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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(4
): e0175161
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Employment 12 months after kidney transplantation: An in-depth bio-psycho-social
analysis of the Swiss Transplant Cohort
#MMPMID28448501
Danuser B
; Simcox A
; Studer R
; Koller M
; Wild P
PLoS One
2017[]; 12
(4
): e0175161
PMID28448501
show ga
BACKGROUND: Return 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. METHODS: All 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. RESULTS: Of 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. CONCLUSION: Transplantation 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.
|*Models, Statistical
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Cohort Studies
[MESH]
|Employment/*psychology/*statistics & numerical data
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Kidney Transplantation/*psychology/*statistics & numerical data
[MESH]