Social Diagnosis of Chronic Kidney Disease Patients in Preparation for Living Donor Renal Transplantation

Tirapani, L.S.; Rodrigues, Caroline Fabri Bittencourt; Marsicano, Elisa Oliveira; Braga, L.S.S.; Grincenkov, F.R.S.; Silveira, S.T.C. da; Dalamura, R.O.; Bastos, Marcus Gomes; Sanders-Pinheiro, Hélady

doi:10.1016/j.transproceed.2012.07.012

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…The influence of a short dialyses period or pre-emptive Tx has recently emerged [6, 9, 10, 28]. Maintaining professional employment while being on long-term dialyses is hard to achieve due to the time-consuming treatment and its side-effects [25, 29]. The type of dialysis was not associated with the pre-Tx employment status.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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Psychological and Emotional Aspects in Living Donor Kidney Transplantation

Pistorio¹,

Veroux²,

Trigona³

et al. 2019

Transplantation Proceedings

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Necessidades e recursos sociais em doentes renais crônicos hemodialisados

Olim¹,

Guadalupe

Zeferino³

et al. 2018

Serv. Soc. e Saúde

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O estudo apresenta dados acerca da provisão social das necessidades de doentes insuficientes renais crónicos em tratamento de hemodiálise em Portugal. Estudo descritivo dos dados dos processos sociais de 1436 doentes no ano de 2017. Na maioria são do sexo masculino (60,7%) e têm idades entre os 19 e os 97 anos (M = 66,3; DP = 15,8). Foram sinalizadas 2550 necessidades, 1,78 sinalizações em média por doente. Do total, 48% apresentam necessidades de apoio material/instrumental, 31,2% evidenciaram necessidades de advocacy e de intervenção psicossocial, sendo estas e as de apoio logístico que apresentam um número mais elevado de sinalizações (M = 1,257; M = 1,431, respetivamente). Em 63,4% dos casos a resposta foi adequada. As necessidades não satisfeitas são por resposta desadequada ou por inexistência de resposta (6,2%; 5,5%), ou ainda por não adesão do doente/família (14,1%; 6,1%). Analisadas as diferenças sociodemográficas, as pessoas viúvas registam um número de necessidades superior aos outros estados civis (p < 0,01), e os doentes em famílias de acolhimento ou instituições (p < 0,01). O conhecimento das necessidades destes doentes é fulcral para o Serviço Social favorecer programas de provisão às necessidades dominantes e para grupos de especial atenção.

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Social Diagnosis of Chronic Kidney Disease Patients in Preparation for Living Donor Renal Transplantation

Cited by 3 publications

References 8 publications

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

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

Psychological and Emotional Aspects in Living Donor Kidney Transplantation

Necessidades e recursos sociais em doentes renais crônicos hemodialisados

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