Return to Work and Quality of Life: A Psychosocial Survey After Kidney Transplant

Pasquale, Concetta De; Veroux, Massimiliano; Pistorio, Maria Luisa; Papotto, A.; Basile, G.; Patanè, Martina; Veroux, Pierfrancesco; Giaquinta, Alessia; Sciacca, Federica

doi:10.1016/j.transproceed.2018.04.083

Cited by 17 publications

(17 citation statements)

References 21 publications

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“…Moreover, it is important that the transplanted person accepts the support of their family and collaborates with the transplant team to adhere to the new lifestyle, such as the resumption of healthy exercise (37,49,57,80). Also the return to work after a kidney transplant is an important indicator of psychophysical well-being (74,83).…”

Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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Kidney transplantation is a serious event that involves profound psychological, relational and social changes both for the patient and his family context. Assessment of personality profile, awareness of disease, family and social support of the patient candidate for kidney transplantation are necessary because factors not adequately considered, can influence the success of the transplant and alter the psychological stability of the patient. The present study aims to provide a systematic review of the literature of the last twelve years (2006-2018), focusing in particular on patient's readiness level and illness management and on possible psychopathology. Sixty-two studies were examined. Based on the Downs and Black checklist, most studies (n = 32) were of high quality; 15 of which related to lifestyle, health education, and therapeutic adherence in post-renal transplantation, 17 studies concerned the possible existence of psychopathology and cognitive impairment of renal deceased transplanted subjects. The literature used has shown that the population of kidney transplant patients is exposed to a high risk of psychiatric disorders with repercussions on the quality of life and the risk of rejection. Therefore, an adequate pre-transplant psychosocial assessment is necessary, which allows a more indepth knowledge of the candidate to plan coping strategies and possible posttransplant psychotherapy.

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Section: Discussionmentioning

confidence: 99%

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

et al. 2020

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“…In a recent systematic literature review, sociodemographic aspects, physical and psychological comorbidities, as well as factors related to the transplant process, were identified as important determinants of successful employment and RTW in KTRs [22][23][24][25]. More specifically, sociodemographic predictors of RTW included pre-transplant employment [26], type of work [27], shorter unemployment duration after KTx, being married, younger age and higher educational level [7,16,18]. Further, a shorter dialysis period preceding transplantation, minimal invasive kidney surgery (e.g., laparoscopic donor nephrectomy) and living kidney donor were also associated with favorable RTW outcomes after transplantation [24].…”

Section: Introductionmentioning

confidence: 99%

Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Jordakieva

Grabovac

Steiner

et al. 2020

IJERPH

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Kidney transplantation (KTx) in end-stage renal disease is associated with a significant increase in quality of life (QoL) and self-perceived health, optimally leading to the maintenance of employment or return to work (RTW) in working-age patients. The aim of this study was to assess individual factors including the QoL and mental health of kidney transplant recipients (KTRs) associated with employment after transplantation. A cross-sectional study including working-age patients with a history of KTx after 2012 was conducted at two Austrian study centers (Vienna and Graz). Brief Symptom Inventory (BSI-18), World Health Organization Quality of Life (WHOQOL-Bref) and Workability Index (WAI) were assessed along with detailed questionnaires on employment status. Out of n = 139 KTRs (43.2 ± 9.07 years; 57.6% male), 72 (51.8%) were employed. Employed patients were more frequently in a partnership (p = 0.018) and had higher education levels (p = 0.01) and QoL scores (<0.001). Unemployed KTRs reported fatigue and mental health issues more often (p < 0.001), and had significantly higher anxiety, depression and somatization scores (BSI-18). In unadjusted logistical regression, workability score (WAS; odds ratio (OR) = 3.39; 95% confidence interval (CI) = 1.97–5.82; p < 0.001), partnership (OR = 5.47; 95% CI 1.43–20.91; p = 0.013) and no psychological counseling after KTx (OR = 0.06; 95% CI = 0.003–0.969; p = 0.048) were independently associated with employment. Self-assessed mental health, workability and QoL were significantly associated with employment status after KTx. Thus, in order to facilitate RTW after KTx in Austria, vocational rehabilitation and RTW programs addressing KTRs should focus on increasing social support and care for their mental health.

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“…After transplantation, considering that all our donors were genetically or emotionally related, both the recipient and the donor would be released from the out of pocket expenses caused by the dialysis treatment, and the recipient might restart a full working life, which could also have a positive effect on the donors’ socioeconomic status. Although our study did not measure changes in working status, a recent study shows that the percentage of recipients who were back to work 1-year after transplantation depends on the type of work 37 . Additional research is needed both to confirm the improvement in socioeconomic status and to define its determinants.…”

Section: Discussionmentioning

confidence: 98%

Psychosocial risk factors for impaired health-related quality of life in living kidney donors: results from the ELIPSY prospective study

Menjívar

Torres

Manyalich

et al. 2020

Sci Rep

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Living kidney donors’ follow-up is usually focused on the assessment of the surgical and medical outcomes. Whilst the psychosocial follow-up is advocated in literature. It is still not entirely clear which exact psychosocial factors are related to a poor psychosocial outcome of donors. The aim of our study is to prospectively assess the donors’ psychosocial risks factors to impaired health-related quality of life at 1-year post-donation and link their psychosocial profile before donation with their respective outcomes. The influence of the recipient’s medical outcomes on their donor’s psychosocial outcome was also examined. Sixty donors completed a battery of standardized psychometric instruments (quality of life, mental health, coping strategies, personality, socio-economic status), and ad hoc items regarding the donation process (e.g., motivations for donation, decision-making, risk assessment, and donor-recipient relationship). Donors’ 1-year psychosocial follow-up was favorable and comparable with the general population. So far, cluster-analysis identified a subgroup of donors (28%) with a post-donation reduction of their health-related quality of life. This subgroup expressed comparatively to the rest, the need for more pre-donation information regarding surgery risks, and elevated fear of losing the recipient and commitment to stop their suffering.

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Return to Work and Quality of Life: A Psychosocial Survey After Kidney Transplant

Cited by 17 publications

References 21 publications

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Psychological and Psychopathological Aspects of Kidney Transplantation: A Systematic Review

Employment Status and Associations with Workability, Quality of Life and Mental Health after Kidney Transplantation in Austria

Psychosocial risk factors for impaired health-related quality of life in living kidney donors: results from the ELIPSY prospective study

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