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

Ravi, Y.; Lella, Srihari; Copeland, Laurel A.; Zolfaghari, Kiumars; Grady, Kathleen L.; Emani, Sitaramesh; Sai-Sudhakar, Chittoor

doi:10.1016/j.healun.2018.01.1307

Cited by 11 publications

(10 citation statements)

References 18 publications

(31 reference statements)

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“…Heart recipients also are more likely to work after receiving the graft if they have been previously employed [8]. Moreover, Ravi et al observed that the patients who had worked prior to heart transplantation presented lower 5-year and 10-year mortality rates after the procedure [14]. Salaried work does not only provide the necessary means for survival but also improves the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Employment after lung transplantation in Poland – a single center study

Ochman¹,

Latos²,

Orzeł³

et al. 2019

Int J Occup Med Environ Health

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Objectives: Lung transplantation not only saves a patient's life but also creates the opportunity for becoming more self-reliant and getting back to work. The aim of this single center study was to assess the prospects of employment, as well as its influence on the quality of life and physical activity, of the lung transplant recipients of the Silesian Center for Heart Diseases in Zabrze, Poland. Material and Methods: A retrospective study covered 67 lung transplant recipients of the Silesian Center of Heart Diseases. Only patients with ≥ 6-month follow-up were included. All of the patients gave their written consent to be included in the study before filling out the questionnaire containing questions about employment, income, education and how work affected their quality of life before and after lung transplantation. A physical capability assessment was performed by climbing flights of stairs and by means of a 6-min walk test, and spirometry parameters were also measured. Results: Twenty of the patients included in the study (31.7%) were employed after lung transplantation, 63.2% of whom worked full-time. Profession was changed by 2 patients (14.3%). The patients diagnosed with cystic fibrosis were found to have the highest chance of finding employment after lung transplantation. The statistical analysis revealed that the employed patients were able to cover longer distances during the 6-min walk test (556 m, on average) than the unemployed ones (494 m, on average). Conclusions: One in 3 patients finds employment after lung transplantation. Work improves the quality of life of the majority of lung transplant recipients. The patients who are employed are also in a better physical condition, and they are more self-reliant in comparison to those who remain unemployed. Lung transplant recipients with cystic fibrosis are most likely to find employment, and so are patients with higher education. Int J Occup

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Section: Discussionmentioning

confidence: 99%

Employment after lung transplantation in Poland – a single center study

Ochman¹,

Latos²,

Orzeł³

et al. 2019

Int J Occup Med Environ Health

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“…The registry tracks every organ donation and transplant occurring in the United States and publishes pre‐transplant and post‐transplant data on an online database 25 . Data was obtained from the “Standard Transplant Analysis and Research” (STAR) files, “Thoracic” section on heart transplant patients, as previously described 26 . The public‐use database study was deemed exempt from institutional review board approval.…”

Section: Methodsmentioning

confidence: 99%

“…Research" (STAR) files, "Thoracic" section on heart transplant patients, as previously described. 26 The public-use database study was deemed…”

Section: Methodsmentioning

confidence: 99%

Retrospective analysis of the impact of pre‐transplant implantable cardioverter‐defibrillator status on long‐term prognosis in heart transplant patients

Dean

Zoni

Copeland

et al. 2022

Clinical Transplantation

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Background Sudden cardiac death (SCD) post‐heart transplantation affects 8%–35% of patients; however, the risk profile remains to be completely elucidated. While pre‐transplant ICDs are typically removed during transplantation, no information exists to suggest if this pre‐transplant risk stratification is also associated with post‐transplant outcomes. The objective of this study was to assess the impact of pre‐transplant ICD status on long‐term prognosis post‐heart transplant. Methods The United Network for Organ Sharing registry was queried for all adult heart transplant recipients from 2010 to 2018. Patients were categorized as with versus without ICD prior to heart transplantation. Survival was compared using Kaplan‐Meier analysis. Proportional hazards regression analysis assessed the impact of ICDs adjusting for clinical and demographic covariates. Results Of 19 026 patients included, 78.6% (n = 14 960) had received an ICD at time of registration. Patients with an ICD were older [54.9 (±11.6) years vs. 48.6 (±15.3) years, p < .001], less likely to be female [25.7% (n = 3842) vs. 31.2% (n = 1269), p < .001], and more commonly diabetic [29.3% (n = 4376) vs 23.5% (n = 954), p < .001]. Kaplan‐Meier analysis showed no difference in unadjusted survival trajectory by ICD status (chi‐square = .48, p = .49). Survival was unrelated to ICD status in the multivariable model (HR = .98; 95% CI .90–1.07). Conclusions Patients receiving an ICD pre‐transplant had a higher prevalence of risk factors for SCD than non‐ICD patients, yet ICD status prior to heart transplantation was not associated with a change in long‐term prognosis post‐heart transplantation.

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“…According to the employment questionnaire for liver transplant patients (Wang et al, 2013), employment states were divided into five responses: very poor, poor, fair, good and very good and the 5‐point Likert scale was used to score them as 1, 2, 3, 4 and 5, respectively. Studies have shown that a positive employment state is associated with increased work satisfaction and engagement, and a better state to cope with stress (Ravi et al, 2018; van Hooff & Geurts, 2015), thereby can maintain the sustainability of employment and improve the quality of employment. Because the employment state is linked to a variety of positive outcomes, it is necessary to investigate factors that could influence it.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing employment rates and states after liver transplantation in China: A multi‐centre cross‐sectional study

et al. 2022

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Aim The aim of this study was to assess employment rates and states and the factors influencing liver transplant recipients in China. Design A cross‐sectional study. Methods A total of 212 liver transplant recipients were included in this study. Questionnaires for general situation information and the Hospital Anxiety and Depression Scale, Perceived Social Support Scale and Chronic Disease Self‐Efficacy Scale were used. Results Among the liver transplantation, 212 recipients were included in the study, 125 (59%) were employed after liver transplantation compared with 148 (69.8%) who were employed before liver transplantation. Among the 125 recipients that returned to work, only 38.2% thought their employment states were good before liver transplantation, while 81.6% thought that their employment states were good after liver transplantation. Gender, age and employment status before transplantation, aetiology of liver disease, number of physical activities, per capita monthly income, comorbidity and depression were significantly associated with return to work. Self‐efficacy, social support, liver function and nature of work were significantly associated with employment state.

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

Cited by 11 publications

References 18 publications

Employment after lung transplantation in Poland – a single center study

Employment after lung transplantation in Poland – a single center study

Retrospective analysis of the impact of pre‐transplant implantable cardioverter‐defibrillator status on long‐term prognosis in heart transplant patients

Factors influencing employment rates and states after liver transplantation in China: A multi‐centre cross‐sectional study

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