Conflict of interest: The authors have no conflicts of interest to declare.
Employment outcomes following successful renal transplantation
Version of Record online: 5 APR 2011
© 2011 John Wiley & Sons A/S.
Volume 26, Issue 2, pages 242–246, March/April 2012
How to Cite
Eng, M., Zhang, J., Cambon, A., Marvin, M. R. and Gleason, J. (2012), Employment outcomes following successful renal transplantation. Clinical Transplantation, 26: 242–246. doi: 10.1111/j.1399-0012.2011.01441.x
- Issue online: 16 APR 2012
- Version of Record online: 5 APR 2011
- Accepted for publication 23 February 2011
- end stage renal disease;
- renal transplant
Eng M, Zhang J, Cambon A, Marvin MR, Gleason J. Employment outcomes following successful renal transplantation. Clin Transplant 2011 DOI: 10.1111/j.1399-0012.2011.01441.x. © 2011 John Wiley & Sons A/S.
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.