Work cessation after cancer diagnosis : a population-based study

Rottenberg, Y, Amir, Z and De Boer, AGEM 2019, 'Work cessation after cancer diagnosis : a population-based study' , Occupational Medicine, 69 (2) , pp. 126-132.

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Background: Long-term work maintenance among cancer survivors is important for patients, their families and society.

Aims: To assess the risk of work cessation among workers at baseline in cancer survivors at 2 and 4 years after diagnosis compared with a matched cancer-free control group.

Methods: Baseline measurements for this historical prospective study were drawn from the Israeli Central Bureau of Statistics 1995 National Census, followed up until 2011. Patients who died before the end of 2011 were excluded from the study. Adjusted odds ratios (ORs) for the study outcome were assessed by binary logistic regression analyses, controlled for age, sex, ethnicity, years of education and socioeconomic position.

Results: Cancer was associated with not working at 2 years after diagnosis (adjusted OR = 1.71, 95% confidence interval [CI] 1.59–1.84, P < 0.001), while only mild attenuation was seen at 4 years after diagnosis (adjusted OR = 1.57, 95% CI 1.46–1.68, P < 0.001). Analysis by cancer type revealed that patients diagnosed with central nervous system (adjusted OR = 3.42, 95% CI 2.41–4.86, P < 0.001), renal (adjusted OR = 2.10, 95% CI 1.38–3.16, P < 0.001), breast (adjusted OR = 2.05, 95% CI 1.76–2.38, P < 0.001) and haematologic malignancies (adjusted OR = 2.04, 95% CI 1.59–2.61, P < 0.001) showed the greatest magnitude effect at 2 years.

Conclusions: These results emphasize the need for tailored interventions in order to enhance work maintenance, even among patients who are working at baseline and with very long-term survivors.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Occupational Medicine
Publisher: Oxford University Press (OUP)
ISSN: 1471-8405
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 04 Jun 2019 12:02
Last Modified: 27 Aug 2021 21:24

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