Table 4. Odds ratios (OR) and 95% confidence intervals (CI) of sickness absence 3 and 5 years following a diagnosis of stage I-IIb breast cancer.
| Sickness absence after 3 years | Sickness absence after 5 years | |||||||||||
| Yes | Model 1 | Model 2 | Yes | Model 3 | Model 4 | |||||||
| No./Total | % | OR | 95% CI | OR | 95% CI | No./Total | % | OR | 95% CI | OR | 95% CI | |
| Sickness absence 1 year prior | ||||||||||||
| Yes | 933/1169 | 79.8 | 1.00 | (ref.) | 1.00 | (ref.) | 685/868 | 78.9 | 1.00 | (ref.) | 1.00 | (ref.) |
| No | 946/2925 | 32.3 | 0.12 | 0.10–0.15 | 0.12 | 0.10–0.14 | 863/2375 | 36.3 | 0.16 | 0.13–0.19 | 0.15 | 0.13–0.19 |
| Education 1 year before | ||||||||||||
| Low | 528/1006 | 52.5 | 1.00 | (ref.) | 1.00 | (ref.) | 461/841 | 54.8 | 1.00 | (ref.) | 1.00 | (ref.) |
| Middle | 857/1881 | 45.6 | 0.88 | 0.75–1.05 | 0.89 | 0.75–1.06 | 691/1451 | 47.6 | 0.85 | 0.71–1.03 | 0.86 | 0.71–1.03 |
| High | 490/1197 | 40.9 | 0.84 | 0.70–1.02 | 0.83 | 0.68–1.00 | 394/943 | 41.8 | 0.77 | 0.63–0.94 | 0.76 | 0.61–0.93 |
| Unknown | 4/11 | 36.4 | 0.57 | 0.14–2.25 | 0.49 | 0.12–2.00 | 2/8 | 25.0 | 0.50 | 0.10–2.49 | 0.44 | 0.09–2.23 |
| Tumour size | ||||||||||||
| 1–10 | 336/819 | 41.0 | 1.00 | (ref.) | 1.00 | (ref.) | 284/639 | 44.4 | 1.00 | (ref.) | 1.00 | (ref.) |
| 11–20 | 907/2047 | 44.3 | 1.15 | 0.96–1.38 | 1.01 | 0.84–1.22 | 755/1632 | 46.3 | 1.09 | 0.90–1.34 | 1.02 | 0.83–1.26 |
| 21–50 | 610/1183 | 51.6 | 1.66 | 1.36–2.03 | 1.14 | 0.91–1.42 | 490/933 | 52.2 | 1.49 | 1.20–1.86 | 1.18 | 0.93–1.51 |
| 50+ | 26/46 | 56.5 | 2.19 | 1.15–4.18 | 1.47 | 0.76–2.88 | 19/39 | 48.7 | 1.25 | 0.62–2.50 | 0.98 | 0.48–2.02 |
| Lymph nodes | ||||||||||||
| N0 | 1189/2732 | 43.5 | 1.00 | (ref.) | 1.00 | (ref.) | 992/2165 | 45.8 | 1.00 | (ref.) | 1.00 | (ref.) |
| N+ (Yes) | 690/1363 | 50.6 | 1.49 | 1.29–1.72 | 1.00 | 0.83–1.21 | 556/1078 | 51.6 | 1.36 | 1.16–1.59 | 1.08 | 0.88–1.33 |
| Sentinel node | ||||||||||||
| Sentinel node only | 116/278 | 41.2 | 1.00 | (ref.) | 25/56 | 44.6 | 1.00 | (ref.) | ||||
| Axillary dissection (1–9) | 661/1525 | 43.3 | 1.26 | 0.94–1.69 | 630/1313 | 48.0 | 1.41 | 0.78–2.54 | ||||
| Axillary dissection (10+) | 1096/2279 | 48.1 | 1.59 | 1.20–2.12 | 889/1863 | 47.7 | 1.44 | 0.80–2.59 | ||||
| Missing | 6/13 | 46.2 | 1.18 | 0.33–4.24 | 4/11 | 36.4 | 0.68 | 0.15–3.04 | ||||
| Surgery | ||||||||||||
| Mastectomy | 629/1193 | 52.7 | 1.00 | (ref.) | 1.00 | (ref.) | 503/955 | 52.7 | 1.00 | (ref.) | 1.00 | (ref.) |
| Breast-conserving | 1241/2881 | 43.7 | 0.62 | 0.53–0.72 | 0.71 | 0.59–0.86 | 1038/2272 | 45.7 | 0.72 | 0.61–0.85 | 0.77 | 0.63–0.95 |
| None or missing | 9/21 | 42.9 | - | - | - | - | 7/16 | 43.8 | - | - | - | - |
| Received radiotherapy | ||||||||||||
| Yes | 1605/3539 | 45.4 | 0.90 | 0.74–1.10 | 0.99 | 0.78–1.26 | 1332/2796 | 47.6 | 1.03 | 0.83–1.28 | 1.12 | 0.86–1.44 |
| No | 274/556 | 49.3 | 1.00 | (ref.) | 1.00 | (ref.) | 216/447 | 48.3 | 1.00 | (ref.) | 1.00 | (ref.) |
| Received chemotherapy | ||||||||||||
| Yes | 777/1483 | 52.4 | 1.74 | 1.51–2.01 | 1.55 | 1.29–1.86 | 558/1083 | 51.5 | 1.42 | 1.22–1.67 | 1.23 | 1.00–1.50 |
| No | 1102/2612 | 42.2 | 1.00 | (ref.) | 1.00 | (ref.) | 990/2160 | 45.8 | 1.00 | (ref.) | 1.00 | (ref.) |
| Received hormonal therapy (Tamoxifen) | ||||||||||||
| Yes | 822/1629 | 50.5 | 1.35 | 1.17–1.55 | 1.25 | 1.08–1.46 | 537/1055 | 50.9 | 1.20 | 1.02–1.40 | 1.08 | 0.90–1.29 |
| No | 1057/2466 | 42.9 | 1.00 | (ref.) | 1.00 | (ref.) | 1911/2188 | 46.2 | 1.00 | (ref.) | 1.00 | (ref.) |
Model 1: Adjustment for sickness absence 1 year before diagnosis, education.
Model 2: Adjustment for sickness absence 1 year before diagnosis, education, tumour size, having lymph nodes, stage, and treatment.
Model 3: Adjustment for sickness absence 1 year before diagnosis, education.
Model 4: Adjustment for sickness absence 1 year before diagnosis, education, tumour size, having lymph nodes, stage, and treatment.