2023-09-28 14:46:10 +00:00
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abstract: 'Objectives The number of workers with cancer has dramatically increasing
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worldwide. One of the main priorities is to preserve their quality of
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life and the sustainability of social security systems. We have carried
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out this study to assess factors associated with the ability to work
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after cancer. Such insight should help with the planning of
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rehabilitation needs and tailored programmes.
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Participants We conducted this register-based cohort study using
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individual data from the Belgian Disability Insurance. Data on 15 543
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socially insured Belgian people who entered into the long-term work
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disability between 2007 and 2011 due to cancer were used.
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Primary and secondary outcome measures We estimated the duration of work
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disability using Kaplan-Meier and the cause-specific cumulative
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incidence of ability to work stratified by age, gender, occupational
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class and year of entering the work disability system for 11 cancer
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sites using the Fine and Gray model allowing for competing risks.
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Results The overall median time of work disability was 1.59 years (95\%
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CI 1.52 to 1.66), ranging from 0.75 to 4.98 years. By the end of
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follow-up, more than one-third of the disabled cancer survivors were
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able to work (35\%). While a large proportion of the women were able to
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work at the end of follow-up, the men who were able to work could do so
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sooner. Being women, white collar, young and having haematological, male
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genital or breast cancers were factors with the bestlikelihood to be
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able to return to work.
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Conclusion Good prognostic factors for the ability to work were youth,
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woman, white collar and having breast, male genital or haematological
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cancers. Reviewing our results together with the cancer incidence
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predictions up to 2025 offers a high value for social security and
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rehabilitation planning and for ascertaining patients'' perspectives.'
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affiliation: 'Mbengi, RLK (Corresponding Author), Sci Inst Publ Hlth, Belgian Canc
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Ctr, Brussels, Belgium.
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Mbengi, RLK (Corresponding Author), Univ Libre Bruxelles ESP ULB, Brussels Sch Publ
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Hlth, Res Ctr Environm \& Occupat Hlth, Brussels, Belgium.
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Mbengi, Regine Levo Kiasuwa; Otter, Renee; Missinnne, Sarah, Sci Inst Publ Hlth,
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Belgian Canc Ctr, Brussels, Belgium.
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Mbengi, Regine Levo Kiasuwa; Bouland, Catherine; de Brouwer, Christophe, Univ Libre
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Bruxelles ESP ULB, Brussels Sch Publ Hlth, Res Ctr Environm \& Occupat Hlth, Brussels,
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Belgium.
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Nicolaie, Alina Mioara; Goetghebeur, Els, Univ Ghent, Stat Gent CRESCENDO, Ghent,
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Belgium.
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Mortelmans, Katrien, LNZ, KaMoCo, Antwerp, Belgium.
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Arbyn, Marc, Sci Inst Publ Hlth, Unit Canc Epidemiol, Brussels, Belgium.'
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article-number: e014094
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author: Mbengi, Regine Levo Kiasuwa and Nicolaie, Alina Mioara and Goetghebeur, Els
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and Otter, Renee and Mortelmans, Katrien and Missinnne, Sarah and Arbyn, Marc and
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Bouland, Catherine and de Brouwer, Christophe
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author-email: regine.kiasuwambengi@wiv-isp.be
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author_list:
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- family: Mbengi
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given: Regine Levo Kiasuwa
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- family: Nicolaie
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given: Alina Mioara
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- family: Goetghebeur
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given: Els
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- family: Otter
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given: Renee
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- family: Mortelmans
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given: Katrien
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- family: Missinnne
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given: Sarah
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- family: Arbyn
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given: Marc
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- family: Bouland
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given: Catherine
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- family: de Brouwer
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given: Christophe
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2016-014094
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords-plus: 'RETURN-TO-WORK; BREAST-CANCER; OCCUPATIONAL CLASS; SOCIAL-INEQUALITY;
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SICK LEAVE; SURVIVORS; EMPLOYMENT; REHABILITATION; HEALTH; INTERVENTION'
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language: English
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month: MAY
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number: '2'
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number-of-cited-references: '61'
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orcid-numbers: 'Kiasuwa, Regine/0000-0002-5839-8459
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Zhang, Jinyu/0000-0003-3877-9147
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Nicolaie, M. A./0000-0001-8468-921X'
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papis_id: dd286daefa4dd6ae7c8baf95dd3f01a9
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ref: Mbengi2018assessingfactors
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researcherid-numbers: 'Goetghebeur, Els J/H-7939-2016
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'
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times-cited: '12'
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title: 'Assessing factors associated with long-term work disability after cancer in
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Belgium: a population-based cohort study using competing risks analysis with a 7-year
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follow-up'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000433129800081
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usage-count-last-180-days: '0'
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usage-count-since-2013: '10'
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volume: '8'
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web-of-science-categories: Medicine, General \& Internal
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year: '2018'
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