Effects of Kidney Transplantation on Labor Market Outcomes in Sweden

Jarl, Johan; Gerdtham, Ulf G.; Desatnik, Peter; Prütz, Karl Göran

doi:10.1097/tp.0000000000002228

Cited by 35 publications

(17 citation statements)

References 19 publications

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“…Table 1 summarizes the general characteristics of the studies. In total, 27 studies described employment in kidney failure patients during dialysis [ 17 – 43 ], 25 addressed employment after kidney transplantation [ 3 , 4 , 12 , 13 , 44 – 64 ], and 6 [ 14 , 65 – 69 ] addressed both dialysis and kidney transplantation. In total, 33 studies regarding dialysis and 31 regarding kidney transplantation were included, with a total of 162,059 and 137,742 participants, respectively.…”

Section: Resultsmentioning

confidence: 99%

Employment of patients with kidney failure treated with dialysis or kidney transplantation—a systematic review and meta-analysis

et al. 2021

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Background Patients with kidney failure treated with dialysis or kidney transplantation experience difficulties maintaining employment due to the condition itself and the treatment. We aimed to establish the rate of employment before and after initiation of dialysis and kidney transplantation and to identify predictors of employment during dialysis and posttransplant. Methods This systematic review and meta-analysis were carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for studies that included employment rate in adults receiving dialysis or a kidney transplant. The literature search included cross-sectional or cohort studies published in English between January 1966 and August 2020 in the PubMed, Embase, and Cochrane Library databases. Data on employment rate, study population, age, gender, educational level, dialysis duration, kidney donor, ethnicity, dialysis modality, waiting time for transplantation, diabetes, and depression were extracted. Quality assessment was performed using the Newcastle–Ottawa Scale. Meta-analysis for predictors for employment, with odds ratios and confidence intervals, and tests for heterogeneity, using chi-square and I2 statistics, were calculated. PROSPERO registration number: CRD42020188853. Results Thirty-three studies included 162,059 participants receiving dialysis, and 31 studies included 137,742 participants who received kidney transplantation. Dialysis patients were on average 52.6 years old (range: 16–79; 60.3% male), and kidney transplant patients were 46.7 years old (range: 18–78; 59.8% male). The employment rate (weighted mean) for dialysis patients was 26.3% (range: 10.5–59.7%); the employment rate was 36.9% pretransplant (range: 25–86%) and 38.2% posttransplant (range: 14.2–85%). Predictors for employment during dialysis and posttransplant were male, gender, age, being without diabetes, peritoneal dialysis, and higher educational level, and predictors of posttransplant: pretransplant employment included transplantation with a living donor kidney, and being without depression. Conclusions Patients with kidney failure had a low employment rate during dialysis and pre- and posttransplant. Kidney failure patients should be supported through a combination of clinical and social measures to ensure that they remain working.

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Section: Resultsmentioning

confidence: 99%

Employment of patients with kidney failure treated with dialysis or kidney transplantation—a systematic review and meta-analysis

et al. 2021

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“…Productivity costs will be estimated with the friction cost method, as recommended in the Dutch guidelines for economic evaluation 16. Besides that the work situation of patients participating in the study is recorded, some research has been done regarding labour participation of patients with ESRD 17 18. The costs of the home-based intervention and the quality assurance will be estimated on the basis of the current practice in the implementation.…”

Section: Methods and Designmentioning

confidence: 99%

Cost-effectiveness of a home-based group educational programme on renal replacement therapies: a study protocol

et al. 2019

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IntroductionLiving donor kidney transplantation (LDKT) is the optimal treatment for most patients with end-stage renal disease (ESRD). However, there are numerous patients who cannot find a living kidney donor. Randomised controlled trials have shown that home-based education for patients with ESRD and their family/friends leads to four times more LDKTs. This educational intervention is currently being implemented in eight hospitals in the Netherlands. Supervision and quality assessment are being employed to maintain the quality of the intervention. In this study, we aim to: (1) conduct a cost-effectiveness analysis of the educational programme and its quality assurance system; (2) investigate the relationship between the quality of the implementation of the intervention and the outcomes knowledge, communication and LDKT activities; and (3) investigate policy implications.Methods and designPatients with ESRD who do not have a living kidney donor are eligible to receive the home-based educational intervention. This is carried out by allied health transplantation professionals and psychologists across eight hospitals in the Netherlands. The cost-effectiveness analysis will be conducted with a Markov model. Cost data will be obtained from the literature. We will obtain the quality of life data from the patients who participate in the educational programme. Questionnaires on knowledge and communication will be used to measure the outcomes of the programme. Data on LDKT activities will be obtained from medical records up to 24 months after the education. A protocol adherence measure will be assessed by a third party by means of a telephone interview with the patients and the invitees.Ethics and disseminationEthical approval was obtained through all participating hospitals. Results will be disseminated through peer-reviewed publications and scientific presentations. Results of the cost-effectiveness of the educational programme will also be disseminated to the Dutch National Health Care Institute.Trial registration numberNL6529

