title: Experiences and concerns about 'returning to work' for women breast cancer survivors: a literature review.
abstract: OBJECTIVE
  To explore how female breast cancer patients experience work incapacity during the treatment and return-to-work phases and how interactions between patients and stakeholders affect this experience.
  
  
  METHODS
  Database search for full text articles published between January 1995 and January 2008 that focused on employed female breast cancer patients, factors related to work incapacity, and returning to work. Only results based on self-report data were included. Studies focusing on treatment, financial factors, rate of return, or absence were excluded.
  
  
  RESULTS
  Six articles met the inclusion criteria. Women with breast cancer receive varied reactions but little advice about returning to work. Women were primarily concerned with disclosing the diagnosis to their employer and to relatives. Uncertainties about physical appearance, ability to work, and possible job loss affected the women's decisions about working during the treatment phase. After treatment, most women wanted to regain their 'normal life', but concentration and arm or fatigue problems potentially interfered. Although supportive work environments were helpful, the individual needs of women differed. Employers and employees need to find a balance in defining accommodating work. Many women received favourable support, but some reported feeling discriminated against. Many women re-evaluated the role of work in their lives after being confronted with breast cancer.
  
  
  CONCLUSIONS
  Work adjustments could help women to keep their jobs during illness and recovery. To resolve women's concerns about returning to work, employers, physicians, and insurance institutions should consider increasing and improving communication with breast cancer patients and playing a more active and supportive role.
authors.affiliation: Department of Occupational, Environmental and Insurance Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
authors.forename: Corine
authors.initials: C
authors.lastname: Tiedtke
authors.forename: Angelique
authors.initials: A
authors.lastname: de Rijk
authors.forename: Bernadette
authors.initials: B
authors.lastname: Dierckx de Casterlé
authors.forename: Marie-Rose
authors.initials: MR
authors.lastname: Christiaens
authors.forename: Peter
authors.initials: P
authors.lastname: Donceel
mesh_terms: D001828:Body Image; D001943:Breast Neoplasms / Q000523:psychology* / Q000534:rehabilitation*; D003142:Communication; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D012050:Rehabilitation, Vocational / Q000523:psychology*; D012650:Self Disclosure; D012944:Social Support; D017741:Survivors / Q000523:psychology*