Sickness absence and disability pension following breast cancer - A population-based matched cohort study
2014 (English)In: Breast, ISSN 0960-9776, E-ISSN 1532-3080, Vol. 23, no 6, 844-851 p.Article in journal (Refereed) Published
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.
Breast neoplasms, Sickness absence, Disability pension, Quality of life, Cohort study, Population-based
Cancer and Oncology Obstetrics, Gynecology and Reproductive Medicine
IdentifiersURN: urn:nbn:se:oru:diva-56629DOI: 10.1016/j.breast.2014.09.007ISI: 000346565100020PubMedID: 25305791ScopusID: 2-s2.0-84922058549OAI: oai:DiVA.org:oru-56629DiVA: diva2:1083376