Factors Determining Social Participation in the First Year After Kidney Transplantation: A Prospective Study

Mei, Sijrike F. van der; Son, Willem J. van; Sonderen, Eric L. P. Van; Jong, Paul E. de; Groothoff, Johan W.; Heuvel, W.J.A. van den

doi:10.1097/01.tp.0000281409.35702.53

Cited by 21 publications

(23 citation statements)

References 36 publications

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“…The baseline data collection wave (T1) was performed at 3 months and the second wave (T2) at 1 year posttransplantation [14]. For the third wave (March and April 2009; >6 years posttransplantation), eligibility assessment of the T2 study group ( n = 58) showed that four recipients (7%) had died, three recipients (5%) were back on dialysis, and two (3%) had expressed unwillingness to participate in future studies.…”

Section: Methodsmentioning

confidence: 99%

“…In 2002, we started a follow-up study among renal transplant recipients which aimed to describe changes in social participation (i.e., work, education, household tasks, leisure activities) in the first year after transplantation [14]. Considering work status, we found a rather stable employment rate during the first year after transplantation indicating that those who were able to maintain their job before transplantation did return to work.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Health and Work Outcomes of Renal Transplantation and Patterns of Work Status During the End-Stage Renal Disease Trajectory

et al. 2011

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Introduction The aim of this study was to examine the health- and work outcomes of renal transplant recipients long-term after transplantation as well as the pattern of work status, work ability and disability benefits during the end-stage renal disease (ESRD) trajectory that precedes transplantation. Methods 34 transplant recipients completed interviews 3, 13 months and >6 years posttransplantation. Health status (SF-36), work ability (WAI), and fatigue (CIS) were assessed by questionnaires, clinical data were derived from medical charts, and data on functional limitations were extracted from the social security system database. The work status trajectory preceding transplantation was examined retrospectively. Results Of the 34 third wave transplant recipients, 29% were severely fatigued. Compared with the general working population, recipients experienced worse general health and less vitality. Non-working recipients had worse renal function and general health, and more limitations in physical functioning compared to working recipients. The WAI score indicated moderate work ability for 60% of the employed recipients. Although 67% were employed (45% parttime), 30% of those working still received some disability benefits. Social insurance physicians found variable levels of functional limitations. The mean work status trajectory showed more sickness absence and less work ability during dialysis, but after transplantation, both work status and work ability generally improved. Conclusions Transplant recipients have a compromised health status which leads to functional limitations and disability. Although work status improved after transplantation, a substantial number of the transplant recipients received disability benefits. The negative health consequences of anti-rejection medications may play an important role in long-term work ability. These results indicate that a ‘new’ kidney has advantages over dialysis with respect to work, but does not necessarily leads to ‘normal’ work outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-Term Health and Work Outcomes of Renal Transplantation and Patterns of Work Status During the End-Stage Renal Disease Trajectory

et al. 2011

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“…Over the past years, several predictors of not being employed post-Tx in kidney patients have been identified: Post-Tx employment status was consistently and highly correlated with pre-Tx employment status [4–7, 9–11]. Receiving a kidney from a living donor was regularly found to enhance social participation [12] and to specifically enhance the chance to be employed [6, 9, 13, 14]. Transplanted populations in general represent an aging population and most of these patients have a long disease history.…”

Section: Introductionmentioning

confidence: 99%

“…Indicators for complications [16], post-operative complications [6], comorbidity [12], and blood pressure [4] showed no influence on employment post-Tx. Findings with respect to the influence of creatinine on employment post-Tx are mixed [4, 12]. In recent studies, a negative influence of the duration of dialyses pre-Tx and a positive influence of pre-emptive Tx on employment have been reported [6, 9].…”

Section: Introductionmentioning

confidence: 99%

Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

et al. 2017

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BackgroundReturn to work with or after a chronic disease is a dynamic process influenced by a variety of interactions between personal, work, societal and medical resources or constraints. The aim of this study was to identify predictors for employment 12 months after transplantation in kidney patients, applying a bio-psycho-social model.MethodsAll kidney patients followed in the Swiss Transplant Cohort between May 2008 and December 2012, aged 18 to 65 were assessed before, 6 and 12 months after transplantation.ResultsOf the 689 included patients, 56.2% worked 12 months post- transplantation compared to 58.9% pre-transplantation. Age, education, self-perceived health (6 months post- transplantation), pre- transplantation employment and receiving an organ from a living donor are significant predictors of employment post- transplantation. Moreover, while self-perceived health increased post- transplantation, depression score decreased only among those employed 12 months post- transplantation. Pre- transplantation employment status was the main predictor for post- transplantation employment (OR = 18.6) and was associated with sex, age, education, depression and duration of dialysis. An organ from a living donor (42.1%) was more frequent in younger patients, with higher education, no diabetes and shorter waiting time to surgery.ConclusionTransplantation did not increase employment in end-stage kidney disease patients but helped maintaining employment. Pre-transplantation employment has been confirmed to be the most important predictor of post-transplantation employment. Furthermore, socio-demographic and individual factors predicted directly and indirectly the post-transplantation employment status. With living donor, an additional predictor linked to social factors and the medical procedure has been identified.

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“…29,31 Aasebo 31 presented in a study about 'the life situation of kidney recipients' that kidney recipients had a higher education compared to the general population. Similar studies by Karam et al 11 and Van Der Mei et al 32 showed the opposite, that fewer liver-as well as kidney recipients had a higher education than the general population. Karam et al 19 also showed that higher education is associated with higher social participation.…”

Section: Educationmentioning

confidence: 72%

Social function after solid organ transplantation: An integrative review

Cavallini

Forsberg

Lennerling

2015

Nordic Journal of Nursing Research

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The way organ transplant recipients depend on social interactions to develop and experience social health and well-being is similar to that of the general population. A transplant may result in a close to full recovery of health status, but the physical and social problems can persist in some patients. The focus on improving the recipients' social participation has therefore become an important issue. The purpose of this integrative literature review was study social function after solid organ transplantation, that is, kidney, liver, lung or heart. An integrative review was performed on studies that matched the selection criteria and published in peer-reviewed journals from January 2000 to December 2014. The information from the text was extracted and patterns of social function were categorized into different subgroups that were further looked at, and five categories emerged: 1) work, 2) education, 3) daily activities and leisure, 4) social adaption and 5) barriers. The key aspects of social functioning involve five vital domains, that is, work, education, daily activities and leisure, social adaption and barriers. Returning to work appears to be the most important for the recipients independently of the transplanted organ.

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Factors Determining Social Participation in the First Year After Kidney Transplantation: A Prospective Study

Cited by 21 publications

References 36 publications

Long-Term Health and Work Outcomes of Renal Transplantation and Patterns of Work Status During the End-Stage Renal Disease Trajectory

Long-Term Health and Work Outcomes of Renal Transplantation and Patterns of Work Status During the End-Stage Renal Disease Trajectory

Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort

Social function after solid organ transplantation: An integrative review

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