Employment of Patients Receiving Maintenance Dialysis and After Kidney Transplant: A Cross-sectional Study From Finland

Helanterä, Ilkka; Haapio, Mikko; Koskinen, Petri; Grönhagen‐Riska, Carola; Finne, Patrik

doi:10.1053/j.ajkd.2011.08.025

Cited by 81 publications

(108 citation statements)

References 25 publications

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“…Many possible factors infusing employment status were reported such as age, gender, education levels, lifestyle, dialysis modality, medical insurance, serum albumin, anemia, physical and psychological functioning, disease etiology(diabetes), availability of late-shift dialysis, training, and high-frequency hemodialysis [9,10,[17][18][19][20][21]. However, in our study, we observed that only increasing age, lower educational level, and higher annual income were identified as independent risk factors for loss of employment.…”

Section: Discussionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

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Aim: Returning to society plays an important role in improving the quality of life in maintenance hemodialysis (MHD) patients, and retention of employment is one of the core enablers. The study is to assess the employment status and to determine the variables for unemployment in Chinese MHD patients. Methods: Prevalent MHD patients from four dialysis centers in Shanghai China were enrolled. We assessed patients' employment status, current social functioning, hemodialysis modality, annual income and general health condition. Among current unemployed working-age patients, the reasons of quitting jobs and willingness of being reemployed were evaluated. Results: A total of 231 patients were studied, among which 114 patients were unemployed 1 year before hemodialysis. Among 117 employed patients, 16 patients quitted jobs before dialysis inception, while 49 patients quitted jobs at the initiation of HD, and 26 patients followed after a few months' HD. The main reasons for ceasing employment were physical insufficiency, conflict between dialysis and work schedules, lack of support from employers and resistance from family members. Among the 166 patients who were in their working age, 26 patients were employed. The unemployed patients had the characters of elder age, lower education level, higher annual family income, higher female ratio, lower blood flow, lower physical functioning, and social functioning and lower frequency of weekend hemodialysis and HDF/HF. Among the 140 unemployed patients, only 47 patients had the willingness of being reemployed. Their unemployment status was positively associated with elder age ((OR) 3.13, 95% CI, 1.08-9.1), lower education level ((OR) 1.97, 95% CI, 1.05-5.92), and higher family income ((OR) 7.75, 95% CI, 2.49-24.14).

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Section: Discussionmentioning

confidence: 99%

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Huang

Lai

et al. 2017

Renal Failure

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“…However, the effect was probably negligible, given that ESRD patients in Taiwan are eligible for dialysis free of charge, and few patients undergoing dialysis would choose to emigrate. Second, neither the lifetime expenses not paid by the NHI (for example, monthly transportation fees and costs for caregivers employed) nor the work status of the patients [the employment rate in PD patients is generally higher (29)] was included in the study. Transportation expenditures incurred by a family member or members accompanying a patient during HD may also directly or indirectly affect the cost of care.…”

Section: Discussionmentioning

confidence: 99%

Lifetime Costs for Peritoneal Dialysis and Hemodialysis in Patients in Taiwan

et al. 2013

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“…In a crosssectional study of patients included in the Finnish Registry of Kidney Diseases, the probability of being in employment was considerably higher for patients receiving HHD (the majority of whom were receiving intensive therapy) than for those receiving incentre CHD (adjusted rela tive risk 1.87). 90 If calculation of this monetary benefit were achievable, increased evidence of an overall cost benefit might be expected, which would provide a strong economic argument in favour of IHHD. Despite the deficiencies of these cost-benefit models they remain the best such data we have.…”

Section: Costsmentioning

confidence: 99%

Intensive home haemodialysis: benefits and barriers

2012

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Accumulating evidence of the benefits of intensive home haemodialysis has led to increased international interest in this modality as a viable option for renal replacement therapy. Until the late 1970s, haemodialysis was primarily performed at home; however, the development of in-centre and satellite dialysis units and the advent of peritoneal dialysis led to decreased numbers of patients being managed by home haemodialysis. Over the past decade, a move towards once again providing and supporting haemodialysis at home has emerged, due to a desire to offer a more convenient form of dialysis for the patient in a more cost-effective manner. This shift has generated clinical evidence indicating benefits both from receiving haemodialysis at home, and from the option to provide intensive dialysis treatment in this setting. With the development of new home haemodialysis programs, specific patient-related, physician-related and cost-related barriers to their introduction have been encountered, including patient fear of self-cannulation and lack of expert medical knowledge in the area. This Review discusses the benefits and barriers associated with intensive home haemodialysis.

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Employment of Patients Receiving Maintenance Dialysis and After Kidney Transplant: A Cross-sectional Study From Finland

Cited by 81 publications

References 25 publications

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Low employment and low willingness of being reemployed in Chinese working-age maintained hemodialysis patients

Lifetime Costs for Peritoneal Dialysis and Hemodialysis in Patients in Taiwan

Intensive home haemodialysis: benefits and barriers

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