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Medicina y Seguridad del Trabajo

versión On-line ISSN 1989-7790versión impresa ISSN 0465-546X


LOPEZ-GUILLEN GARCIA, Araceli  y  VICENTE PARDO, José Manuel. Difficulties of return to work after breast cancer. Med. segur. trab. [online]. 2020, vol.66, n.258, pp.47-62.  Epub 29-Mar-2021. ISSN 1989-7790.

From the 12,245 breast cancer withdrawal processes which began in Spain during 2018, 9,336 reached 365 days long and 2,201 workers were considered permanently disabled to work. 76% of the initial casualties for breast cancer had reached or exceed 365 days and of these long-term sick leave 18% would have become permanently disabled. Breast cancer in women of „working age“ has a survival prognosis rate of 86%, but only 53% return to work effectively compared to 47% who will not continue working. This may be either due to a declaration of permanent disability, or due to withdrawal as not being able to give up on the job, or because of dismissal in relation to the loss of abilities, if not for having gone into unemployment during the sick leave.

Material and Method:

Bibliographic review in Pubmed, Medline and Scielo until May 2019. Study of processes of temporary disability due to breast cancer in 2018; analysis of 408 breast cancer processes of disability duration of more than 365 days, with occupational medical discharge and sequel assessment; comparison with the previous study of Temporary Disability in 2015.


Breast cancer presents a high risk of social and occupational exclusion. Measures are needed to ease the effective return of work, recognizing the “survived aptitude” of the breast cancer survivor, who is returning to work. Addressing psychosocial factors, avoiding controversy between medical discharge to work and non-work skills, encouraging companies to adopt organizational reintegration measures, carrying out the Disability Map to know the disabling work impact and assessing the disability as an indicator of return to work and public health at work is therefore necessary for achieving a progressive return to work.

Palabras clave : Breast cancer; Breast; Cancer Survivor; Return to work; Job reintegration; Prolonged labor disability due to breast cancer; Fitness overtaken; Work after breast cancer.

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