Breast Cancer Survivorship and Work Disability

Abstract

Breast cancer survivors can anticipate a number of years of paid labor market participation. Therefore, the link between breast cancer survivorship and productivity deserves serious consideration. The hypothesis guiding this study is that arm disability, particularly pain and range of motion limitations, are important explanatory variables in survivors’ loss of productivity. The study investigates the association between productivity and arm disability over time. The longitudinal data are drawn from survivors in four geographical locations in Canada. Regression results indicate that survivors with arm pain, 2.5 to 3 years postsurgery, are almost 8 times more likely to experience a loss in productivity compared to those survivors without pain, and those with some range of motion limitations are 4 times more likely to experience productivity loss 2.5 to 3 years postsurgery compared to their counterparts without limitations. More than 40% of survivors begin to or continue to experience productivity loss as long as 30 to 36 months after surgery and that the loss in productivity is primarily due to two forms of arm disability: pain and range-of-motion limitations. These findings highlight the importance of rehabilitation programming for breast cancer survivors.