{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:43:20Z","timestamp":1790732600123,"version":"4.1.0"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Toni and Jim Sullivan Endowed Research Fund"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lymphedema is one of the major treatment complications following breast cancer surgery and radiation. As the majority of women who develop breast cancer are at the age of employment, occupational functioning and employment are issues of concern. This study is novel in exploring the ways that lymphedema affects their work experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A multiple-case study methodology drawn from Yin\u2019s definition was employed. A total of 13 female survivors who developed breast cancer\u2013related lymphedema participated by completing a survey and a 60-min semi-structured interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four main themes emerged: (1) breast cancer\u2013related lymphedema affects physical and emotional functioning associated with work; (2) ongoing treatment for breast cancer\u2013related lymphedema creates challenges for work; (3) environmental factors affect the return-to-work experience; and (4) personal factors play a key role in adjusting to return-to-work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both breast cancer\u2013related lymphedema and its treatment have direct and indirect effects on work, with environmental and personal factors also shaping the work-return experience. This study suggests that breast cancer survivors with lymphedema who wish to return to work face potential barriers, and that gaps remain in the availability of supports.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1745506520905720","type":"journal-article","created":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T14:41:28Z","timestamp":1586961688000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["The influence of breast cancer related lymphedema on women\u2019s return-to-work"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8277-1401","authenticated-orcid":false,"given":"Yuanlu","family":"Sun","sequence":"first","affiliation":[{"name":"College of Nursing, University of Missouri\u2013St. Louis, St. Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl L","family":"Shigaki","sequence":"additional","affiliation":[{"name":"Health Psychology, Harry S. Truman Memorial Veterans\u2019 Hospital, Columbia, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane M","family":"Armer","sequence":"additional","affiliation":[{"name":"Sinclair School of Nursing, University of Missouri, Columbia, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,15]]},"reference":[{"key":"bibr1-1745506520905720","volume-title":"Cancer facts & figures 2018","author":"American Cancer Society","year":"2018"},{"key":"bibr2-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-16-0133"},{"key":"bibr3-1745506520905720","unstructured":"Howlader N, Noone AM, Krapcho M, et al. SEER cancer statistics review, 1975-2014. Bethesda, MD: National Cancer Institute, 2016, https:\/\/seer.cancer.gov\/csr\/1975_2014\/"},{"key":"bibr4-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.425"},{"key":"bibr5-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-010-0154-6"},{"key":"bibr6-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3446-1"},{"key":"bibr7-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-017-5960-x"},{"key":"bibr8-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2013.11.232"},{"key":"bibr9-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-018-0830-3"},{"key":"bibr10-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s12609-010-0009-1"},{"key":"bibr11-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-199202000-00004"},{"issue":"3","key":"bibr12-1745506520905720","first-page":"118","volume":"43","author":"Armer JM","year":"2010","journal-title":"Lymphology"},{"key":"bibr13-1745506520905720","volume-title":"F\u00f6ldi\u2019s textbook of lymphology: For physicians and lymphedema therapists","author":"F\u00f6ldi M","year":"2012"},{"key":"bibr14-1745506520905720","first-page":"101","volume-title":"Lymphedema management: The comprehensive guide for practitioners","author":"Zuther JE","year":"2013"},{"key":"bibr15-1745506520905720","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-2009-0926"},{"key":"bibr16-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1186\/s40064-016-2300-8"},{"key":"bibr17-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1684\/bdc.2011.1401"},{"key":"bibr18-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2006.01617.x"},{"key":"bibr19-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2011.11.033"},{"key":"bibr20-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcg126"},{"key":"bibr21-1745506520905720","volume-title":"ICF: International classification of functioning, disability and health","author":"World Health Organization","year":"2001"},{"key":"bibr22-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1097\/01.mrr.0000210053.40162.13"},{"key":"bibr23-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1002\/9781118453940.ch39"},{"key":"bibr24-1745506520905720","volume-title":"Case study research: Design and methods","author":"Yin RK.","year":"2014","edition":"5"},{"key":"bibr25-1745506520905720","unstructured":"Microsoft Skype, 2017, https:\/\/www.skype.com\/en\/"},{"key":"bibr26-1745506520905720","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-192904"},{"key":"bibr27-1745506520905720","unstructured":"Ecamm Network, 2017, http:\/\/www.ecamm.com\/mac\/callrecorder\/"},{"key":"bibr28-1745506520905720","unstructured":"Dedoose Version 7.0.23. Web application for managing, analyzing, and presenting qualitative and mixed-method research data, 2016, www.dedoose.com."},{"key":"bibr29-1745506520905720","volume-title":"The discovery of grounded theory: Strategies for qualitative research","author":"Glaser BG","year":"1999"},{"key":"bibr30-1745506520905720","volume-title":"The discovery of grounded theory: Strategies for qualitative research","author":"Glaser BG","year":"1967"},{"key":"bibr31-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.07.041"},{"key":"bibr32-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1573"},{"issue":"5","key":"bibr33-1745506520905720","first-page":"665","volume":"49","author":"Pinto M","year":"2013","journal-title":"Eur J Phys Rehabil Med"},{"issue":"4","key":"bibr34-1745506520905720","first-page":"185","volume":"39","author":"Pyszel A","year":"2006","journal-title":"Lymphology"},{"key":"bibr35-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-010-0118-x"},{"key":"bibr36-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.030"},{"key":"bibr37-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B+<2817::AID-CNCR32>3.0.CO;2-2"},{"key":"bibr38-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2014.06.004"},{"key":"bibr39-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1177\/1049732313484197"},{"key":"bibr40-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318803885"},{"key":"bibr41-1745506520905720","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.59.5.569"},{"key":"bibr42-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1177\/1049732310361466"},{"key":"bibr43-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-011-9342-0"},{"key":"bibr44-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12033"},{"key":"bibr45-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9509-9"},{"key":"bibr46-1745506520905720","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2012.744877"},{"key":"bibr47-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-009-9215-y"},{"key":"bibr48-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-008-0071-0"},{"key":"bibr49-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-009-0389-y"},{"key":"bibr50-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-538"},{"key":"bibr51-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-008-0209-9"},{"key":"bibr52-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-9-117"},{"key":"bibr53-1745506520905720","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20912"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1745506520905720","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1745506520905720","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1745506520905720","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:31:21Z","timestamp":1777710681000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1745506520905720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":53,"alternative-id":["10.1177\/1745506520905720"],"URL":"https:\/\/doi.org\/10.1177\/1745506520905720","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"1745506520905720"}}