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Labor market affili...
Labor market affiliation of patients with myeloproliferative neoplasms : a population-based matched cohort study
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- Skovgaard Svingel, Lise (författare)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark
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- Friis Christensen, Sarah (författare)
- Department of Hematology, Zealand University Hospital, Denmark
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- Kjærsgaard, Anders (författare)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark
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- Stenling, Anna (författare)
- Novartis Sverige AB, Sweden
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- Paulsson, Björn (författare)
- Novartis Sverige AB, Sweden
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- Andersen, Christen Lykkegaard (författare)
- Department of Hematology, Copenhagen University Hospital, Rigshospitalet, Denmark
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- Christiansen, Christian Fynbo (författare)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark
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- Stentoft, Jesper (författare)
- Department of Hematology, Aarhus University Hospital, Denmark
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- Starklint, Jørn (författare)
- Department of Medicine, Goedstrup Hospital, Denmark
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- Severinsen, Marianne Tang (författare)
- Department of Hematology, Aalborg University Hospital, Denmark
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- Borg Clausen, Mette (författare)
- Department of Hematology, Copenhagen University Hospital, Rigshospitalet, Denmark
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- Hagemann Hilsøe, Morten (författare)
- Department of Hematology, Hospital of South West Jutland, Denmark
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- Hasselbalch, Hans Carl (författare)
- Department of Hematology, Zealand University Hospital, Denmark
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- Frederiksen, Henrik (författare)
- Department of Hematology, Odense University Hospital, Denmark
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- Bak, Marie (författare)
- Department of Hematology, Zealand University Hospital, Denmark
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- Mikkelsen, Ellen Margrethe (författare)
- Department of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University Hospital and Aarhus University, Denmark
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: Acta Oncologica. - : Taylor & Francis. - 0284-186X .- 1651-226X.
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- Background: Patients with myeloproliferative neoplasms (MPNs) suffer from substantial symptoms and risk of debilitating complications, yet observational data on their labor market affiliation are scarce.Material and methods: We conducted a descriptive cohort study using data from Danish nationwide registries, including patients diagnosed with MPN in 2010-2016. Each patient was matched with up to ten comparators without MPN on age, sex, level of education, and region of residence. We assessed pre- and post-diagnosis labor market affiliation, defined as working, unemployed, or receiving sickness benefit, disability pension, retirement pension, or other health-related benefits. Labor market affiliation was assessed weekly from two years pre-diagnosis until death, emigration, or 31 December 2018. For patients and comparators, we reported percentage point (pp) changes in labor market affiliation cross-sectionally from week −104 pre-diagnosis to week 104 post-diagnosis.Results: The study included 3,342 patients with MPN and 32,737 comparators. From two years pre-diagnosis until two years post-diagnosis, a larger reduction in the proportion working was observed among patients than comparators (essential thrombocythemia: 10.2 [95% CI: 6.3–14.1] vs. 6.8 [95% CI: 5.5–8.0] pp; polycythemia vera: 9.6 [95% CI: 5.9–13.2] vs. 7.4 [95% CI: 6.2–8.7] pp; myelofibrosis: 8.1 [95% CI: 3.0–13.2] vs. 5.8 [95% CI: 4.2–7.5] pp; and unclassifiable MPN: 8.0 [95% CI: 3.0–13.0] vs. 7.4 [95% CI: 5.7–9.1] pp). Correspondingly, an increase in the proportion of patients receiving sickness benefits including other health-related benefits was evident around the time of diagnosis.Conclusion: Overall, we found that Danish patients with essential thrombocythemia, polycythemia vera, myelofibrosis, and unclassifiable MPN had slightly impaired labor market affiliation compared with a population of the same age and sex. From two years pre-diagnosis to two years post-diagnosis, we observed a larger reduction in the proportion of patients with MPN working and a greater proportion receiving sickness benefits compared with matched individuals.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
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Stenling, Anna
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Christiansen, Ch ...
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Stentoft, Jesper
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Starklint, Jørn
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Hasselbalch, Han ...
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