{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:52:55Z","timestamp":1767167575090,"version":"build-2238731810"},"reference-count":40,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007388","name":"Compagnia di San Paolo","doi-asserted-by":"publisher","award":["#68100"],"award-info":[{"award-number":["#68100"]}],"id":[{"id":"10.13039\/100007388","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2023,1,17]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The ability to return to work after a cancer diagnosis is a key aspect of cancer survivorship and quality of life. Studies have reported a significant risk of income loss for cancer survivors; however, there is limited evidence of the Italian context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Work Histories Italian Panel (WHIP)-Salute database was used to select a cohort of incident cases of colorectal cancer (CRC) among workers in the private sector, based on hospital discharges. A propensity score matching was used to find a balanced control group for several confounders. Ordinary least square and logistic regressions were used to estimate the effect of a CRC diagnosis on annual income and the probability of switching from a full-time contract to a part-time one considering 3 years after the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, we identified 925 CRC incident cases from 2006 until 2012. Our results confirm a statistically significant reduction in survivors\u2019 income compared with controls. This reduction was greater in the first year and then tend to decrease, with an average income loss over 3 years of about \u20ac12\u2009000. Stratified analyses by sex and position confirmed the overall trend while indicating a strong effect modification. Regarding the switching from full-time to part-time employment, the results were never significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Income loss does not seem to be related to an increase in part-time contracts, but rather to survivors\u2019 reduced work capacity following the invasive treatments. Further research is needed to investigate the complex dynamics behind this association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/jech-2022-220088","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T13:23:27Z","timestamp":1674825807000},"page":"196-201","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Short-term effect of colorectal cancer on income: analysis of an Italian cohort"],"prefix":"10.1136","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3325-1055","authenticated-orcid":false,"given":"Elena","family":"Farina","sequence":"first","affiliation":[{"name":"Department of Epidemiology, ASL TO3, Grugliasco, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3814-2210","authenticated-orcid":false,"given":"Marco","family":"Rosso","sequence":"additional","affiliation":[{"name":"Department of Economics, University of Bologna, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2304-5378","authenticated-orcid":false,"given":"Lucia","family":"Dansero","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, Universit\u00e0 degli Studi di Torino, Orbassano, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9199-452X","authenticated-orcid":false,"given":"Roberto","family":"Ippoliti","sequence":"additional","affiliation":[{"name":"Faculty of Business Administration and Economics, University of Bielefeld, Bielefeld, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianmauro","family":"Numico","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Santa Croce e Carle Hospital, Cuneo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0287-7979","authenticated-orcid":false,"given":"Alessandra","family":"Macciotta","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, Universit\u00e0 degli Studi di Torino, Orbassano, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6752-5803","authenticated-orcid":false,"given":"Antonella","family":"Bena","sequence":"additional","affiliation":[{"name":"Documentation Centre for Health Promotion, ASL TO3, Grugliasco, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8749-9737","authenticated-orcid":false,"given":"Fulvio","family":"Ricceri","sequence":"additional","affiliation":[{"name":"Centre for Biostatistics, Epidemiology, and Public Health (C-BEPH), Department of Clinical and Biological Sciences, Universit\u00e0 degli Studi di Torino, Orbassano, Piemonte, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,1,27]]},"reference":[{"key":"2025100301174470000_77.3.196.1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"2025100301174470000_77.3.196.2","unstructured":"Associazione Italiana Registri Tumori (AIRTUM) . 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