Format

Send to

Choose Destination
Clin Transplant. 2012 Mar-Apr;26(2):242-6. doi: 10.1111/j.1399-0012.2011.01441.x. Epub 2011 Apr 5.

Employment outcomes following successful renal transplantation.

Author information

1
Department of Surgery, Division of Transplantation, University of Louisville, Louisville, KY 40292, USA. mary.eng@louisville.edu

Abstract

BACKGROUND:

Data on employment outcomes after successful renal transplantation are few. We conducted this study to identify favorable factors for employment after transplantation.

METHODS:

Adult patients <65 yr of age who underwent renal transplantation between January 1, 2002 and December 31, 2007 were surveyed. Patients with graft survival <1 yr were excluded. We also tested their knowledge of Medicare coverage after transplantation. Data were analyzed using chi-squared and Fisher's exact tests. p-Value <0.05 was considered statistically significant.

RESULTS:

A 55% response rate was obtained where 56% of respondents were employed after transplantation. Race, marital status, previous transplant, and complicated post-operative course did not influence employment. Favorable factors include male gender (p=0.04), younger age (<40 [p=0.0003] or <50 yr [p<0.0001]), having ≥1 dependent (p=0.04), higher education (minimum high school degree [p=0.003] or some college [p=0.002]), live donor recipient (p=0.004), wait time <2 yr (p=0.03), dialysis <2 yr (p<0.0001) or pre-dialysis (p=0.04), and pre-transplantation employment (p<0.0001). Mean time for employment was 4.9±6.3 months (median three months). Common reasons for unemployment were disability (59%) and retirement (27%). Finally, 7% correctly responded that Medicare benefits end 36 months following transplantation.

CONCLUSIONS:

Potentially modifiable factors to improve employment are earlier referral and better education regarding Medicare eligibility.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center