Drs Sahota and Zaghla contributed equally to this paper.
Predictors of employment after liver transplantation
Article first published online: 13 JUN 2006
Volume 20, Issue 4, pages 490–495, July/August 2006
How to Cite
Sahota, A., Zaghla, H., Adkins, R., Ramji, A., Lewis, S., Moser, J., Sher, L. S. and Fong, T.-L. (2006), Predictors of employment after liver transplantation. Clinical Transplantation, 20: 490–495. doi: 10.1111/j.1399-0012.2006.00511.x
- Issue published online: 5 JUL 2006
- Article first published online: 13 JUN 2006
- Accepted for publication 14 February 2006
- quality of life
Abstract: Employment after orthotopic liver transplantation (OLT) indicates recipients’ physical/psychosocial adjustment. Our aim was to determine clinical, socioeconomic and health-related quality of life parameters influencing employment after OLT. Questionnaire on demographics, medical conditions, alcohol and drug use before/after OLT, and a validated 12-Item Short Form Health Survey (SF-12) were mailed to 126 adult OLT patients. Stepwise logistic regression was conducted to identify best predictors of post-OLT employment. Among non-retirees, 49% were employed after OLT. The predictors of employment were: employment status, income, disability status before OLT and Model of End Stage Liver Disease score. These variables had prediction rate of 82%. Individuals working during the five yr prior to OLT were likely to return to work (p < 0.0001), particularly those who held a job for >6 months prior to OLT (p < 0.0001), income >$80 000 before OLT compared with <$30 000 (p = 0.036). Patients receiving Social Security Insurance (SSI) payment for ≥6 months prior to OLT, were less likely to work (p = 0.0005). Severity/duration of liver dysfunction prior to OLT did not correlate with employment. Sense of physical health was poorer in those employed after OLT than in unemployed (p = 0.0003). Socioeconomic factors were the most important predictors of post-OLT employment.