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Four different matters are considered prior to RTW: 1) leaving the sick role and wanting to keep the job; 2) doubting whether working is worth the effort; 3) doubting their capability; and 4) doubting the acceptance from the workplace after returning.
The intervention mapping team identified the following important stakeholders in RTW: 1) workplace stakeholders (employer, supervisor, union representative and health and safety consultant) 2) the injured worker 3) health care providers 4) WSIB adjudicator and nurse case manager and 5) family and social network including co-workers.
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Almost all the articles have identified that positive and active support from employers and colleagues are the key facilitators to RTW [ 2, 8, 13, 14, 16- 18, 20, 22, 26, 28].
Time to partial RTW 2. Time to full RTW 3. RTW rate at 3 and 12 m 4. Time to recurrence 5. Duration of sickness absence 1.
Time to first RTW 2. Time to Full RTW 3. Total productivity loss 1. OP is case manager+consulting psychiatrist 2. 6–12 sessions of problem-solving treatment 3. Manual guided self-help 4. Workplace intervention 1. OP services 2. GP 3. Mental health specialist 1.
Changes in emotional states such as depression, worry, frustration, fear of potential environmental hazards, and feeling guilty are potential barriers that influence survivors' decision making to RTW [ 2, 8, 14- 17, 31].
In addition to chemotherapy, extensive surgery such as mastectomy and axillary node dissection, irradiation to breast or chest wall, and regional nodes, hormone and radiotherapy were also found to be important barriers to RTW [ 8, 21, 26, 30] as both surgery and radiotherapy to the regional nodes cause arm morbidity.
The strongest association was found between persistent mental illness and late RTW (OR=2.97, 95% CI 2.10 4.20).
Age was the only significant predictor of non RTW 2 years after initial sick leave.
RTW/non RTW 3 months after second consultation and 12 and 24 months after initial sick leave were analysed.
Primary outcomes are sustained RTW (≥4 weeks at work without a new sickness absence (SA)) and the total number of SA days during a 12-month follow-up.
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