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Susanne Oksbjerg Dalton - One of the best experts on this subject based on the ideXlab platform.
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breast cancer and early Retirement associations with disease characteristics treatment comorbidity social position and participation in a six day rehabilitation course in a register based study in denmark
Acta Oncologica, 2011Co-Authors: Lars Henrik Damkjaer, Christoffer Johansen, Isabelle Deltour, Nis P Suppli, Jane Christensen, Niels Kroman, Susanne Oksbjerg DaltonAbstract:Introduction. The purpose of this register-based study was to identify factors related to disease, treatment, sociodemographics and comorbidity associated with taking early Retirement among women treated for breast cancer, and to evaluate the risk for taking early Retirement among breast cancer survivors who attended a six-day rehabilitation course. Material and methods. The study population consisted of 856 women who attended the rehabilitation course and a comparison group of 1 805 women who did not attend the course identifi ed through the Danish Breast Cancer Cooperative Group. We obtained information on receipt of unemployment benefi ts, sickness benefi ts and early Retirement Pension for each of the years 1996 – 2007. Multivariate cox-regression models were used to analyze disease-specifi c, treatment-related, comorbidity and sociodemographics factors associated with early Retirement after breast cancer and to evaluate the effect of attending a rehabilitation course on taking early Retirement. Results. The rate of Retirement was higher for women with somatic comorbidity (hazard ratio [HR], 1.91; 95% CI, 1.3; 2.9 for score 1, and HR 1.42; 95% CI, 0.7; 2.7 for score 2), previous depression (HR, 2.29; 95% CI, 1.7; 3.2) or having received sickness benefi ts in the year before their breast cancer diagnosis (HR, 3.75; 95% CI, 1.8; 7.8). Living with a partner was associated with a reduced hazard ratio for taking early Retirement (HR, 0.70; 95% CI, 0.5 – 0.9). Having received chemotherapy, alone or in combination with anti-hormone treatment, reduced the hazard ratio (HR, 0.49; 95% CI, 0.3; 0.8 and HR, 0.5; 95% CI, 0.3; 0.8, respectively). The rate of Retirement was higher for women the year after attending the rehabilitation course but returned to unity by three years. Discussion. The results of this study contribute to the identifi cation of at-risk women and point to the need for tailored rehabilitation to avoid unnecessary marginalization of breast cancer survivors due to permanent labor market withdrawal.
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cancer and the risk for taking early Retirement Pension a danish cohort study
Scandinavian Journal of Public Health, 2008Co-Authors: Kathrine Carlsen, Susanne Oksbjerg Dalton, Kirsten Frederiksen, Finn Diderichsen, Christoffer JohansenAbstract:Aims: The purpose of this study was to determine the risk for taking early Retirement Pension (ERP) in cancer survivors who were working at the time of diagnosis. Methods: We conducted a nationwide and population based cohort study including 44,905 persons aged 30—60 years diagnosed with selected cancers in the period 1981—2000 and 211,562 randomly sampled cancer-free controls. Information on socioeconomic status, demography and physical and psychiatric comorbidity was obtained from Danish administrative registries. Results: We analyzed the risk for ERP adjusted for known risk factors and found that cancer patients has an excess risk of ERP compared to cancer-free controls (RR, 1.60; 95% CI, 1.55—1.65 and RR, 1.55; 95% CI, 1.46—1.65 for women and men, respectively). The observed risk factors for taking ERP were late age, dissimilated disease, manual job, sickness leave the year before taking ERP, physical and psychological comorbidity, low education and low income. Three risk categories were identified (h...
Alv A Dahl - One of the best experts on this subject based on the ideXlab platform.
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long term cervical cancer survivors on disability Pension a subgroup in need of attention from health care providers
Journal of Cancer Survivorship, 2020Co-Authors: Alv A Dahl, Anne Gry Bentzen, Sophie D Fossa, Siri Lothe Hess, Rita Steen, Cecilie E KiserudAbstract:Survivors of cervical cancer have an increased risk for permanently reduced work ability qualifying for disability Pension (DP). Few studies describe the social and health situation of long-term survivors of cervical cancer (LSCCs) on DP as a subgroup among LSCCs. The purpose was to investigate the socio-demographic and health status of LSCCs holding DP in a population-based cohort using LSCCs holding paid work as reference. Altogether, 354 LSCCs under 67 years (age of Retirement Pension in Norway) at survey participated in this study. They responded to a mailed questionnaire containing social, health, and clinical issues. Among LSCCs 24% held DP at a median of 11 years (range 6–15) after diagnosis versus 12% in the general female population. Compared to LSCCs in paid work, those on DP had significantly higher mean age at survey, short education, more comorbid somatic diseases, poorer self-rated health, higher level of neurotoxic side effects, more chronic fatigue, and higher mean levels of anxiety and depression. Increased age, presence of musculo-skeletal diseases, and increased levels of depression and pain remained significantly associated with DP in multivariate analysis. One in four LSCCs held DP which was twice the rate of the general female population. Several somatic and psychological conditions amenable to treatment were significantly associated with holding DP. LSCCs holding DP should check their health regularly since conditions that can be treated are common, and health care providers should be aware of this opportunity.
