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Analysis of Factors Affecting Employment Status of Kidney Transplant Recipients in Selected European Union Member States

Author

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  • Elzbieta Wlodarczyk

    (Department of Geriatrics, Faculty of Medical Sciences, Collegium Medicum in Bydgoszcz, Nicolaus University, 87-100 Torun, Poland)

  • Ondřej Viklický

    (Institute for Clinical and Experimental Medicine, 140 21 Prague, Czech Republic)

  • Klemens Budde

    (Medizinische Klinik Mit Schwerpunkt Nephrologie und Internistische Intensivmedizin, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Marie Kolářová

    (Institute for Clinical and Experimental Medicine, 140 21 Prague, Czech Republic)

  • Leon Bergfeld

    (Medizinische Klinik Mit Schwerpunkt Nephrologie und Internistische Intensivmedizin, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Leszek Paczek

    (Department of Immunology, Transplantology and Internal Medicine, Warsaw Medical University, 02-091 Warsaw, Poland)

  • Krzysztof Mucha

    (Department of Immunology, Transplantology and Internal Medicine, Warsaw Medical University, 02-091 Warsaw, Poland)

  • Maciej Glyda

    (Department of Transplantology and General Surgery, Poznan District Hospital, 60-479 Poznan, Poland)

  • Zbigniew Wlodarczyk

    (Department of Transplantology and General Surgery, Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus University, 87-100 Torun, Poland)

Abstract

Despite an increasing quality of life after renal transplantation, the number of recipients undertaking paid professional work remains relatively low. Employment after kidney transplantation became a new important marker of clinically significant health recovery. Furthermore, for social and economic reasons, returning to work and participation in social life may be considered as an objective parameter that demonstrate the effectiveness of transplantation. The objectives of the following study were to evaluate the factors that determine resuming paid work after renal transplantation, to assess a patient’s decision about returning to professional activity by comparative analysis of renal transplant recipients from Poland, Czech Republic and Germany, and to identify groups of patients exposed to professional exclusion in those EU countries. Five hundred renal transplant recipients from three EU countries were included into the study. The two main research methods used in the study were the SF-36 questionnaire, constructed and validated to assess the quality of life after kidney transplantation and a questionnaire constructed for the purposes of this study. Multifactorial analysis identified several risk factors associated with professional exclusions after kidney transplantation, namely young or advanced age, female gender, lack of education, place of residence in rural areas, long period of illness, and lack of occupational activity before transplantation. Despite the high standards of social care and rehabilitation support, patients in Germany failed to take up professional activity after kidney transplantation in more cases than those in Poland and Czech Republic. Surprisingly, the objective function of the kidney (creatinine level) and the multidimensional assessment of quality of life (SF-36 survey) did not have a significant association with the employment status after renal transplantation.

Suggested Citation

  • Elzbieta Wlodarczyk & Ondřej Viklický & Klemens Budde & Marie Kolářová & Leon Bergfeld & Leszek Paczek & Krzysztof Mucha & Maciej Glyda & Zbigniew Wlodarczyk, 2021. "Analysis of Factors Affecting Employment Status of Kidney Transplant Recipients in Selected European Union Member States," IJERPH, MDPI, vol. 18(19), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10284-:d:646645
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    References listed on IDEAS

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    1. Brigitta Danuser & Amira Simcox & Regina Studer & Michael Koller & Pascal Wild & for the Psychosocial Interest Group, Swiss Transplant Cohort Study, 2017. "Employment 12 months after kidney transplantation: An in-depth bio-psycho-social analysis of the Swiss Transplant Cohort," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-17, April.
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    Cited by:

    1. Agnieszka Szymańska & Krzysztof Mucha & Maciej Kosieradzki & Sławomir Nazarewski & Leszek Pączek & Bartosz Foroncewicz, 2022. "Organization of Post-Transplant Care and the 5-Year Outcomes of Kidney Transplantation," IJERPH, MDPI, vol. 19(4), pages 1-12, February.

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