行系统的文献搜索.
- 包括前性/后性队列和基于RCT的预后研究.
- 对具有可比性调整/未调整措施的研究进行的元分析.
主要成果:
- 低质量的证据表明,较高的年龄和化疗与较低的RTW几率有关.
- 教育水平为RTW显示了不确定的结果.
- 在拥有伴侣或接受放射治疗和RTW之间没有发现显著的关联.
结论:
- 高龄和化疗可能对乳腺癌幸存者的RTW产生负面影响.
- 进一步的研究至关重要,以确定那些有不返回工作的风险的幸存者.
- 需要为面临RTW障碍的幸存者提供有针对性的支持.
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