乳腺癌康复后重返工作岗位：综述的系统评价
Returning to work after breast cancer: A systematic review of reviews.
作者信息
Cocchiara R A, Sciarra I, D'Egidio V, Sestili C, Mancino M, Backhaus I, Mannocci A, De Luca A, Frusone F, Di Bella O, Di Murro F, Palmeri V, Lia L, Paradiso G, Aceti V, Libia A, Monti M, La Torre G
机构信息
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.
Department of Surgical Sciences, Sapienza University of Rome, Italy.
出版信息
Work. 2018;61(3):463-476. doi: 10.3233/WOR-182810.
BACKGROUND
Due to improvements in breast cancer diagnosis and treatment, the healthcare system faces a growing number of cancer survivors. Breast cancer survivors experience many difficulties when returning to work, including discrimination at work and lack of support by employers and colleagues.
OBJECTIVE
To point out the knowledge in literature up to date about return to work (RTW) after breast cancer, the factors influencing it and the interventions to facilitate it.
METHODS
A literature search was conducted in January 2017 using the databases Medline (PubMed) and Scopus. Studies were included if they analyzed the problem of RTW in women treated for breast cancer.
RESULTS
Twenty-six articles met the inclusion criteria. The studies were divided into four themes: factors facilitating or impeding RTW; interventions to enhance RTW; lived experiences of RTW; economic aspects related to cancer survivors and RTW.
CONCLUSIONS
The heterogeneity of the interventions suggests the need for a better definition of the concept of RTW. To compare interventions, studies should use a rigorous approach and better outcome measures should be identified to evaluate RTW.
背景
由于乳腺癌诊断和治疗水平的提高，医疗保健系统面临着越来越多的癌症幸存者。乳腺癌幸存者在重返工作岗位时会遇到许多困难，包括工作中的歧视以及雇主和同事缺乏支持。
目的
指出关于乳腺癌后重返工作岗位（RTW）的最新文献知识、影响其的因素以及促进重返工作岗位的干预措施。
方法
2017年1月使用Medline（PubMed）和Scopus数据库进行文献检索。如果研究分析了接受乳腺癌治疗的女性的RTW问题，则纳入研究。
结果
26篇文章符合纳入标准。这些研究分为四个主题：促进或阻碍RTW的因素；增强RTW的干预措施；RTW的生活经历；与癌症幸存者和RTW相关的经济方面。
结论
干预措施的异质性表明需要更好地定义RTW的概念。为了比较干预措施，研究应采用严谨的方法，并应确定更好的结果指标来评估RTW。
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