Henk-Jan Boersema

91 Residual work capacity and (in)ability to work fulltime among applicants with cancer RESULTS Data from 40,263 applicants for a disability benefit in 2016 were available. The mean age of the sample was 48.7 years, 53.6% women, and 9.3% had cancer as the primary diagnosis (mean age 53.3 years; 60.3% women). After removal of applicants with another primary diagnosis than cancer, and those with specific cancer diagnoses with less than 40 applicants, the dataset included 3690 disability benefit applicants with cancer as a primary diagnosis, of these 6.8% applied for a full and permanent disability benefit at an earlier stage than 2 years after sick leave. An overview of the inclusion flow is presented in Fig. 1. No residual work capacity Of the 3690 applicants, 1572 applicants (42.6%) had no residual work capacity (Fig. 1). Applicants without residual work capacity were older, more often male, and had less often multimorbidity than applicants with residual work capacity (n = 2118, 57.4%). Educational level was difficult to compare due to a high percentage of missing data, especially in the group without residual work capacity. Applicants diagnosed with cancers of digestive organs, respiratory organs, urinary tract, and skin significantly more often had no residual work capacity, while applicants diagnosed with cancers of breast, nervous system, and lymphoid and haematopoietic tissue were more often assessed with residual work capacity (Table 1). Inability to work fulltime Of the 2118 applicants with residual work capacity, only 1864 had complete data on all variables (Fig. 1). Of these 1864, 1301 (69.8%) had an inability to work fulltime and 563 (30.2%) was assessed as being able to work fulltime (Fig. 1). Of the applicants with missing data on educational level (n = 254), the majority (52.8%) had a normal ability to work fulltime, which was higher compared to included applicants with complete data, of which 30.2% had a normal ability to work fulltime (p < 0.001). Applicants with an inability to work fulltime were significantly older. Gender, educational level, and multimorbidity did not differ significantly between applicants with an ability and an inability to work fulltime. Of all the cancer groups, only being diagnosed with lymphoid and haematopoietic cancers resulted significantly more often in an inability to work fulltime. Furthermore, applicants diagnosed with cancer of the locomotor system were significantly more often assessed as able to work fulltime. Of the applicants that were assessed with an inability to work fulltime, the majority (58.0%) was considered to be able to work about four hours per day (Table 1). 5

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