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Sickness absence and disability pension following breast cancer - A population-based matched cohort study
Univ Uppsala Hosp, Reg Canc Ctr, SE-75185 Uppsala, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, SE-75122 Uppsala, Sweden..
Uppsala Univ, Dept Publ Hlth & Caring Sci, SE-75122 Uppsala, Sweden..
Uppsala Univ, Dept Publ Hlth & Caring Sci, SE-75122 Uppsala, Sweden.;Karolinska Inst, Dept Neurobiol Care Sci & Soc, SE-14183 Huddinge, Sweden.;Univ Bergen, Dept Global Publ Hlth & Primary Care, NO-5020 Bergen, Norway..
Department of Oncology, Örebro University Hospital, Örebro, Sweden; Centre for Research and Development, Uppsala University, County of Gävleborg, Gävle, Sweden.ORCID iD: 0000-0001-6392-273X
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2014 (English)In: Breast, ISSN 0960-9776, E-ISSN 1532-3080, Vol. 23, no 6, 844-851 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To compare sickness absence and disability pension in a population-based cohort of women with breast cancer (n = 463) from 1 year pre-diagnosis until 3 years post-diagnosis with a matched control group (n = 2310), and to investigate predictors of sickness absence during the 2nd and 3rd year post-diagnosis.

Results: Following breast cancer, the proportion of disease-free women with sickness absence decreased post-diagnosis (1st-3rd year; 78%-31%-19%), but did not reach the pre-diagnostic level (14%; P < 0.05). Post-diagnosis, patients were more likely than controls to be sickness absent (1st-3rd year; P < 0.001). No between-group differences were observed for disability pension post-diagnosis (P > 0.05). Among patients, chemotherapy, baseline fatigue and pre-diagnosis sick days predicted sickness absence during the 2nd, 3rd, and 2nd and 3rd year post-diagnosis, respectively (P < 0.05).

Conclusions: Breast cancer is associated with increased sickness absence 3 years post-diagnosis. In a clinical setting, prevention and treatment of side effects are important in reducing long-term consequences.

Place, publisher, year, edition, pages
Churchill Livingstone , 2014. Vol. 23, no 6, 844-851 p.
Keyword [en]
Breast neoplasms, Sickness absence, Disability pension, Quality of life, Cohort study, Population-based
National Category
Cancer and Oncology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:oru:diva-56629DOI: 10.1016/j.breast.2014.09.007ISI: 000346565100020PubMedID: 25305791Scopus ID: 2-s2.0-84922058549OAI: oai:DiVA.org:oru-56629DiVA: diva2:1083376
Available from: 2017-03-21 Created: 2017-03-21 Last updated: 2017-10-18Bibliographically approved

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