scholarly journals Disability Leave

2020 ◽  
Author(s):  
Keyword(s):  
Disability Leave

PMS9 A Retrospective Cohort Analysis of the Impact of Osteoarthritis on Disability Leave, Worker's Compensation Claims, and Healthcare Payments

2021 ◽  
Vol 24 ◽  
pp. S139-S140
Author(s):  
S. Thakkar ◽  
B. Gifford ◽  
H. Sell ◽  
P. Schepman ◽  
R. Robinson ◽  
...  
Keyword(s):  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Worker's Compensation ◽  
Disability Leave ◽  
Worker’S Compensation ◽  
Retrospective Cohort Analysis ◽  
Compensation Claims ◽  
The Impact

scholarly journals O1E.5 Short-term disability leave and employment termination: using marginal structural models to estimate counterfactual risks

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A12.1-A12
Author(s):  
Sally Picciotto ◽  
Andreas Neophytou ◽  
Mark Cullen ◽  
Ellen Eisen
Keyword(s):  
Occupational Exposures ◽  
Light Metal ◽  
Time Varying ◽  
Short Term ◽  
Disability Leave ◽  
Employment Termination ◽  
Medical Issues ◽  
Hourly Employees ◽  
Health Related ◽  
Average Worker

IntroductionShort-term disability leave can be considered as a measure of not being well enough to work. The American Manufacturing Cohort, followed 1996–2013, consists of employees of a light-metal company that provided short-term disability insurance to all employees: coverage to replace wages for up to 6 months of work absence due to medical issues. We hypothesized that since brief short-term disability leave allows workers time to recover from illness or injury without losing their jobs, it should be protective against employment termination.MethodsWe analyzed 18 386 (83% male, 80% white) hourly employees. We censored workers once their accumulated disability leave exceeded 6 weeks because longer time spent on short-term disability leave suggests more serious illness or injury that may prevent return to work. To analyze the effect of short-term disability leave on employment termination, we applied a marginal structural pooled logistic model that allowed for a time-varying hazard function. We adjusted for time-varying confounding by occupational exposures and health-related variables using inverse probability weighting. Using the estimated coefficients, we compared the predicted probabilities (by person-month) of terminating employment with the corresponding counterfactual probabilities if the worker had never taken disability leave. These probabilities yielded estimated survival curves under the two scenarios.ResultsThe average worker was followed for 5.5 years. Approximately 42% of the workers took at least one day of disability leave, and 48% terminated employment during follow-up. We estimated that 1058 (29%) more workers would have terminated employment within 5 years from cohort entry if the company had had no disability leave benefit than were predicted under the natural course.ConclusionShort-term disability leave is a potentially relevant health variable for occupational epidemiologists. This analysis suggests that short-term disability leave can help employees retain their jobs when a temporary health issue prevents them from working.

scholarly journals Relationship between symptom burden and disability leave among patients with myeloproliferative neoplasms (MPNs): findings from the Living with MPN patient survey

2019 ◽  
Vol 98 (5) ◽  
pp. 1119-1125 ◽  
Author(s):  
Jingbo Yu ◽  
Dilan Paranagama ◽  
Holly L. Geyer ◽  
Shreekant Parasuraman ◽  
Ruben Mesa
Keyword(s):  
Myeloproliferative Neoplasms ◽  
Symptom Burden ◽  
Patient Survey ◽  
Disability Leave

scholarly journals Impact of Myeloproliferative Neoplasms on Patients' Employment and Income: Findings from the Living with MPN Survey

Blood ◽  
2018 ◽  
Vol 132 (Supplement 1) ◽  
pp. 2250-2250
Author(s):  
Simon Condliffe ◽  
Jingbo Yu ◽  
Dilan Chamikara Paranagama ◽  
Shreekant Parasuraman
Keyword(s):  
United States ◽  
Employment Status ◽  
Early Retirement ◽  
Myeloproliferative Neoplasms ◽  
Good Health ◽  
The United States ◽  
Employment Equity ◽  
Disability Leave ◽  
Part Time ◽  
Equity Ownership

