Nakamura Keiichiro, Matsuoka Hirofumi, Kubo Kotaro, Shirakawa Shinsuke, Ida Naoyuki, Haraga Junko, Ogawa Chikako, Okamoto Kazuhiro, Nagao Shoji, Masuyama Hisashi
Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Jpn J Clin Oncol. 2024 Mar 9;54(3):292-296. doi: 10.1093/jjco/hyad159.
Gynecologic cancers are one of the most common types of malignancies in working-age women. We aimed to determine the factors that impede women from returning to the same workplace after treatment for such cancers.
A questionnaire-based survey was conducted on 194 women who underwent treatment for gynecologic cancer at the Okayama University (≥1 year after cancer treatment and <65 years of age). We performed a logistic regression analysis to determine the relationship between returning to the same workplace and not taking sick leave.
The median age at diagnosis was 49.0 years, and the median time from cancer treatment to questionnaire completion was 3.8 years. Not returning to the same workplace was positively associated with not being regularly employed (P = 0.018), short work time per day (P = 0.023), low personal income (P = 0.004), not taking sick leave (P < 0.001), advanced cancer stage (P = 0.018) and long treatment time (P = 0.032). Interestingly, not taking sick leave was strongly associated with not returning to the same workplace in the multivariable analysis (P < 0.001).
Not taking sick leave likely was negatively associated with returning to the same workplace after the treatment for gynecologic cancer. Therefore, we suggest that steps be taken to formally introduce a sick leave system over and above the paid leave system in Japan.
妇科癌症是育龄女性中最常见的恶性肿瘤类型之一。我们旨在确定阻碍此类癌症患者治疗后重返原工作岗位的因素。
对194名在冈山大学接受过妇科癌症治疗的女性（癌症治疗后≥1年且年龄<65岁）进行了问卷调查。我们进行了逻辑回归分析，以确定重返原工作岗位与不请病假之间的关系。
诊断时的中位年龄为49.0岁，从癌症治疗到完成问卷调查的中位时间为3.8年。未重返原工作岗位与非正规就业（P = 0.018）、每日工作时间短（P = 0.023）、个人收入低（P = 0.004）、不请病假（P < 0.001）、癌症晚期（P = 0.018）和治疗时间长（P = 0.032）呈正相关。有趣的是，在多变量分析中，不请病假与未重返原工作岗位密切相关（P < 0.001）。
不请病假可能与妇科癌症治疗后重返原工作岗位呈负相关。因此，我们建议采取措施，在日本现有的带薪休假制度基础上，正式引入病假制度。
