Predictors of return to work after kidney transplantation: a 12-month cohort of the Japan Academic Consortium of Kidney Transplantation study.
end-stage renal disease
kidney transplantation
return to work
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
03 10 2019
03 10 2019
Historique:
entrez:
6
10
2019
pubmed:
6
10
2019
medline:
21
10
2020
Statut:
epublish
Résumé
To investigate the cumulative return-to-work (RTW) rate and to identify predictors of employment after kidney transplantation (KT). Retrospective, outpatient-based cohort study. This was a single-centre study of the largest Japanese kidney transplant centre. We selected Japanese kidney transplant recipients aged 20-64 years who were employed in paid jobs at the time of transplantation and who visited an outpatient clinic from December 2017 to March 2018. From 797 patients, we evaluated 515 in this study. We interviewed patients at an outpatient clinic and investigated the timing and predictors of RTW using logistic regression models. The primary outcome was the cumulative RTW rate, and the secondary outcome was to investigate the predictors of RTW after KT. Among the 515 included recipients, the cumulative overall partial/full RTW rates at 2, 4, 6 and 12 months were 22.3%, 59.0%, 77.1% and 85.0%, respectively. The median duration from transplantation to RTW was 4 months. Regarding partial/full RTW, according to the multivariable analysis including all variables, male sex was a greater predictor for RTW than female sex (OR 2.05, 95% CI 1.32 to 3.20), and a managerial position was a greater predictor than a non-managerial position (OR 2.23, 95% CI 1.42 to 3.52). Regarding full RTW, male sex (OR 1.95, 95% CI 1.25 to 3.06) and managerial position (OR 1.95, 95% CI 1.25 to 3.06) were also good predictors. The cumulative RTW rate was 85.0% 1-year post-transplantation. Given that cumulative RTW rates varied by sex and position, transplant and occupational physicians should support kidney transplant recipients in the aspect of returning to work. UMIN000033449.
Identifiants
pubmed: 31585975
pii: bmjopen-2019-031231
doi: 10.1136/bmjopen-2019-031231
pmc: PMC6797409
doi:
Banques de données
UMIN-CTR
['UMIN000033449']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e031231Commentaires et corrections
Type : ErratumIn
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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