abstract: 'Objectives The number of workers with cancer has dramatically increasing

  worldwide. One of the main priorities is to preserve their quality of

  life and the sustainability of social security systems. We have carried

  out this study to assess factors associated with the ability to work

  after cancer. Such insight should help with the planning of

  rehabilitation needs and tailored programmes.

  Participants We conducted this register-based cohort study using

  individual data from the Belgian Disability Insurance. Data on 15 543

  socially insured Belgian people who entered into the long-term work

  disability between 2007 and 2011 due to cancer were used.

  Primary and secondary outcome measures We estimated the duration of work

  disability using Kaplan-Meier and the cause-specific cumulative

  incidence of ability to work stratified by age, gender, occupational

  class and year of entering the work disability system for 11 cancer

  sites using the Fine and Gray model allowing for competing risks.

  Results The overall median time of work disability was 1.59 years (95\%

  CI 1.52 to 1.66), ranging from 0.75 to 4.98 years. By the end of

  follow-up, more than one-third of the disabled cancer survivors were

  able to work (35\%). While a large proportion of the women were able to

  work at the end of follow-up, the men who were able to work could do so

  sooner. Being women, white collar, young and having haematological, male

  genital or breast cancers were factors with the bestlikelihood to be

  able to return to work.

  Conclusion Good prognostic factors for the ability to work were youth,

  woman, white collar and having breast, male genital or haematological

  cancers. Reviewing our results together with the cancer incidence

  predictions up to 2025 offers a high value for social security and

  rehabilitation planning and for ascertaining patients'' perspectives.'
affiliation: 'Mbengi, RLK (Corresponding Author), Sci Inst Publ Hlth, Belgian Canc
  Ctr, Brussels, Belgium.

  Mbengi, RLK (Corresponding Author), Univ Libre Bruxelles ESP ULB, Brussels Sch Publ
  Hlth, Res Ctr Environm \& Occupat Hlth, Brussels, Belgium.

  Mbengi, Regine Levo Kiasuwa; Otter, Renee; Missinnne, Sarah, Sci Inst Publ Hlth,
  Belgian Canc Ctr, Brussels, Belgium.

  Mbengi, Regine Levo Kiasuwa; Bouland, Catherine; de Brouwer, Christophe, Univ Libre
  Bruxelles ESP ULB, Brussels Sch Publ Hlth, Res Ctr Environm \& Occupat Hlth, Brussels,
  Belgium.

  Nicolaie, Alina Mioara; Goetghebeur, Els, Univ Ghent, Stat Gent CRESCENDO, Ghent,
  Belgium.

  Mortelmans, Katrien, LNZ, KaMoCo, Antwerp, Belgium.

  Arbyn, Marc, Sci Inst Publ Hlth, Unit Canc Epidemiol, Brussels, Belgium.'
article-number: e014094
author: Mbengi, Regine Levo Kiasuwa and Nicolaie, Alina Mioara and Goetghebeur, Els
  and Otter, Renee and Mortelmans, Katrien and Missinnne, Sarah and Arbyn, Marc and
  Bouland, Catherine and de Brouwer, Christophe
author-email: regine.kiasuwambengi@wiv-isp.be
author_list:
- family: Mbengi
  given: Regine Levo Kiasuwa
- family: Nicolaie
  given: Alina Mioara
- family: Goetghebeur
  given: Els
- family: Otter
  given: Renee
- family: Mortelmans
  given: Katrien
- family: Missinnne
  given: Sarah
- family: Arbyn
  given: Marc
- family: Bouland
  given: Catherine
- family: de Brouwer
  given: Christophe
da: '2023-09-28'
doi: 10.1136/bmjopen-2016-014094
files: []
issn: 2044-6055
journal: BMJ OPEN
keywords-plus: 'RETURN-TO-WORK; BREAST-CANCER; OCCUPATIONAL CLASS; SOCIAL-INEQUALITY;

  SICK LEAVE; SURVIVORS; EMPLOYMENT; REHABILITATION; HEALTH; INTERVENTION'
language: English
month: MAY
number: '2'
number-of-cited-references: '61'
orcid-numbers: 'Kiasuwa, Regine/0000-0002-5839-8459

  Zhang, Jinyu/0000-0003-3877-9147

  Nicolaie, M. A./0000-0001-8468-921X'
papis_id: dd286daefa4dd6ae7c8baf95dd3f01a9
ref: Mbengi2018assessingfactors
researcherid-numbers: 'Goetghebeur, Els J/H-7939-2016

  '
times-cited: '12'
title: 'Assessing factors associated with long-term work disability after cancer in
  Belgium: a population-based cohort study using competing risks analysis with a 7-year
  follow-up'
type: Article
unique-id: WOS:000433129800081
usage-count-last-180-days: '0'
usage-count-since-2013: '10'
volume: '8'
web-of-science-categories: Medicine, General \& Internal
year: '2018'