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Medicina y Seguridad del Trabajo

On-line version ISSN 1989-7790Print version ISSN 0465-546X


LOPEZ-GUILLEN GARCIA, Araceli  and  VICENTE PARDO, José Manuel. Return to Work after Breast Cancer. Med. segur. trab. [online]. 2017, vol.63, n.246, pp.51-67. ISSN 1989-7790.

Breast cancer often causes long withdrawal processes. The mean duration of breast cancer withdrawals is about 320 days, being among the three main processes that cause falls of more than 365 days along with low back pain and anxiety depressive disorder. Each year 26,000 new cases are produced in Spain, most of which occur at full working age. The 5-year survival for women aged 30 to 60 years is 86%. Breast cancer is the second leading cause of onset of permanent disability at 12 months after low back pain. Only 53% will resume work. Return to work is difficult because of the intensity and fixed-spaced pattern of the treatments as well as the effect on quality of life or the prolonged absence of work. Taking into account personal worker’s factors, some by herself, others linked to cancer and its evolution, and labor factors linked to the type of work, risks, conditions and requirements of the same and other factors of the labor market; although considering all of them it does not always mean a possible return to work.

Material and Method:

until October 2016 following bibliographic base dates have been reviewed: SciELO and PUBMED. As well as the bibliography and all consult documents previously mentioned.


It is necessary to facilitate the return to work, especially those more complicated cases that have required long casualties but are still cured or improved to allow work. Faced with the phenomenon of breast cancer and its incapacitating impact, it is necessary to certainty distinguish why it is urgently necessary to carry out the Disability Map in Spain. In order to avoid disputes between medical discharge to work and non-ability to work, the use of the Occupational Assessment Form must be institutionalized. When it comes to making decisions, it is essential to communicate clinical, labor and valuation aspects between the parties involved. The indicator of return to work is an indicator of quality of life, an indicator of results and an indicator of public health and labor. It is required to facilitate the partial discharge for a preventive and effective integration. Incentive measures for companies should as well be taken.

Keywords : Labor and breast cancer; Return to work; Breast cancer; Labor capacity.

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