Employment Patterns After Successful Kidney Transplantation1

Matas, Arthur J.; Lawson, W.; McHugh, Lois; Gillingham, Kristen J.; Payne, William D.; Dünn, David L.; Gruessner, Rainer W.G.; Sutherland, David E.R.; Najarían, John S.

doi:10.1097/00007890-199603150-00010

Cited by 63 publications

(96 citation statements)

References 6 publications

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“…These factors are also associated with return to work after kidney transplantation (12,15). Besides demographic factors employment is affected by clinical factors such as time since transplantation (11) and nondiabetic status (10). Apart from these studies with employment as outcome measure little is known of factors that affect the other components of social outcome mentioned above.…”

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confidence: 99%

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

et al. 2006

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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.

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confidence: 99%

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

et al. 2006

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“…Employment rates after solid organ transplantation have been reported as low as 45-55% [42][43][44][45][46] driven by poor health, acute rejection episodes, and fear of loss of health insurance or disability benefits. 42,45,47 On the other hand, transplant recipients who worked prior to transplantation and have higher pre-transplant incomes and levels of education, as well as those without diabetes and receiving the kidney from the living donor are more likely to return to work.…”

Section: Employment Statusmentioning

confidence: 99%

“…42,45,47 On the other hand, transplant recipients who worked prior to transplantation and have higher pre-transplant incomes and levels of education, as well as those without diabetes and receiving the kidney from the living donor are more likely to return to work. 42,46 It has been reported that solid organ transplant recipients who return to work differ in several aspects from those who do not, including shorter periods of pre-transplant disability and unemployment (age 35-50 years), higher educational level, retention of health insurance, and a professional job. 43 Furthermore, post-transplant employment is associated with better transplant outcome.…”

Section: Employment Statusmentioning

confidence: 99%

The role of disparities and socioeconomic factors in access to kidney transplantation and its outcome

Hod¹,

Goldfarb–Rumyantzev

2014

Renal Failure

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Background: Research focused on identifying vulnerable populations and revealing specific risk factors for barriers along the pathway from ESRD to kidney transplantation has been mostly descriptive and the causes of existing disparities remain unclear. However, several socio-economic factors that are associated with the access to and the outcome of the kidney transplantation have been identified. Summary: While the presence of racial, gender, and geographic disparities is noted, we were interested mostly to describe potential socioeconomic factors associated with and possibly responsible for the presence of such disparities. In this review we focused on five factors: education level, employment status, income, presence of substance addiction or abuse, and marital status. We describe the new method to quantify patients' socio-economic status and identify the group of high risk in terms of the transplant outcome, easily calculated social adaptability index, previously associated with clinical outcome in several patient populations including those with kidney transplant. At the end, based on literature analyzed we offer potential interventions that potentially can be used in order to reduce the degree of disparities. Conclusion: Based on review of literature socio-economic factors are associated with and possibly responsible for healthcare disparities. Social adaptability index allows quantifying the degree of socio-economic status and identifying the group of high risk for inferior transplant outcome.

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“…Living kidney donation has been shown to be cost saving for society (39), in addition to the numerous benefits for the recipients (40)(41)(42) …”

Section: Clinical and Policy Implicationsmentioning

confidence: 99%

Life Insurance for Living Kidney Donors: A Canadian Undercover Investigation

Yang

Young

Nevis

et al. 2009

American Journal of Transplantation

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Some living kidney donors encounter difficulties obtaining life insurance, despite previous surveys of insurance companies reporting otherwise. To better understand the effect of donation on insurability, we contacted offices of life insurance companies in five major cities in Canada to obtain $100 000 of life insurance (20-year term) for 40 fictitious living kidney donors and 40 paired controls. These profiles were matched on age, gender, family history of kidney disease and presence of hypertension. The companies were blinded to data collection. The study protocol was reviewed by the Office of Research Ethics. The main study outcomes were the annual premium quoted and total time spent on the phone with the insurance agent. All donor and control profiles received a quote, with no significant difference in the premium quoted (medians $190 vs. $209, p = 0.89). More time was spent on the phone for donor compared to control profiles, but the absolute difference was small (medians 9.5 vs. 7.0 min, p = 0.046). Age, gender, family history of kidney disease and new-onset hypertension had no further effect on donor insurability in regression analysis. We found no evidence that kidney donors were disadvantaged in the first step of applying for life insurance. The effect donation has on subsequent phases of insurance underwriting remains to be studied.

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Employment Patterns After Successful Kidney Transplantation1

Cited by 63 publications

References 6 publications

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

Clinical Factors Influencing Participation in Society after Successful Kidney Transplantation

The role of disparities and socioeconomic factors in access to kidney transplantation and its outcome

Life Insurance for Living Kidney Donors: A Canadian Undercover Investigation

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