Factors Related to Participation in Paid Work After Organ Transplantation: Perceptions of Kidney Transplant Recipients

Nour, N Zamani; Heck, Carol; Ross, Heather J.

doi:10.1007/s10926-014-9519-4

Cited by 29 publications

(62 citation statements)

References 29 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%

“…Comparable results were found in reports from the US [11] and from Belgium [22] with 56% and 58% employed post-Tx, respectively. Compared to other studies, the post-Tx employment rate is high [14, 16, 17, 23, 24]. This is mostly due to an already high employment rate of 58.9% pre-Tx in our cohort.…”

Section: Discussioncontrasting

confidence: 69%

“…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%

“…Indicators for complications [16], post-operative complications [6], comorbidity [12], and blood pressure [4] showed no influence on employment post-Tx. Findings with respect to the influence of creatinine on employment post-Tx are mixed [4, 12].…”

Section: Introductionmentioning

confidence: 99%

“…Also quality of life factors such as physical or mental health indicators have been linked to post-Tx employment status in some cross-sectional or retrospective studies [5, 7, 16, 18]. However, these studies are susceptible to bias due to their design, especially with respect to subjective indicators.…”

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: Discussioncontrasting

confidence: 69%

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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Living Kidney Recipient Outcomes

Calderon

Mathur

Merion

2022

Living Kidney Donation

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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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Factors Related to Participation in Paid Work After Organ Transplantation: Perceptions of Kidney Transplant Recipients

Cited by 29 publications

References 29 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

Living Kidney Recipient Outcomes

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

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