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“…Table 1 summarizes the general characteristics of the studies. In total 27 studies described employment in kidney failure-patients during dialysis ; 25 after kidney transplantation [3,4,12,13,; and 6 [14,[65][66][67][68][69] addressed both dialysis and kidney transplantation. In total 33 studies regarding dialysis, and 31 regarding kidney transplantation were included with a total of 162,059 and 137,742 participants, respectively.…”

Section: General Description Of Included Studiesmentioning

confidence: 99%

“…Most of the studies (81%) were cross-sectional in design, analysing data at a speci c point in time. The cross-sectional studies [3, 12-14, 17-19, 21, 22, 24-39, 41-49, 51, 54, 55, 57, 59, 61-64, 66-69] were small to medium sized with a median of 139-233 participants for kidney transplant and dialysis patients, respectively, while the cohort studies [4,20,23,40,50,52,53,56,58,60,65] were mainly larger population studies (median 2,103 for dialysis patients and 1,254 for kidney transplant patients). More than half of the studies were single-center studies, and the studies were mainly from high income countries.…”

Section: General Description Of Included Studiesmentioning

confidence: 99%

Employment of Patients With Kidney Failure Treated With Dialysis or Kidney Transplantation - A Systematic Review and Meta-Analysis

Kirkeskov

Carlsen

Lund

et al. 2021

Preprint

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Background: Patients with kidney failure treated with dialysis or kidney transplantation experience difficulties maintaining employment due to the condition itself as well as the treatment. We aimed to establish the rate of employment before and after initiation of dialysis and after kidney transplantation and to identify predictors of employment during dialysis and post-transplant.Methods: This systematic review and meta-analysis was carried out according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis, PRISMA, for studies that included employment rate in adults receiving dialysis or a kidney transplant. The literature search included cross sectional or cohort studies published in English in the period from January 1966 to August 2020 in the databases PubMed, Embase, and Cochrane Library. Data of employment rate, study population, age, gender, educational level, dialysis duration, kidney donor, ethnicity, dialysis modality, waiting time for transplantation, diabetes, and depression were extracted. Quality assessment was performed using the Newcastle-Ottawa Scale. Meta-analysis for predictors for employment and odds ratio; confidence intervals; and test for heterogeneity were calculated using Chi-squared statistics and I2. PROSPERO registration number: CRD42020188853.Results. 33 studies with 162,059 participants during dialysis and 31 studies with 137,742 participants receiving kidney transplantation. Dialysis patients were on average 52.6 years old (range 16-79), 60.3% males and kidney transplant patients 46.7 years old (range 18-78), 59.8% males. The employment rate (weighted mean) for dialysis patients was 26.3% (range 10.5-59.7%); pre-transplant 36.9% (range 25-86%), and post-transplant 38.2% (range 14.2-85%). Predictors for employment during dialysis and post-transplant were male, non-diabetic, peritoneal dialysis, and higher educational level, and post-transplant: pre-transplant employment, younger age, transplantation with a living donor kidney, and without depression.Conclusions: Patients with kidney failure had a low employment rate during dialysis, pre- and post-transplant. Kidney failure patients should be supported through a combination of clinical and social measures to ensure they remain in work.

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Effects of Kidney Transplantation on Labor Market Outcomes in Sweden

Abstract: Transplantation is superior to dialysis in terms of potential to return to work as well as in terms of labor income and risk of early retirement, after controlling for treatment selection. This positive effect increases over time after transplantation.

Cited by 35 publications

References 19 publications

Employment of patients with kidney failure treated with dialysis or kidney transplantation—a systematic review and meta-analysis

Employment of patients with kidney failure treated with dialysis or kidney transplantation—a systematic review and meta-analysis

Cost-effectiveness of a home-based group educational programme on renal replacement therapies: a study protocol

Employment of Patients With Kidney Failure Treated With Dialysis or Kidney Transplantation - A Systematic Review and Meta-Analysis

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