The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study
This study aimed to characterize the employment status and work-related conditions of patients with advanced breast cancer (ABC) in Portugal and quantify the productivity costs of premature abandonment of the work market while evaluating strategies to promote employment. The analysis was based on a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Breast |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S096097762400198X |
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| author | Leonor Vasconcelos de Matos Margarida Borges Ana Teresa Oliveira Carolina Bulhosa Luís Silva Miguel Tiago Fidalgo de Freitas Renato Cunha Ana Duarte Mendes Ana Júlia Arede Cristiana Marques Diogo Alpuim Costa Jorge Alves Correia Margarida Brito Mário Fontes e Sousa Teresa Guimarães Fatima Cardoso |
| author_facet | Leonor Vasconcelos de Matos Margarida Borges Ana Teresa Oliveira Carolina Bulhosa Luís Silva Miguel Tiago Fidalgo de Freitas Renato Cunha Ana Duarte Mendes Ana Júlia Arede Cristiana Marques Diogo Alpuim Costa Jorge Alves Correia Margarida Brito Mário Fontes e Sousa Teresa Guimarães Fatima Cardoso |
| author_sort | Leonor Vasconcelos de Matos |
| collection | DOAJ |
| description | This study aimed to characterize the employment status and work-related conditions of patients with advanced breast cancer (ABC) in Portugal and quantify the productivity costs of premature abandonment of the work market while evaluating strategies to promote employment. The analysis was based on a cumulative incidence model for estimation of ABC prevalence and on a cross-sectional study characterizing the employment status of patients with ABC. This study was conducted in Portuguese hospitals, between Nov2021-Dec2022 and included patients diagnosed with ABC for at least 6 months, aged 66 or less and consenting for a self-answered questionnaire regarding work status. A total of 2151 working-aged women were estimated to have ABC in 2019 in Portugal, with productivity costs amounting to 28,676,754€ over 2019–2021. 112 patients from 9 hospitals were included in the study, average age was 52yr, 48 % had a postsecondary educational degree level and 87 % reported having a paid job at the time of diagnosis, mostly full-time. At the time of the study, only 38 % of the patients maintained the job status. The remaining were unemployed (51 %), on medical leave (25 %) or retired (24 %). Stop working was a personal choice for only 5 %. A subsidized part-time employment regimen, despite increased government costs, would allow a reduction in productivity costs, leading to a positive balance of 2,431,329€ over the same period. This study suggests that the majority of patients with ABC abandon the labor market before the age of retirement. Flexible work arrangements would benefit the patient, the government and the society. ‘ |
| format | Article |
| id | doaj-art-af720aa33fd8489da7eecc5f6add5f50 |
| institution | Kabale University |
| issn | 1532-3080 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Breast |
| spelling | doaj-art-af720aa33fd8489da7eecc5f6add5f502025-02-12T05:30:37ZengElsevierBreast1532-30802025-02-0179103867The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational studyLeonor Vasconcelos de Matos0Margarida Borges1Ana Teresa Oliveira2Carolina Bulhosa3Luís Silva Miguel4Tiago Fidalgo de Freitas5Renato Cunha6Ana Duarte Mendes7Ana Júlia Arede8Cristiana Marques9Diogo Alpuim Costa10Jorge Alves Correia11Margarida Brito12Mário Fontes e Sousa13Teresa Guimarães14Fatima Cardoso15Breast Unit, Champalimaud Clinical Center, Lisbon, PortugalLaboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, PortugalEvigrade, an IQVIA company, PortugalEvigrade, an IQVIA company, PortugalEvigrade, an IQVIA company, Faculdade de Medicina, Universidade de Lisboa, Lisboa, PortugalLisbon Public Law Research Centre, Universidade de Lisboa, PortugalCentro Hospitalar de Trás-os-Montes e Alto Douro, PortugalHospital Professor Doutor Fernando Fonseca, PortugalCentro Hospitalar Universitário do Algarve, PortugalCentro Hospitalar de Vila Nova de Gaia e Espinho, PortugalHospital CUF Cascais, PortugalHospital da Luz Lisboa, PortugalInstituto Português de Oncologia de Lisboa Francisco Gentil, PortugalHospital CUF Tejo, PortugalHospital Lusíadas Porto, PortugalBreast Unit, Champalimaud Clinical Center, Lisbon, Portugal; Corresponding author. Breast Unit, Champalimaud Clinical Center, Av. De Brasília s/n, 1400-038, Lisbon, Portugal.This study aimed to characterize the employment status and work-related conditions of patients with advanced breast cancer (ABC) in Portugal and quantify the productivity costs of premature abandonment of the work market while evaluating strategies to promote employment. The analysis was based on a cumulative incidence model for estimation of ABC prevalence and on a cross-sectional study characterizing the employment status of patients with ABC. This study was conducted in Portuguese hospitals, between Nov2021-Dec2022 and included patients diagnosed with ABC for at least 6 months, aged 66 or less and consenting for a self-answered questionnaire regarding work status. A total of 2151 working-aged women were estimated to have ABC in 2019 in Portugal, with productivity costs amounting to 28,676,754€ over 2019–2021. 112 patients from 9 hospitals were included in the study, average age was 52yr, 48 % had a postsecondary educational degree level and 87 % reported having a paid job at the time of diagnosis, mostly full-time. At the time of the study, only 38 % of the patients maintained the job status. The remaining were unemployed (51 %), on medical leave (25 %) or retired (24 %). Stop working was a personal choice for only 5 %. A subsidized part-time employment regimen, despite increased government costs, would allow a reduction in productivity costs, leading to a positive balance of 2,431,329€ over the same period. This study suggests that the majority of patients with ABC abandon the labor market before the age of retirement. Flexible work arrangements would benefit the patient, the government and the society. ‘http://www.sciencedirect.com/science/article/pii/S096097762400198XABCAdvancedMetastaticBreast cancerEmploymentLabor-law |
| spellingShingle | Leonor Vasconcelos de Matos Margarida Borges Ana Teresa Oliveira Carolina Bulhosa Luís Silva Miguel Tiago Fidalgo de Freitas Renato Cunha Ana Duarte Mendes Ana Júlia Arede Cristiana Marques Diogo Alpuim Costa Jorge Alves Correia Margarida Brito Mário Fontes e Sousa Teresa Guimarães Fatima Cardoso The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study Breast ABC Advanced Metastatic Breast cancer Employment Labor-law |
| title | The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study |
| title_full | The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study |
| title_fullStr | The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study |
| title_full_unstemmed | The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study |
| title_short | The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a Portuguese nationwide observational study |
| title_sort | impact on productivity costs of reducing unemployment in patients with advanced breast cancer a model estimation based on a portuguese nationwide observational study |
| topic | ABC Advanced Metastatic Breast cancer Employment Labor-law |
| url | http://www.sciencedirect.com/science/article/pii/S096097762400198X |
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