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Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective

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  • Bertrand Porro

    (Univ. Angers, Univ. Rennes, Inserm, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, SFR ICAT, F-49000 Angers, France)

  • Mario Campone

    (Oncology Department, Institut de Cancérologie de l’Ouest, F-44805 Saint-Herblain, France
    Center for Research in Cancerology and Immunology Nantes-Angers, Inserm UMR 1232, Univ. Nantes and Univ. Angers, F-44307 Nantes, France)

  • Philippe Moreau

    (University Hospital Hôtel-Dieu, 44000 Nantes, France
    University of Nantes, 44035 Nantes, France)

  • Yves Roquelaure

    (Univ. Angers, Univ. Rennes, Inserm, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, SFR ICAT, F-49000 Angers, France
    Univ. Angers, CHU Angers, Univ. Rennes, Inserm, EHESP, IRSET (Institut de Recherche en Santé, Environnement et Travail)—UMR_S 1085, SFR ICAT, F-49000 Angers, France)

Abstract

Promoting the return to work of breast cancer survivors is of major interest to patients, healthcare and occupational health professionals, companies, governments, and researchers worldwide. We previously conducted a French consensus study resulting in a model describing the multifactorial process of the return to work of breast cancer survivors (the REWORK-BC model). Other work has identified the transtheoretical model as a relevant theoretical framework for interventions to promote the return to work of cancer survivors. In this opinion paper, we provide a theoretically-based clinical framework describing how to support breast cancer survivors at each stage of the return-to-work process. This clinical framework considers several essential aspects of supportive care for breast cancer survivors returning to work, such as: (i) helping the patient actively self-manage, by considering her to be the main decision-maker; (ii) respecting and adapting to the patient’s choice of professional project; (iii) respecting the temporality of the patient’s choices; (iv) proposing tailored interventions; (v) implementing simple tools to promote the return to work, shared representation between the patient and a multidisciplinary team, and improvement of working conditions and the knowledge of health and occupational professionals, and managers or employers; and (vi) maintaining certain flexibility aimed at proposing, but never imposing, changes in practices. This clinical framework, specific to breast cancer survivors, could be extrapolated to other tumor types, offering a practical guide for healthcare and occupational health professionals to better understand the return-to-work process of cancer survivors. This clinical framework aims to be a usable tool for any hospital or cancer care center wishing to implement a patient-centered intervention that promotes returning to work, regardless of the country.

Suggested Citation

  • Bertrand Porro & Mario Campone & Philippe Moreau & Yves Roquelaure, 2022. "Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective," IJERPH, MDPI, vol. 19(9), pages 1-13, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5124-:d:800029
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    References listed on IDEAS

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    1. Kristopher Lamore & Thomas Dubois & Ulrike Rothe & Matilde Leonardi & Isabelle Girard & Ulf Manuwald & Soja Nazarov & Fabiola Silvaggi & Erika Guastafierro & Chiara Scaratti & Thierry Breton & Jérôme , 2019. "Return to Work Interventions for Cancer Survivors: A Systematic Review and a Methodological Critique," IJERPH, MDPI, vol. 16(8), pages 1-21, April.
    2. Michiel A. Greidanus & Angela G. E. M. Boer & Angelique E. Rijk & Sonja Brouwers & Theo M. Reijke & Marie José Kersten & Jean H. G. Klinkenbijl & Roy I. Lalisang & Robert Lindeboom & Patricia J. Zonde, 2020. "The Successful Return-To-Work Questionnaire for Cancer Survivors (I-RTW_CS): Development, Validity and Reproducibility," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 13(5), pages 567-582, October.
    3. Caroline Alleaume & Alain Paraponaris & Marc-Karim Bendiane & Patrick Peretti-Watel & Anne-Déborah Bouhnik, 2020. "The positive effect of workplace accommodations on the continued employment of cancer survivors five years after diagnosis," Post-Print hal-02445816, HAL.
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