Social participation and employment status after kidney transplantation: A systematic review

Mei, Sijrike F. van der; Krol, Boudien; Son, Willem J. van; Jong, Paul E. de; Groothoff, Johan W.; Heuvel, W.J.A. van den

doi:10.1007/s11136-006-0045-5

Cited by 49 publications

(59 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Markell et al reported an employment rate of 43% (11), Matas et al of 47% (10) and Raiz 58% (12). However, comparison of these figures is difficult because of existing differences in defining patients as employed, differences in social legislation between countries and the heterogeneity of study populations (21).…”

Section: Discussionmentioning

confidence: 99%

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

et al. 2006

Self Cite

View full text Add to dashboard Cite

Clinical factors influencing participation in society after successful kidney transplantation van der Mei, S.F.; Groothoff, J.W.; van Sonderen, E.L.P.; van den Heuvel, W.J.A.; de Jong, P.E.; van Son, W.J. Background. Little information is available on the degree of actual social functioning after successful kidney transplantation. Moreover, information on factors that influence participation in social activities is scarce. The aim of this study was to examine the influence of clinical factors on social outcome. Methods. A retrospective study was performed on a cohort of primary kidney transplantation patients, transplanted between 1996 and 2001. Cross-sectional data on participation in obligatory activities (i.e. employment, education, household tasks), leisure activities (i.e. volunteer work, assisting others, sports, clubs/associations, recreation, socializing, going out) and change in participation were collected by in-home interviews (nϭ239). Multivariate regression analysis was performed.Results. Thirty-six percent of the patients scored low on obligatory participation and only 52.4% was employed.Patients were actively involved in a wide range of leisure activities. Twenty-six percent participated in sports. Multivariate analysis (age-, sex-, and education-adjusted) of participation in obligatory activities showed negative associations with advanced age (PϽ0.01), comorbidity (previous cardiovascular events; PϽ0.01) and cadaveric transplantation (PϽ0.01). There was a positive association with time since transplantation (PϽ0.01). Multivariate analysis of diversity of participation in leisure activities and perceived change in participation after transplantation showed no statistically significant associations with clinical factors. Conclusions.Besides age, clinical factors such as type of donation (cadaveric versus living), comorbidity (previous cardiovascular events), and time since transplantation were associated with participation in obligatory activities such as employment, education and household tasks. Diversity of leisure activities and change in participation was not affected by clinical factors.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

et al. 2006

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nevertheless, the vocational rehabilitation after KTX is suboptimal [4]. Side effects of immunosuppression and posttransplant complications contribute to loss of allograft function [5,6,7,8], which leads to reduced quality of life [9,10,11] and possibly impaired ability to work.…”

Section: Introductionmentioning

confidence: 99%

“…As a consequence, those patients with poor earnings prospects and inability to obtain private or employer group health insurance from work or their spouse may have high incentives to rely on disability plans in order to protect their access to health care. However, few researches comprehensively evaluated occupational, clinical and socioeconomic factors altogether; additionally, most studies focused on rough measurement of employment status and ability to work, thus limiting the understanding of the disablement process [4]. Hence, the interplay between economic incentives, sociodemographic factors and health and its effect on labor supply decisions after transplant is poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Work Ability and Labor Supply after Kidney Transplantation

et al. 2014

View full text Add to dashboard Cite

Background: The vocational rehabilitation after kidney transplantation (KTX) is suboptimal. We sought to evaluate correlates of occupational outcomes after KTX. Methods: We included 336 working-age patients with at least one creatinine assessment in the 3-month screening period. We collected clinical information from medical records. All subjects answered a self-administered questionnaire, and a follow-up questionnaire was mailed to each participant after 6 months. Study outcomes were the Work Ability Index (WAI) and labor supply (the number of days each patient worked in the follow-up period). We estimated the glomerular filtration rate (eGFR) with the Modification of Diet in Renal Disease Study equation. Results: The mean eGFR was 52.76 ± 23.68 ml/min/1.73 m². The age-standardized employment-to-population ratio was 62%. Comorbidities, self-reported work ability, gender, age, health insurance type, and time since transplant were associated with employment status at baseline. The WAI (38.79 ± 5.88) was associated with the severity of renal impairment, work attachment and comorbidities. After 6 months, labor supply (mean 19.4 ± 9.7 weeks) was associated with WAI item 1 (ρ = 0.22; p = 0.03); eGFR was significantly associated with labor supply, and this association was slightly stronger in patients with physically demanding jobs. Conclusions: We identified modifiable factors associated with poor occupational outcomes in kidney transplant recipients. Consistent with labor supply theory, our results suggest that health care coverage plays a key role in employment decisions after KTX independent of possible confounders. Additionally, our study provides the rationale to further evaluate the implications of renal function-preserving strategies for indirect cost savings and self-reported ability to work after transplant.

show abstract

“…Policy makers may consider funding navigators to work at each of the more than 5000 dialysis facilities nationwide (1). This would not only help patients complete steps in the transplant process but also create meaningful job opportunities for the many kidney transplant recipients who are currently unemployed (28).…”

Section: Discussionmentioning

confidence: 99%

Impact of Navigators on Completion of Steps in the Kidney Transplant Process

Sullivan

León

Sayre

et al. 2012

Clinical Journal of the American Society of Nephrology

136

151

View full text Add to dashboard Cite

SummaryBackground and objectives Many patients with ESRD, particularly minorities and women, face barriers in completing the steps required to obtain a transplant. These eight sequential steps are as follows: medical suitability, interest in transplant, referral to a transplant center, first visit to center, transplant workup, successful candidate, waiting list or identify living donor, and receive transplant. This study sought to determine the effect of navigators on completion of steps.

show abstract

Social participation and employment status after kidney transplantation: A systematic review

Cited by 49 publications

References 44 publications

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

Work Ability and Labor Supply after Kidney Transplantation

Impact of Navigators on Completion of Steps in the Kidney Transplant Process

Contact Info

Product

Resources

About