Akahane Kazuhisa, Tsunoda Nobuyuki, Murata Toru, Fujii Masahiro, Fuwa Yoshitaka, Wada Koji, Oda Koji, Nagino Masato
Department of Surgery, Nagoyadaini Red Cross Hospital, Nagoya, Japan.
Division of Breast and Endocrine Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya J Med Sci. 2014 Aug;76(3-4):315-22.
Surgeons focus on the period of absence from work during the initial treatment of breast cancer. The aim of this study was to determine surgeons' perceptions and awareness regarding the necessary period of absence from work during breast cancer treatment. We created a questionnaire for all surgeons involved in breast cancer treatment who are affiliated with the Department of Surgery at the Nagoya University Graduate School of Medicine and its associated facilities. The necessary leave of absence period for each treatment was considered, and the decision regarding whether patients should return to work was examined. The surgeons were instructed to assume that a 'heavy load worker' was a nurse or caregiver and that a 'light load worker' was a medical office worker. This study included 184 surgeons (response rate: 96.8%). More than half of the surgeons considered that light load workers could return to work within 2 weeks; 89.8% after conservative resection, 71.6% after total mastectomy, 50.3% after axillary dissection. In contrast, more than half of the surgeons considered that heavy load worker should wait returning to work more than 3 weeks; 49.4% after conservative resection, 73.3% after total mastectomy, 85.7% after axillary dissection. For patients treated with chemotherapy, three-quarters of the surgeons indicated that it would be difficult to work while receiving anthracycline regimens. The results suggest that surgeons can predict the approximate period of absence from work for patients who receive an initial treatment of breast cancer.
外科医生关注乳腺癌初始治疗期间的缺勤时间。本研究的目的是确定外科医生对乳腺癌治疗期间必要缺勤时间的看法和认识。我们为所有参与乳腺癌治疗且隶属于名古屋大学医学研究生院外科及其相关设施的外科医生编制了一份问卷。考虑了每种治疗所需的缺勤时间，并研究了患者是否应重返工作岗位的决定。要求外科医生假定“重体力劳动者”是护士或护理人员，“轻体力劳动者”是医务办公室工作人员。本研究纳入了184名外科医生（回复率：96.8%）。超过半数的外科医生认为轻体力劳动者可在2周内重返工作岗位；保乳切除术后为89.8%，全乳切除术后为71.6%，腋窝清扫术后为50.3%。相比之下，超过半数的外科医生认为重体力劳动者应等待3周以上再重返工作岗位；保乳切除术后为49.4%，全乳切除术后为73.3%，腋窝清扫术后为85.7%。对于接受化疗的患者，四分之三的外科医生表示在接受蒽环类药物治疗方案期间难以工作。结果表明，外科医生可以预测接受乳腺癌初始治疗患者的大致缺勤时间。
