Back to work? Socioeconomic status after kidney transplantation

Eppenberger, Leila Sara; Hirt‐Minkowski, Patricia; Dickenmann, Michael

doi:10.4414/smw.2015.14169

Cited by 14 publications

(50 citation statements)

References 21 publications

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“…We found less kidney transplanted patients working post-Tx than before, a finding in agreement with Nour et al [16] and Tzvetanov et al [23], but in opposition to a recent Swiss study [9] that reported more kidney transplanted patients working post-Tx (71%) than before. The latter study is a retrospective monocentric survey with a response rate of 55% and may, therefore, have overestimated employment status due to a possible selection bias.…”

Section: Discussionsupporting

confidence: 90%

“…In agreement with most return to work studies taking pre-Tx employment status into account [4–7, 9–11], pre-Tx employment was the strongest predictor for post-Tx employment. 81% of the patients who were employed pre-Tx were employed 12 month post-Tx, versus 18% of those who were not employed pre-Tx.…”

Section: Discussionsupporting

confidence: 85%

“…Over the past years, several predictors of not being employed post-Tx in kidney patients have been identified: Post-Tx employment status was consistently and highly correlated with pre-Tx employment status [4–7, 9–11]. Receiving a kidney from a living donor was regularly found to enhance social participation [12] and to specifically enhance the chance to be employed [6, 9, 13, 14]. Transplanted populations in general represent an aging population and most of these patients have a long disease history.…”

Section: Introductionmentioning

confidence: 99%

“…The same is true for education. The higher the education level the more likely the transplanted patients will be employed post-Tx [5, 6, 9, 13, 16]. The influence of sex is contradictory: previous studies either reported a negative influence on post-Tx employment [5, 6] or no influence [9, 16].…”

Section: Introductionmentioning

confidence: 99%

“…Findings with respect to the influence of creatinine on employment post-Tx are mixed [4, 12]. In recent studies, a negative influence of the duration of dialyses pre-Tx and a positive influence of pre-emptive Tx on employment have been reported [6, 9]. …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

et al. 2017

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BackgroundReturn to work with or after a chronic disease is a dynamic process influenced by a variety of interactions between personal, work, societal and medical resources or constraints. The aim of this study was to identify predictors for employment 12 months after transplantation in kidney patients, applying a bio-psycho-social model.MethodsAll kidney patients followed in the Swiss Transplant Cohort between May 2008 and December 2012, aged 18 to 65 were assessed before, 6 and 12 months after transplantation.ResultsOf the 689 included patients, 56.2% worked 12 months post- transplantation compared to 58.9% pre-transplantation. Age, education, self-perceived health (6 months post- transplantation), pre- transplantation employment and receiving an organ from a living donor are significant predictors of employment post- transplantation. Moreover, while self-perceived health increased post- transplantation, depression score decreased only among those employed 12 months post- transplantation. Pre- transplantation employment status was the main predictor for post- transplantation employment (OR = 18.6) and was associated with sex, age, education, depression and duration of dialysis. An organ from a living donor (42.1%) was more frequent in younger patients, with higher education, no diabetes and shorter waiting time to surgery.ConclusionTransplantation did not increase employment in end-stage kidney disease patients but helped maintaining employment. Pre-transplantation employment has been confirmed to be the most important predictor of post-transplantation employment. Furthermore, socio-demographic and individual factors predicted directly and indirectly the post-transplantation employment status. With living donor, an additional predictor linked to social factors and the medical procedure has been identified.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

et al. 2017

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Predictors of Return to Work 12 Months After Solid Organ Transplantation: Results from the Swiss Transplant Cohort Study

et al. 2018

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Background Return to work with or after a chronic disease is not a very well understood process, influenced by a variety of personal, professional, societal and medical factors. The aim of this study is to identify predictors for return to work 12 months after a solid organ transplant applying a bio-psycho-social model. Methods This study is based on patients included in the Swiss Transplant Cohort Study, a national prospective multicentre cohort, who underwent a first solid organ transplant (kidney, liver, heart, lung). Bio-psycho-social factors were tested and predictors of return to work identified using logistic regression models. Results Among the 636 patients included in the study, 49.8% (317) were employed 12 months post-transplant. The major predictor for returning to work 12 months posttransplant was pre-transplant employment status (OR 10.8). Accordingly, the population was stratified in employed and not employed pre-transplant groups. Age, self-perceived health (6 months post-transplant) and the transplanted organ were significantly associated with post-transplant employment status in both groups. Return to work was influenced by education, depression (6 month post-transplant) and waiting time in the employed pre-transplant group and by invalidity pension in the not employed pre-transplant group. Conclusion Employment status pre-transplant being highly associated with employment status post-transplant, the process promoting return to work should be started well before surgery. Biomedical, psychological and social factors must be taken into account to promote return to work in transplanted patients.

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Does recipient work status pre-transplant affect post–heart transplant survival? A United Network for Organ Sharing database review

Ravi

Lella

Copeland

et al. 2018

The Journal of Heart and Lung Transplantation

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This study is the first analysis of UNOS STAR data on recipient work status pre-HTx demonstrating: (1) an improvement in post-transplant survival for working HTx candidates; and (2) an association between working pre-HTx and longer post-HTx survival. Given that work status before HTx may be a modifiable risk factor for better outcomes after HTx, we strongly recommend that UNOS consider these important findings for moving forward this patient-centered research on work status. Working at listing and working at HTx are associated with long-term survival benefits. The association may be reciprocal, where working identifies less ill patients and also improves well-being. Consideration should be given to giving additional weight to work status during organ allocation. Work status may also be a modifiable factor associated with better post-HTx outcomes.

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Back to work? Socioeconomic status after kidney transplantation

Abstract: The employment rate in this Swiss cohort before and after successful kidney transplantation is high compared with the literature. A high number of living donors, of pre-emptive transplantations, and short dialysis vintages contribute to this observation.

Cited by 14 publications

References 21 publications

Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

Predictors of Return to Work 12 Months After Solid Organ Transplantation: Results from the Swiss Transplant Cohort Study

Does recipient work status pre-transplant affect post–heart transplant survival? A United Network for Organ Sharing database review

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