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

Autor/inn/en	Danuser, Brigitta; Simcox, Amira; Studer, Regina; Koller, Michael; Wild, Pascal
Titel	Employment 12 months after kidney transplantation. An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort. Gefälligkeitsübersetzung: Erwerbstätigkeit 12 Monate nach einer Nierentransplantation. Eine ausführliche bio-psychosoziale Analyse der Schweizerischen Transplantationskohorte.
Quelle	In: PLOS ONE, 12 (2017) 4, Art. e0175161, 17 S. PDF als Volltext kostenfreie Datei Link als defekt meldenVerfügbarkeit
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
ISSN	1932-6203
DOI	10.1371/journal.pone.0175161
Schlagwörter	Depression; Psychosozialer Faktor; Chronische Krankheit; Dialyse; Gesundheitszustand; Medizin; Medizinische Rehabilitation; Erwerbsquote; Erwerbsbeteiligung; Qualifikation; Rehabilitand; Schweiz
Abstract	"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." (Author's abstract, IAB-Doku).
Erfasst von	Institut für Arbeitsmarkt- und Berufsforschung, Nürnberg
Update	2018/4