Barbara Berkel - One of the best experts on this subject based on the ideXlab platform.
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Pension reform in germany the impact on Retirement decisions
Social Science Research Network, 2003Co-Authors: Axel Borschsupan, Barbara BerkelAbstract:The financing problems beleaguering the public Pension system have again shifted the spotlight onto the Retirement age. This paper examines the impact of various reform options on the actual Retirement choices of older workers. The paper focuses in particular on the long-term implications of the changes implemented in Pension legislation since 1992 and the reform options discussed by the German Social Security Reform Commission installed in 2002, the so called R?rup Commission'. Our simulations show that the early-Retirement Pension adjustment factors introduced by the 1992 Pension reform will, in the long term, raise the average effective age of Retirement for men by somewhat less than two years. The across-the-board two-year increase in all the relevant age limits proposed by the R?rup Commission' would raise the effective average age of Retirement of men by about eight months. If the actuarial adjustment factor is increased from 3.6% to 6% per year, the effective average Retirement age rises by almost two years. The effects are considerably weaker for women.
Cecilie E Kiserud - One of the best experts on this subject based on the ideXlab platform.
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long term cervical cancer survivors on disability Pension a subgroup in need of attention from health care providers
Journal of Cancer Survivorship, 2020Co-Authors: Alv A Dahl, Anne Gry Bentzen, Sophie D Fossa, Siri Lothe Hess, Rita Steen, Cecilie E KiserudAbstract:Survivors of cervical cancer have an increased risk for permanently reduced work ability qualifying for disability Pension (DP). Few studies describe the social and health situation of long-term survivors of cervical cancer (LSCCs) on DP as a subgroup among LSCCs. The purpose was to investigate the socio-demographic and health status of LSCCs holding DP in a population-based cohort using LSCCs holding paid work as reference. Altogether, 354 LSCCs under 67 years (age of Retirement Pension in Norway) at survey participated in this study. They responded to a mailed questionnaire containing social, health, and clinical issues. Among LSCCs 24% held DP at a median of 11 years (range 6–15) after diagnosis versus 12% in the general female population. Compared to LSCCs in paid work, those on DP had significantly higher mean age at survey, short education, more comorbid somatic diseases, poorer self-rated health, higher level of neurotoxic side effects, more chronic fatigue, and higher mean levels of anxiety and depression. Increased age, presence of musculo-skeletal diseases, and increased levels of depression and pain remained significantly associated with DP in multivariate analysis. One in four LSCCs held DP which was twice the rate of the general female population. Several somatic and psychological conditions amenable to treatment were significantly associated with holding DP. LSCCs holding DP should check their health regularly since conditions that can be treated are common, and health care providers should be aware of this opportunity.
Karen Sogaard - One of the best experts on this subject based on the ideXlab platform.
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predicting long term sickness absence and early Retirement Pension from self reported work ability
International Archives of Occupational and Environmental Health, 2009Co-Authors: Lea Sell, Ebbe Villadsen, Ute Bultmann, Reiner Rugulies, Anne Faber, Karen SogaardAbstract:Objective The aim of this paper is to examine the relationship between self-reported work ability and long-term term of sickness absence or early Retirement from the labour market.
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predicting long term sickness absence and early Retirement Pension from self reported work ability
International Archives of Occupational and Environmental Health, 2009Co-Authors: Lea Sell, Ebbe Villadsen, Ute Bultmann, Reiner Rugulies, Anne Faber, Karen SogaardAbstract:The aim of this paper is to examine the relationship between self-reported work ability and long-term term of sickness absence or early Retirement from the labour market. Data on work ability were retrieved from a representative cohort study of Danish wage earners and linked with a register of social payment transfers. In all, 4.743 individuals were followed from 2001 to 2005. Cox regression was used for the analyses. A one point decrease in perceived work ability, on a 10 point scale, was associated with an increased risk of long-term sickness absence (LTSA) of 15.1% (95% CI 12–19%, P < 0.0001) and an increased risk of early Retirement from the labour market of 33% (95% CI 20–48%, P < 0.0001). Reports of reduced work ability were significantly associated with both an increased risk of onset of LTSA and early Retirement from the labour market, after adjustment for socio-demographic characteristics and lifestyle variables.