Abstract Background: Patients with myeloproliferative neoplasms (MPNs), including myelofibrosis (MF), polycythemia vera (PV), and essential thrombocythemia (ET), experience a high symptom burden that may compromise daily functioning and quality of life. The objective of this analysis was to evaluate income loss associated with disease-related employment changes among patients with MPNs in the United States. Methods: The Living with MPN survey was completed online by adult patients (aged 18-70 years) with MF, PV, or ET in the United States between April and November of 2016. Respondents employed at the time of MPN diagnosis were asked questions about disease-related changes in employment status and salaries occurring between diagnosis and the year of survey (2016). In addition, details related to patient demographics, MPN diagnosis, and MPN-related symptoms were collected. Cumulative income losses as a result of disease-related employment changes up to the time of the survey were calculated based on the timing of employment changes and salaries, which were reported in nominal dollars. Results: Of the 904 survey respondents, 592 (65%) were employed at the time of MPN diagnosis. Among those employed, mean age was 54.0 years, 70.6% were female, and 72.3% were married or had domestic partners at the time of survey. The average duration of disease was 6.1 years (MF, 4.6; PV, 6.9; ET, 6.3). Approximately half (50.5%) of the employed respondents experienced at least one change in employment status because of their diagnosis. Employment status changes and associated impact on income in patients with MPNs was greatest for those who took early retirement, medical disability leave, or left a job due to their disease ($419,610, $169,048, $168,245, respectively). Respondents who changed from full- to part-time employment, reduced hours, or were reassigned to a lower-paying job because of their disease also reported income losses ($79,492, $47,104, $51,872, respectively; Table). Among respondents who were 45-64 years old at the time of the survey (n=383), 18.8% reported retiring early as a result of their disease. In comparison, according to nationally representative data from the Medical Expenditures Panel Survey (MEPS), only 7.8% of individuals aged 45-64 years in excellent or very good health and 9.2% of individuals in poor health reported being retired (longitudinal data set 2014-2015). Moreover, 30.5% (117/383) of respondents aged 45-64 years in the Living with MPN survey reported leaving a job as a result of their disease. In comparison, 5.5% of MEPS individuals aged 45-64 years in excellent or very good health and 16.4% of individuals in poor health were working at the start of 2014 but not by the end of 2015. Conclusions: About half of employed patients living with MPNs experienced a variety of employment changes as a result of their disease, which in turn had a considerable impact on income. The most frequently reported disease-related employment change was leaving a job, followed by medical disability leave, reduced hours, early retirement, switching from full-time to part-time, and being reassigned to a lower-paying job. Patients 45-64 years old with MPNs were more than twice as likely to have left a job or retired early compared with an age-matched US general population cohort. On average, the foregone income due to disease-related employment changes was greatest for early retirees ($419,610), followed by those who went on medical disability leave ($169,048), and left a job ($168,245). Early, effective management of MPNs and associated symptoms may help patients avoid these disease-related changes to their employment status and the subsequent economic and financial impact. Disclosures Condliffe: Incyte Corporation: Consultancy. Yu:Incyte Corporation: Employment, Equity Ownership. Paranagama:Incyte: Employment, Equity Ownership. Parasuraman:Incyte: Employment, Equity Ownership.

Impact of cisplatin-related adverse health outcomes (AHOs) on employment outcomes and self-reported health (SRH) among testicular cancer survivors (TCS).

