Bilodeau Karine, Tremblay Dominique, Durand Marie-José
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, QC, Canada.
Hôpital Charles-LeMoyne Research Center, 150, place Charles-LeMoyne, bureau 200, Longueuil, j4K0A8, QC, Canada.
Support Care Cancer. 2017 Jun;25(6):1993-2007. doi: 10.1007/s00520-016-3526-2. Epub 2017 Jan 4.
Many women who have been diagnosed with breast cancer (BC) would like to return to work after undergoing cancer treatment. This review explores the nature of interventions addressing return to work (RTW) for this population.
A scoping review was conducted using the Arksey and O'Malley framework. A search was conducted in five bibliographic databases from 2005 to 2015 to identify intervention studies. Article selection and characterization were performed by two reviewers using systematic grids. Themes were identified to construct a narrative summary of the existing literature.
The literature search identified 17 articles published between 2005 and 2015. The interventions (n = 16) vary in terms of objectives, methodology, description of intervention activities, and period of deployment. Only one intervention referred to a theory linked to RTW. The results further show that nearly 44% of the interventions found provided only information on RTW (information booklet, individual meeting, group session). Only 38% of the interventions were work-directed and offered other activities, such as coordination of services and information, as well as instructions for drawing up an RTW plan. More than 80% of the interventions were provided by health care professionals. Interventions took place during the survivorship period (75%), at the hospital (44%), or an external rehabilitation center (38%).
The variability of interventions found indicates the need to clarify the concept of RTW after a BC diagnosis. Recommendations are made for the development of multicomponent interventions that include both the clinic and the workplace to meet the particular needs of this population.
许多被诊断患有乳腺癌（BC）的女性希望在接受癌症治疗后重返工作岗位。本综述探讨针对该人群重返工作岗位（RTW）的干预措施的性质。
使用阿克西和奥马利框架进行范围综述。在2005年至2015年期间在五个文献数据库中进行检索，以识别干预研究。由两名评审员使用系统网格进行文章筛选和特征描述。确定主题以构建现有文献的叙述性总结。
文献检索确定了2005年至2015年期间发表的17篇文章。干预措施（n = 16）在目标、方法、干预活动描述和实施时间段方面各不相同。只有一项干预措施提及了与RTW相关的理论。结果还表明，近44%的已发现干预措施仅提供了关于RTW的信息（信息手册、个人会议、小组会议）。只有38%的干预措施以工作为导向，并提供其他活动，如服务和信息协调，以及制定RTW计划的指导。超过80%的干预措施由医疗保健专业人员提供。干预措施在生存期（75%）、医院（44%）或外部康复中心（38%）进行。
已发现的干预措施的变异性表明需要明确乳腺癌诊断后RTW的概念。建议开发包括诊所和工作场所的多组分干预措施，以满足该人群的特殊需求。
