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The impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a portuguese nationwide observational study

2025-02Journal article Open access
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dc.contributor.authorMatos, Leonor Vasconcelos de
dc.contributor.authorBorges, Margarida
dc.contributor.authorOliveira, Ana Teresa
dc.contributor.authorBulhosa, Carolina
dc.contributor.authorMiguel, Luís Silva
dc.contributor.authorFreitas, Tiago Fidalgo de
dc.contributor.authorCunha, Renato
dc.contributor.authorMendes, Ana Duarte
dc.contributor.authorArede, Ana Júlia
dc.contributor.authorMarques, Cristiana
dc.contributor.authorCosta, Diogo Alpuim
dc.contributor.authorCorreia, Jorge Alves
dc.contributor.authorBrito, Margarida
dc.contributor.authorSousa, Mário Fontes e
dc.contributor.authorGuimarães, Teresa
dc.contributor.authorCardoso, Fatima
dc.date.accessioned2025-03-07T12:54:37Z
dc.date.available2025-03-07T12:54:37Z
dc.date.issued2025-02
dc.description.abstractThis 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.eng
dc.identifier.doi10.1016/j.breast.2024.103867
dc.identifier.issn0960-9776
dc.identifier.urihttp://hdl.handle.net/10400.1/26876
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.thebreastonline.com/article/S0960-9776(24)00198-X/fulltext
dc.relation.ispartofThe Breast
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectABC
dc.subjectAdvanced
dc.subjectMetastatic
dc.subjectBreast cancer
dc.subjectEmployment
dc.subjectLabor-law
dc.titleThe impact on productivity costs of reducing unemployment in patients with advanced breast cancer: A model estimation based on a portuguese nationwide observational studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage103867
oaire.citation.titleThe Breast
oaire.citation.volume79
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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