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e16058-e16058
Author(s):  
Sarah L. Kerns ◽  
Chunkit Fung ◽  
Sophie D. Fossa ◽  
Paul C Dinh ◽  
Patrick O. Monahan ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Renal Function ◽  
Employment Status ◽  
Productivity Loss ◽  
Full Time ◽  
Clinical Factors ◽  
Disability Leave ◽  
Morbidity Score ◽  
Grade 3 ◽  
Full Time Employment

e16058 Background: We aim to provide new information on cisplatin-related AHOs and employment status in TCS and evaluate impact on SRH. Methods: 1,815 TCS ³1 year post-chemotherapy underwent physical exam, audiometry, renal function evaluation, and completed questionnaires. Therapy data were obtained from medical records. A cumulative burden of morbidity score (CBMPt) assessed the number and severity of platinum-related AHOs (peripheral sensory neuropathy (PSN), hearing loss, tinnitus, and renal function) with grading per CTCAE v4.03. Multivariable regression assessed relations between CBMPt score, individual AHOs and employment status as well as SRH, adjusting for sociodemographic/clinical factors. Unemployment in TCS was compared with subjects in the Behavioral Risk Factor Surveillance System (BRFSS) of similar age/race/ethnicity. Results: Almost 1 in 10 TCS were either on disability leave (2.4%) or unemployed (6.8%) at a median age of 37 yr (median follow-up: 4 yr). TCS with tinnitus (OR = 3.1, grade 3 vs. 0, P = 0.04), renal dysfunction (OR = 13.5, grade 3 vs. 0, P = 0.01), or pain (OR = 7.2 and 40.9, grade 2 or 3 vs. 0, respectively; P < 0.001 each) had significantly greater odds of disability leave vs. full-time employment after adjusting for sociodemographic/clinical factors; pain was strongly correlated with PSN (Pearson r2= 0.40; P < 0.001). CBMPt score was associated with disability leave (OR = 1.5, P = 0.04), but not with unemployment. A significantly higher percentage of TCS were unemployed vs. BRFSS norms (e.g. 3.6% of TCS age 35-39 vs. 2.0% in BRFSS). PSN (OR = 2.2, grade 3 vs. 0, P = 0.02), self-reported hearing loss (OR = 1.8, grade 2/3 vs. 0, P = 0.04), and pain (OR = 2.8 and 8.5, grade 2 or 3 vs. 0, respectively; P < 0.01 each) were each associated with increased odds of unemployment vs. full-time employment. Cisplatin-related AHOs and pain were associated with significantly worse SRH (P < 0.05). Conclusions: Our findings have new, important implications regarding productivity loss and socioeconomic costs in TCS. Survivorship care strategies should include inquiries about employment status, and every effort made to assist affected TCS in returning to the work force.

Through A Glass Darkly: Paradigms Of Equality And The Search For A Woman's Jurisprudence

Hypatia ◽  
1987 ◽  
Vol 2 (1) ◽  
pp. 45-61 ◽  
Author(s):  
Linda J. Krieger
Keyword(s):  
Sex Differences ◽  
Moral Reasoning ◽  
Paradigm Change ◽  
Scientific Paradigm ◽  
Disability Leave

In this article, Ms. Krieger explores the controversy concerning pregnancy disability leave presented by the case of California Federal Savings v. Guerra in light of Thomas Kuhn's model of scientific paradigm change and Carol Gilligan's theory regarding sex differences in moral reasoning. She argues that the controversy reflects a period of paradigm crisis in equality jurisprudence, brought about in part by the recent inclusion of greater numbers of women into the jurisprudential community.

scholarly journals Characterizing Long-Term Trajectories of Work and Disability Leave

2019 ◽  
Vol 61 (11) ◽  
pp. 936-943
Author(s):  
Amal Harrati ◽  
Peter Hepburn ◽  
Valerie Meausoone ◽  
Mark R. Cullen
Keyword(s):  
Disability Leave

scholarly journals Employer Best Practice Guidelines for the Return to Work of Workers on Mental Disorder–Related Disability Leave

2016 ◽  
Vol 61 (3) ◽  
pp. 176-185 ◽  
Author(s):  
Carolyn S. Dewa ◽  
Lucy Trojanowski ◽  
Margot C. W. Joosen ◽  
Sarah Bonato
Keyword(s):  
Mental Disorder ◽  
Return To Work ◽  
Practice Guidelines ◽  
Best Practice ◽  
Disability Leave ◽  
Best Practice Guidelines
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