Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands.
Research Center for Insurance Medicine (KCVG), Amsterdam, The Netherlands.
J Cancer Surviv. 2023 Jun;17(3):860-870. doi: 10.1007/s11764-021-01147-y. Epub 2021 Dec 3.
Residual work capacity (RWC) and inability to work fulltime (IWF) are important outcomes in disability benefit assessments for workers diagnosed with cancer. The aim of this study is to gain insight into the prevalence of both outcomes, the associations of disease-related and socio-demographic factors and if these differ across cancer diagnosis groups.
A year cohort of anonymized register data of cancer survivors who claim a disability benefit after 2 years of sick leave (n = 3690, age 53.3 ± 8.8, 60.4% female) was used. Having no RWC was defined as having no possibilities to perform any work at all, whereas IWF was defined as being able to work less than 8 h per day.
The prevalence of being assessed with no RWC was 42.6%. Of the applicants with RWC (57.4%), 69.8% were assessed with IWF. Cancers of the respiratory organs showed the highest odds for having no RWC, whereas lymphoid and haematopoietic cancers showed the highest odds for IWF. Within specific cancer diagnosis groups, different associations were identified for both outcomes.
The prevalence of no RWC and IWF in applicants of work disability benefits diagnosed with cancer is high compared to the prevalence in other diagnoses. The odds for no RWC, IWF, and associated factors differ per cancer diagnosis group.
Being diagnosed with cancer has an enormous impact on work (dis)ability. Our results show that 2 years after being diagnosed with cancer, the majority of the disability benefit applicants are assessed with RWC; however, only 15% of all applicants with cancer had a normal ability to work fulltime, and therefore, it is of great importance to accompany them in their return to work.
对于被诊断患有癌症的工人，剩余工作能力（RWC）和无法全职工作（IWF）是残疾福利评估中的重要结果。本研究的目的是深入了解这两个结果的流行程度，以及与疾病相关的和社会人口因素的关联，以及这些关联是否因癌症诊断组而异。
使用了一项经过两年病假后申请残疾福利的癌症幸存者的匿名登记数据队列研究（n=3690，年龄 53.3±8.8，60.4%为女性）。没有 RWC 的定义是指完全没有能力从事任何工作，而 IWF 的定义是指每天工作少于 8 小时。
被评估为没有 RWC 的比例为 42.6%。在有 RWC 的申请人中（57.4%），69.8%被评估为 IWF。呼吸系统癌症的 RWC 可能性最高，而淋巴和造血系统癌症的 IWF 可能性最高。在特定的癌症诊断组内，这两个结果都有不同的关联。
与其他诊断相比，患有癌症的工作残疾福利申请人中没有 RWC 和 IWF 的比例很高。没有 RWC、IWF 以及相关因素的几率因癌症诊断组而异。
被诊断患有癌症对工作（残疾）有巨大影响。我们的结果表明，在被诊断患有癌症 2 年后，大多数残疾福利申请人都被评估为 RWC；然而，只有 15%的所有癌症申请人有正常的全职工作能力，因此，陪伴他们重返工作岗位非常重要。
